Payor Specialist

A company is looking for a Payor Specialist to manage clinical information flow to third-party payors for hospitalizations.

Key Responsibilities

Complete utilization review functions, including notification of admission and processing of denials

Communicate payor determinations to patient care team members and document relevant information

Maintain insurance forms and follow up on accounts as directed

Required Qualifications

High School Diploma or equivalent

Two years' experience in a healthcare setting

Experience in payor relations

Administrative or clerical experience

Ability to maintain patient confidentiality and adhere to ethical standards