About this role
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.
Required Education: High School Diploma, GED, or Equivalent.
Required Experience / Skills: Three (3) years of experience in a healthcare field.