Payor Specialist - Weekend

To support the timely provision of clinical information to third-party payors, the full-time Payor Specialist - Weekend will manage utilization review functions, communicate determinations to care teams, and maintain documentation in a remote environment. Key responsibilities Completes all utilization review functions, including notification of admissions and processing denials Communicates payor determinations and level of care coverage to patient care teams Maintains documentation of review dates, authorizations, and denials per payer guidelines Required qualifications High School Diploma or equivalent Two years of experience in a healthcare setting One year of payor relations experience Knowledge of third-party payers Ability to use computers effectively