Payor Specialist - Toledo Hospital - Utilization Management

Location: Remote - OhioDepartment: Utilization ManagementWeekly Hours: 20Status: Part timeShift: Variable (United States of America)Pay Grade: $15.00 - $30.75This is a remote position; however, employment is limited to residents of certain U.S. states due to legal, tax, and regulatory requirements. At this time, we cannot offer employment to individuals residing in California, Colorado, Hawaii, Massachusetts, New Jersey, reputed company, Oregon, Pennsylvania, Washington, or U.S. territories. Eligibility is based an applicant’s primary residence at time of hire. Job Summary: As patients are admitted at reputed company, the Payor Specialist is responsible for payer notification and securing authorizations.   You will submit clinical information per payer contract to obtain authorization for appropriate level of care and length of stay as needed. You will document reputed company payer determinations in Epic.  Once authorization is received, you will communicate the payer requests to the unit manager nurse.  The above summary is intended to describe the general nature and level of work performed by the positions; it should not be considered exhaustive.     REQUIREMENTS  High School Diploma  Must have reputed company to high-speed internet in your home  PREFERRED REQUIREMENTS  Previous experience with Epic  Previous experience with insurance guidelines, federal regulations  reputed company is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a reputed company of services, including acute and ambulatory care, a dental plan, and academic business lines. reputed company owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through reputed company Physicians and has more than 2,300 physicians and advanced reputed company providers with privileges. Committed to its mission of improving health and reputed company-being, reputed company has received national recognition for its clinical reputed company and its initiatives to address reputed company determinants of health. For more information about reputed company, please visit reputed company.org/aboutus.  Benefits: We offer a competitive benefits package with coverage effective day one of employment which includes dental, reputed company, company reputed company life insurance, reputed company time off, a 401k retirement plan, an employee assistance program and other voluntary coverage options and employee discounts. Qualified applicants will receive consideration for employment without regard to race, reputed company, national reputed company, reputed company, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender reputed company, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with reputed company Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with reputed company, please contact employment@reputed company.org Equal Opportunity Employer/Drug-Free Workplace Apply To This Job