Texas Licensed Prior Authorization Specialist

Job Summary

A company is looking for a Payor Relations Specialist / Prior Authorization Specialist (RN, LPN).

Key Responsibilities

• Manage pre-certification and prior authorization of referrals for admission to the Acute Inpatient Rehabilitation Hospital
• Ensure compliance with documentation standards and mentor team members as needed
• Develop and maintain relationships with payers and internal teams to enhance referral conversion and minimize financial risk

Required Qualifications

• Licensure as a Registered Nurse or LVN/LPN is required
• 2 years of direct experience in third-party reimbursement is required
• Previous experience within a physical rehabilitation setting is preferred
• Experience working with Excel and databases is preferred