Payor Relations Specialist

We are seeking a Payor Relations Specialist to join our team of passionate patient caregivers!

Rehabilitation Hospital of Northern Indiana in Mishawaka, Indiana (South Bend area) is a cutting-edge inpatient rehabilitation facility focused on helping patients reclaim their lives after serious injuries or illnesses. We provide intensive rehab care for stroke survivors, individuals with brain or spinal cord injuries, multiple trauma, and other debilitating conditions. Our hospital’s expert team – including board-certified rehabilitation physicians (physiatrists), therapists, and nurses – work together to deliver personalized therapy programs aimed at restoring mobility, communication, and daily living skills. With a state-of-the-art therapy gym and a compassionate approach to care, we offer an ideal setting for healing and improvement. Fully accredited and consistently praised for our patient outcomes, Rehabilitation Hospital of Northern Indiana proudly serves patients across the region with high-quality, individualized rehabilitative care.

Mishawaka blends small-town warmth with big-city potential, making it an ideal place to live and work. Enjoy a lower cost of living than the national average while taking advantage of the city’s scenic Riverwalk along the St. Joseph River—recognized as one of Indiana’s best for walking, jogging, or cycling. Explore newly renovated parks, golf courses, and vibrant downtown filled with local shops, eateries, and cultural events. Located just an hour from Lake Michigan and two hours from Chicago, Mishawaka offers both peaceful charm and easy access to major attractions. With nearby access to the University of Notre Dame, the city pulses with spirited collegiate energy year-round.

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

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.

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.