About The Position

The Payer Specialist is responsible for preforming duties of utilization review assisting case managers with patient accounts, patient type, and timely payer authorizations for initial and continued stay. This includes effective communication with payers, case managers, patient access, financial services and a variety of clinical disciplines to capture and maintain accurate account information in STAR and to ensure 3rd party payment. The Payer Specialist is also responsible for managing appeals for denied cases.

Responsibilities

  • preforming duties of utilization review
  • assisting case managers with patient accounts, patient type
  • timely payer authorizations for initial and continued stay
  • effective communication with payers, case managers, patient access, financial services and a variety of clinical disciplines to capture and maintain accurate account information in STAR and to ensure 3rd party payment
  • managing appeals for denied cases

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What This Job Offers

Job Type

Full-time

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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