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Payor Relations Specialist

Company: Vibra Healthcare Inc.
Location: Stockton
Posted on: November 23, 2022

Job Description:

Lookout---Here We Grow Again!


Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and support them in their professional growth while leading them on a path to success within our organization.


Stockton Regional Rehabilitation Hospital is seeking a Payor Relations Specialist to join our team!

Stockton Regional Rehabilitation Hospital, located in Stockton, CA is a 50 bed inpatient rehab providing rehabilitative services to people recovering from disabilities caused by injuries or illnesses. We help our patients regain their physical or cognitive abilities so they can return home at their highest level of independence. As a smaller, specialized hospital, we offer an opportunity to work in a fast-paced and friendly work environment where you really get to know your patients and their families.

Position Overview:

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.

Qualifications/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.

At Stockton Regional Rehabilitation Hospital, our patients are family. Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside.


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. Unvaccinated employees on an approved exemption must submit to weekly COVID-19 testing and wear a respirator at all times while in the facility. Some states and locations require increased frequency testing pursuant to state regulations.

If you share our values, we want to hear from you!

Keywords: Vibra Healthcare Inc., Stockton , Payor Relations Specialist, Other , Stockton, California

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