Overview Payor Relations Specialist - Clinical opportunity Bloomington Regional Rehabilitation ... Effective organizational and time management skills. * Effective written and verbal communication ...
Overview Payor Relations Specialist - Clinical opportunity Bloomington Regional Rehabilitation ... Effective organizational and time management skills. * Effective written and verbal communication ...
Partner with payor relations team members to ensure contractual rates are aligned with eligibility ... Experience managing provider schedules, productivity, and operational performance metrics.
Quick apply
Partner with payor relations team members to ensure contractual rates are aligned with eligibility ... Experience managing provider schedules, productivity, and operational performance metrics.
... management principles from various data sources including EPIC and FinThrive Claims Data, Payor ... Supports the Provider Relations, Delegated Credentialing, Enrollment and Claims Administration ...
... management principles from various data sources including EPIC and FinThrive Claims Data, Payor ... Supports the Provider Relations, Delegated Credentialing, Enrollment and Claims Administration ...
... management principles from various data sources including EPIC and FinThrive Claims Data, Payor ... Supports the Provider Relations, Delegated Credentialing, Enrollment and Claims Administration ...
... management principles from various data sources including EPIC and FinThrive Claims Data, Payor ... Supports the Provider Relations, Delegated Credentialing, Enrollment and Claims Administration ...
Obtains payor authorization and continually communicates with payor sources and field staff to ... Employee Relations Code. CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE Demonstrates knowledge of ...
Obtains payor authorization and continually communicates with payor sources and field staff to ... Employee Relations Code. CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE Demonstrates knowledge of ...
Practice Manager II
New Albany, IN · On-site
Work with Marketing and Public Relations as needed to enhance public image of the clinic ... Must have an in-depth knowledge of the payor environment, patient service delivery systems and ...
Practice Manager II
New Albany, IN · On-site
Work with Marketing and Public Relations as needed to enhance public image of the clinic ... Must have an in-depth knowledge of the payor environment, patient service delivery systems and ...
Work with Marketing and Public Relations as needed to enhance public image of the clinic ... Must have an in-depth knowledge of the payor environment, patient service delivery systems and ...
Work with Marketing and Public Relations as needed to enhance public image of the clinic ... Must have an in-depth knowledge of the payor environment, patient service delivery systems and ...
Qualifications Previous experience in long-term care pharmacy or pharmacy team management required ... and payor changes Apply credits and invoices to customer accounts Review and correct unbilled ...
Qualifications Previous experience in long-term care pharmacy or pharmacy team management required ... and payor changes Apply credits and invoices to customer accounts Review and correct unbilled ...
Pharmacy Billing Specialist - LifeSpan Pharmacy
Indianapolis, IN · On-site
$30/hr
Qualifications • Previous experience in long-term care pharmacy or pharmacy team management ... and payor changes • Apply credits and invoices to customer accounts • Review and correct ...
Pharmacy Billing Specialist - LifeSpan Pharmacy
Indianapolis, IN · On-site
$30/hr
Qualifications • Previous experience in long-term care pharmacy or pharmacy team management ... and payor changes • Apply credits and invoices to customer accounts • Review and correct ...
Licensed Nursing Home Administrator
$93K - $116K/yr
Works with the facility management staff and consultants in planning all aspects of facility ... Monitors employee relations practices of key staff to ensure compliance with employment laws and ...
Quick apply
Licensed Nursing Home Administrator
$93K - $116K/yr
Works with the facility management staff and consultants in planning all aspects of facility ... Monitors employee relations practices of key staff to ensure compliance with employment laws and ...
Licensed Nursing Home Administrator
$103K - $128K/yr
Works with the facility management staff and consultants in planning all aspects of facility ... Monitors employee relations practices of key staff to ensure compliance with employment laws and ...
Quick apply
Licensed Nursing Home Administrator
$103K - $128K/yr
Works with the facility management staff and consultants in planning all aspects of facility ... Monitors employee relations practices of key staff to ensure compliance with employment laws and ...
Accurately review and process all third party payor, collection agency, patient, and other payments ... contract management system. * Responds to customer phone calls regarding requests for refunds.
Accurately review and process all third party payor, collection agency, patient, and other payments ... contract management system. * Responds to customer phone calls regarding requests for refunds.
OverviewAccurately review and process all third party payor, collection agency, patient, and other ... contract management system. * Responds to customer phone calls regarding requests for refunds.
OverviewAccurately review and process all third party payor, collection agency, patient, and other ... contract management system. * Responds to customer phone calls regarding requests for refunds.
PATIENT REP IV-REFUND
Merrillville, IN · On-site
Overview Accurately review and process all third party payor, collection agency, patient, and other ... contract management system. * Responds to customer phone calls regarding requests for refunds.
PATIENT REP IV-REFUND
Merrillville, IN · On-site
Overview Accurately review and process all third party payor, collection agency, patient, and other ... contract management system. * Responds to customer phone calls regarding requests for refunds.
Precertification Specialist, Managed Care Experience Preferred
Indianapolis, IN · Hybrid
$18 - $24.50/hr
Managed Care experience preferred. This position must work flexible hours. This is not a sales ... payor sources. * Demonstrate excellent communications, negotiation, and public relations skills.
Precertification Specialist, Managed Care Experience Preferred
Indianapolis, IN · Hybrid
$18 - $24.50/hr
Managed Care experience preferred. This position must work flexible hours. This is not a sales ... payor sources. * Demonstrate excellent communications, negotiation, and public relations skills.
Director Pharmacy Specialty Pharmacy
Evansville, IN · On-site
$123K - $162K/yr
... 340B / payor strategies. * FINANCIAL MANAGEMENT: * Prepares/reviews annual capital equipment ... Is a resource for Patient Relations and responds timely to issues to mitigate complaints quickly
Director Pharmacy Specialty Pharmacy
Evansville, IN · On-site
$123K - $162K/yr
... 340B / payor strategies. * FINANCIAL MANAGEMENT: * Prepares/reviews annual capital equipment ... Is a resource for Patient Relations and responds timely to issues to mitigate complaints quickly
Psychiatrist
Columbus, IN · On-site
Assists with the preparation for quality and third-party payor requirements. * Responds to ... Manages chronic health/disease conditions. Provides leadership for clinic and community relations:
Psychiatrist
Columbus, IN · On-site
Assists with the preparation for quality and third-party payor requirements. * Responds to ... Manages chronic health/disease conditions. Provides leadership for clinic and community relations:
Psychiatrist
Columbus, IN · On-site
Assists with the preparation for quality and third-party payor requirements. * Responds to ... Manages chronic health/disease conditions. Provides leadership for clinic and community relations:
Psychiatrist
Columbus, IN · On-site
Assists with the preparation for quality and third-party payor requirements. * Responds to ... Manages chronic health/disease conditions. Provides leadership for clinic and community relations:
Psychiatrist
Columbus, IN · On-site
Assists with the preparation for quality and third-party payor requirements. * Responds to ... Manages chronic health/disease conditions. Provides leadership for clinic and community relations:
Psychiatrist
Columbus, IN · On-site
Assists with the preparation for quality and third-party payor requirements. * Responds to ... Manages chronic health/disease conditions. Provides leadership for clinic and community relations:
Licensed Nursing Home Administrator
$88K - $109K/yr
Works with the facility management staff and consultants in planning all aspects of facility ... Monitors employee relations practices of key staff to ensure compliance with employment laws and ...
Quick apply
Licensed Nursing Home Administrator
$88K - $109K/yr
Works with the facility management staff and consultants in planning all aspects of facility ... Monitors employee relations practices of key staff to ensure compliance with employment laws and ...
Manager Payor Relations information
What is the difference between Manager Payor Relations vs Payor Relations Specialist?
| Aspect | Manager Payor Relations | Payor Relations Specialist |
|---|---|---|
| Credentials | Bachelor's degree, experience in healthcare or insurance | Similar educational background, entry to mid-level experience |
| Work Environment | Supervisory role, strategic planning, team management | Operational focus, client communication, data analysis |
| Employer & Industry Usage | Healthcare providers, insurance companies | Insurance firms, healthcare organizations |
The main difference is that the Manager Payor Relations oversees teams and strategic initiatives, while the Payor Relations Specialist handles day-to-day communication and data management. Both roles require similar credentials but differ in scope and responsibilities.

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 27 days ago
Ernest Health rating
6.4
Based on 28 frontline employees who took The Breakroom Quiz
Job description
Payor Relations Specialist - Clinical opportunity
Bloomington Regional Rehabilitation Hospital in Bloomington, Indiana, is a cutting-edge inpatient rehab hospital focused on helping patients throughout Southern Indiana reclaim their lives after serious injuries or illnesses. We provide highly individualized rehabilitation programs for a wide range of conditions, including stroke recovery, traumatic brain injury, spinal cord injury, complex orthopedic recovery, and more. Our team of caring professionals - from rehab physicians and nurses to physical, occupational, and speech therapists - works hand in hand with patients and their families to set goals and celebrate progress, fostering a motivating environment. Bloomington Regional features the latest rehabilitation technology and therapy techniques, as well as amenities such as a therapeutic gym and an outdoor mobility track, to enhance the rehabilitation experience. Accredited and part of Ernest Health's nationally recognized network, our hospital is known for its welcoming atmosphere and excellent patient outcomes, making it an ideal place for dedicated caregivers to make a difference and for patients to achieve their fullest recovery potential.
Why You'll Love Living in Bloomington, Indiana
Bloomington offers the perfect blend of natural beauty, cultural vibrancy, and small-city charm. Home to Indiana University, the city boasts a lively arts scene, diverse dining options, and spirited collegiate events. Outdoor enthusiasts will love the nearby Hoosier National Forest, scenic lakes, and miles of hiking and biking trails. With a lower-than-average cost of living and a strong sense of community, Bloomington is an ideal place to live, work, and thrive.
We are seeking a Payor Relations Specialist to join our team of passionate patient caregivers!
As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs. These programs focus to enhance the employees' work experience, recognize, and celebrate achievements. We also encourage employees to share their work experience through "My Ernest Journey" and through our Engagement Survey, where our approach is "You Spoke, We Listened". These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them.
Our hospital offers comprehensive benefits, designed to support your health and financial well-being.
Benefits:
- PPO and High Deductible Medical Plan options
- Flexible Spending and Health Savings Account options available
- Dental and Vision coverage
- 401K with employer matching
- Life insurance
- Short-and-long term disability
Wellness & Work Life Balance:
- Employee Assistance Program
- Wellness Program with quarterly wellness challenges with participation incentives
- Earned Time Off - start accruing vacation time on start date
Professional Growth:
- Continuing education opportunities and reimbursement
Qualifications
Required Skills:
- Current state RN license preferred.
- Two years recent experience in Utilization Review preferred
- OR any equivalent combination of education and experience.
Additional Qualifications/Skills:
- Knowledge of clinical operations and procedures.
- Knowledge of the compliance and regulatory standards governing health plans and patient care.
- Demonstrates an understanding of treatment costs and financial support as they relate to quality and efficiency.
- Demonstrates general computer skills including: data entry, word processing, email, and record management.
- Effective organizational and time management skills.
- Effective written and verbal communication skills.
- Ability to maintain proper levels of confidentiality.
- Ability to work closely and professionally with others.
- Ability to maintain quality, safety, and/or infection control standards.
Responsibilities
The Payor Relations Specialist is responsible for obtaining and maintaining service authorizations from third-party payors to ensure reimbursement for services provided, before, throughout, and after a patient stay. They will work directly with insurers, managed care organizations, and clinical staff to ensure the treatment needs of the patients are met, maximizing their overall outcomes and quality of life.
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