Payor Relations Specialist RN Full Time - Dual Facility

Company: Vibra Healthcare Inc.
Location: Bloomington
Posted on: January 26, 2023

Job Description:

Organization Vibra + Ernest

Bloomington Regional Rehabilitation Hospital in Bloomington, IN - a NEW 40 bed rehabilitation hospital - is seeking a Payor Relations Specialist to join our team!

This role will be based out of Bloomington,

but will cover both our Bloomington and Lafayette Hospitals!

Bloomington Regional Rehabilitation Hospital is a free-standing new construction inpatient rehab hospital located at 3050 N. Lintel Drive, Bloomington, IN 47404. The facility is approximately 47,000 square foot one-story building that will have 40 private rooms, a large therapy gym with high tech equipment and an outside ambulatory courtyard, on-site dialysis, pharmacy and radiology. This site is affiliated with IU Health Bloomington. At our hospital, we treat a wide variety of patients such as those recovering from a Stroke, Brain Injury, Spinal Cord Injury, Multiple Trauma, Amputation, Neurological conditions, orthopedics and medically complex patients.

The Payor Relations Specialist will work closely with several different members of the interdisciplinary team, including marketing, admissions, case management, and providers inside the facility as well as outside insurers and managed care organizations to ensure the treatment needs of the patients are met, maximizing their overall outcomes and quality of life. They are responsible for obtaining and maintaining service authorizations from third-party payors to ensure reimbursement for services provided, before, throughout, and after a patient stay. The Payor Relations Specialist will be integral in advocating for the patient needs and education of staff on clinical documentation & justification.

Qualifications/Skills :

* Current state RN license preferred.
* Two years recent experience in Utilization Review and/or Case Management 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.

Per Federal Health Care Worker Vaccine Requirements, all employees must be fully vaccinated against COVID-19 or be approved for a valid religious or medical exemption. Anyone hired by the company must provide proof of their COVID-19 vaccine before they can begin employment or request and be approved for a valid religious or medical exemption.

Our recruitment team wants to get to know you. Share your passion! Please complete our online application and submit your resume for immediate consideration.

If selected, our interview process includes phone interviews, in person interviews, and several vetting tools.

Thank you for taking the time to consider a career opportunity with our hospital.

Keywords: Vibra Healthcare Inc., Bloomington , Payor Relations Specialist RN Full Time - Dual Facility, Healthcare , Bloomington, Indiana