What are the responsibilities and job description for the Payor Relations Specialist position at Ernest Health?
Join our Team!!!
Trustpoint Rehabilitation Hospital is a premier inpatient facility specializing in the treatment of stroke, brain and spinal cord injuries, orthopedic trauma, and other complex medical conditions. We are proud to be one of the few rehabilitation hospitals in the region that also provides care for pediatric patients, offering specialized services tailored to the unique needs of children and their families. Our mission is to provide compassionate, individualized care that empowers patients—of all ages—to regain independence and achieve their best outcomes.
About Trustpoint Rehabilitation Hospital of Lubbock
Located at 4302 Princeton Street in Lubbock, TX, Trustpoint is a 93-bed inpatient rehabilitation hospital specializing in adult and pediatric care. We are proud to be ranked in the Top 10% nationally for rehabilitative care and have earned The Joint Commission’s Brain Injury, Stroke, and Spinal Cord Rehabilitation Certification.
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.