Job Details

A company is looking for a Payor Specialist.Key ResponsibilitiesComplete utilization review functions for admitted patients, including communication with payors and processing denialsDocument payor determinations, authorization details, and follow up on accounts as directedMaintain relationships with internal and external customers to facilitate the review process and communicate workflow issues to leadershipRequired QualificationsHigh School Diploma or equivalentTwo years of experience in a healthcare settingOne year of payor relations experienceOne year of administrative or clerical experience preferredKnowledge of third-party payers required