Payor Specialist – Utilization Management

ProMedica

Payor Specialist handling payer notification and securing authorizations as patients are admitted at ProMedica. Working remotely, addressing payer requests and documenting determinations in Epic.

Posted 7/8/2026part-timeRemote • Ohio • 🇺🇸 United StatesMid-LevelSenior💰 $15 - $31 per hourWebsite

About the role

Key responsibilities & impact

Responsible for payer notification and securing authorizations
Submit clinical information per payer contract to obtain authorization for appropriate level of care and length of stay
Document all payer determinations in Epic
Communicate the payer requests to the unit manager nurse after authorization is received

Requirements

What you’ll need

High School Diploma
Must have access to high-speed internet in your home
Previous experience with Epic (preferred)
Previous experience with insurance guidelines, federal regulations (preferred)

Benefits

Comp & perks

Dental
Vision
Company paid life insurance
Paid time off
401k retirement plan
Employee assistance program
Other voluntary coverage options
Employee discounts

ATS Keywords

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Applicant Tracking System Keywords

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Certifications

High School Diploma