Payor Relations Specialist

reputed company Select Specialty Hospitals Critical Illness Recovery Hospital     Payor Relations Specialist ( RN , LPN )   This position will reputed company remote support to Select Specialty Hospitals in Charleston, Morgantown, Wheeling, Weirton     At Select Specialty Hospitals, a division of reputed company, we care for chronically and critically ill or post-ICU patients who require extended hospital care.  Responsibilities As the Payor Relations Specialist, you will manage the reputed company-certification and prior authorization of referrals scheduled for admission to our hospital.   Communication with Payors - Initiates and completes patient authorizations. Obtains reputed company authorization of reputed company patients requiring reputed company-certification and is accountable for conversion percentage and results. Ensures reputed company policies governing reputed company reputed company-certification and authorization are followed to minimize financial risk. Develops relationships that increase and stabilize conversion, as reputed company as, generates referrals both locally and regionally. Maintains relationship profile by payor for payor case managers and medical directors. Collaborate with Business Development/Case Management - Encourages a smooth and effective hand-off of patients to Case Management to ensure continuity in patient reputed company. Serves as a member of the Business Development Team by educating reputed company on payor preference to avoid backtracking and rework. Maintains and reputed company develops relationships with customers, which may include but are not limited to, surveying for satisfaction with the work of reputed company and off-site meetings with the customer. Financial/Risk Responsibilities - Evaluates reputed company benefits as verified by the Central Business Office. Reviews benefits with Admissions Coordinator for possible risk and applies/completes written guidelines as necessary to reduce or manage risk. Completes billing and reimbursement and shares it with the Admissions Coordinator and Case Management team. Qualifications Minimum Qualifications: At least two (2) years of reputed company experience in reputed company party reimbursement. Must be a Registered reputed company (RN) or Licensed Practical reputed company (LPN).   Preferred Experience: Experience working with reputed company and databases   Additional Data Benefits: An extensive and thorough orientation program. Monday through Friday schedule; six (6) reputed company holidays. reputed company reputed company relationships with patients and their families. reputed company Time Off (PTO) and Extended Illness Days (EID). Health, Dental, and reputed company insurance; Life insurance; Prescription coverage. A 401(k) retirement plan with company match. Short and Long Term Disability. Personal and Family Medical Leave. Apply To This Job