Payor Relations Specialist

Overview

Payor Relations Specialist - Full Time

Join our world-class team of driven, passionate healthcare professionals who are focused on service excellence and providing top quality care!

Advanced Care Hospital of Montana in Billings, Montana is a freestanding critical care and inpatient rehabilitation hospital providing advanced interdisciplinary care to patients with critical, complex, and recovery-focused medical needs. As the region’s leading specialty hospital, we care for individuals who have survived serious illness, trauma, or surgery but require extended recovery time and a higher level of medical attention than typically provided in a traditional hospital setting.

Our dual mission includes both long-term acute care and comprehensive inpatient rehabilitation. We offer specialized services such as ventilator weaning and respiratory therapy, cardiac monitoring and recovery, complex wound and infection treatment, and intensive rehabilitation for patients regaining strength, mobility, and independence after prolonged ICU stays. Our rehabilitation program includes Physical Therapy (PT), Occupational Therapy (OT), and Speech‑Language Pathology (SLP), tailored to each patient’s unique goals for recovery.

With all private rooms and a highly skilled team—including physicians, ICU/critical care nurses and respiratory therapists— we deliver individualized, compassionate care that supports both medical stability and functional progress. Advanced Care Hospital of Montana is Joint Commission accredited and nationally recognized for quality care. We proudly serve patients and families from across Montana, Wyoming, and South Dakota, offering a healing environment where progress is measured not just in milestones—but in moments of regained independence.

Billings, Montana — Montana’s largest city, Billings is a gateway to Yellowstone and the Beartooth Mountains. With low unemployment, a growing downtown, and stunning natural beauty, Billings offers a high quality of life and wide‑open opportunity. Billings is growing into a vibrant community with a diverse mix of urban and rural activities and amenities to fit your lifestyle. Although Billings is the largest city in the state, it still has a smaller‑town feel, offering quick commutes, good schools, friendly neighbors, and so much more.

Billings has what you want, whether you want to be, grow, or play in the great state of Montana.

We are seeking a Payor Relations Specialist to join our team of passionate patient caregivers!

As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs. These programs focus to enhance the employees’ work experience, recognize, and celebrate achievements. We also encourage employees to share their work experience through "My Ernest Journey" and through our Engagement Survey, where our approach is "You Spoke, We Listened". These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them.

Our hospital offers comprehensive benefits, designed to support your health and financial well‑being.

• PPO and High Deductible Medical Plan options
• Flexible Spending and Health Savings Account options available
• Dental and Vision coverage
• 401K with employer matching
• Life insurance
• Short‑and‑long term disability

• Employee Assistance Program
• Wellness Program with quarterly wellness challenges with participation incentives
• Earned Time Off - start accruing vacation time on start date

• Continuing education opportunities and reimbursement

• Current state RN license preferred.
• Two years recent experience in Utilization Review preferred
• OR any equivalent combination of education and experience.

• 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.

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.