- Catholic Health (Orchard Park, NY)
- …expenses at time of admission and throughout the resident stay. Acts as a liaison between site operations and the Revenue Management Center to ensure provision of ... elderly in a care setting, or processing and follow up of Third Party Payor or resident claims required + Experience/knowledge of processing third party payor … more
- SSM Health (St. Louis, MO)
- …Center for Medicare Services (CMS) guidelines and a keen understanding of the payor market and managed care contracts to monitor vendor service performance as well ... care progression for the organization. Remains current on healthcare and payor regulatory provisions. Exhibits understanding of value-based care models, including… more
- SSM Health (St. Louis, MO)
- …Center for Medicare Servives (CMS) guidelines and a keen understanding of the payor market and managed care contracts to monitor vendor service performance and total ... care progression for the organization. Remains current on healthcare and payor regulatory provisions. Exhibits understanding of value-based care models, including… more
- Masonicare (Shelton, CT)
- Community Liaison Job Location: Shelton, Connecticut Community Liaison Masonicare - Shelton, CT area Day Shift / 40hrs/wk The Community Liaison , under the ... and presentation skills + Knowledge of Medicare, Medicaid, and third-party payor eligibility criteria and reimbursement guidelines + Meet and maintain credentialing… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Accounts Billing Liaison Full time, 80 hours per pay period, Day shift Covenant Medical Group is Covenant Health's employed and managed medical ... changes to published Medicare and other payer billing guidelines/policies. The Billing Liaison must be able to answer policy guideline questions and provide… more
- Spaulding Rehabilitation (Charlestown, MA)
- Clinical Liaison Representative - ( 3299924 ) **Description** **Summary** Participate in referral relations activities within an inpatient healthcare setting and ... are accepted, confirmed, and qualified as described in the liaison process. + Admissions adhere to MGB criteria. +...the appropriate plan to meet the patients' needs. + Payor mix results are achieved according to established targets.… more
- Spaulding Rehabilitation (East Sandwich, MA)
- Liaison Representative - Per Diem - ( 3311625 ) **Description** Participate in referral relations activities within an inpatient healthcare setting and conduct ... are accepted, confirmed, and qualified as described in the liaison process. + Admissions adhere to MGB criteria. +...the appropriate plan to meet the patients' needs. + Payor mix results are achieved according to established targets.… more
- Sevita (MN)
- …us today, and experience a career well lived. The Community Clinical Liaison markets programs regionally and performs clinical screens when required to determine ... required, completes clinical screens to determine eligibility for programs and for payor and other stakeholder review of proposed supports and services. + Completes… more
- Nuvance Health (Carmel, NY)
- …for services rendered. 6. Performs insurance eligibility verification and executes payor requirements as needed. Includes initiating eligibility transactions via the ... Internet, contacting the payor to obtain billing information and authorization and scripts for service when appropriate. 7. Provides estimates for services when… more
- Nuvance Health (Poughkeepsie, NY)
- …for services rendered. 6. Performs insurance eligibility verification and executes payor requirements as needed. Includes initiating eligibility transactions via the ... internet, contacting the payor to obtain billing information and authorization and scripts for service when appropriate. 7. Provides estimates for services when… more
- Nuvance Health (Poughkeepsie, NY)
- …for services rendered. * Insurance eligibility verification and execute payor requirements, as needed. Initiate eligibility transactions via e-mail, contacting ... the payor to obtain billing information and authorization and scripts for service, when appropriate. * Provide estimates for services when appropriate, communicate… more
- Nuvance Health (Sharon, CT)
- …payment for services rendered. * Insurance eligibility verification and execute payor requirements as needed. Initiate eligibility transactions via e-mail, contact ... the payor to obtain billing information, authorization, and scripts for service, when appropriate. * Estimates for services when appropriate, communicate and… more
- ThermoFisher Scientific (Las Vegas, NV)
- …in an inclusive environment. The main aim of the Senior Medical Science Liaison (MSL) will be to maintain existing and develop new professional relationships with ... Support the setup and execution of Ad Boards, Speaker Trainings, and External Payor Reviews as needed. Assist in preparing medical review materials for national… more
- Sevita (Plymouth, MA)
- …required, completes clinical screens to determine eligibility for programs and for payor and other stakeholder review of proposed supports and services. *Completes ... pre-admission protocols and records in established systems *Acts as communication liaison for clinical and funding information: Communicates details of individual… more
- Apria (Kingston, NY)
- …confirming delivery appointments, and obtaining authorization of equipment based on payor guidelines. + Develops strategic relationships within assigned accounts in ... order to enhance patient care and increase business. + Coordinate patient orders with assigned providers, clinics and/or hospitals. If concerns arise, ensure patient and customer satisfaction expectations are met or exceeded. Determine appropriate solutions… more
- Apria (Van Nuys, CA)
- …confirming delivery appointments, and obtaining authorization of equipment based on payor guidelines. * Develops strategic relationships within assigned accounts in ... order to enhance patient care and increase business. * Coordinate patient orders with assigned providers, clinics and/or hospitals. If concerns arise, ensure patient and customer satisfaction expectations are met or exceeded. Determine appropriate solutions… more
- Providence (Medford, OR)
- …coordination with various providers, the patient and/or caregiver, the physician and the payor . These services are provided in the states of Oregon and/or southwest ... Washington. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Home Services Oregon and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice… more
- Option Care Health (Plano, TX)
- …to obtain both pertinent medical history and primary/ secondary insurance payor information and communicates this to patient registration department. + Proactively ... initiates care transition coordination with referral sources and internal partners to ensure seamless patient transitions to home or ATS. Participates with any data collection required for therapy start and patient tracking process. This may include… more
- Prime Healthcare (Mesquite, TX)
- …Responsibilities TheMarket Business Office Liaisonwill assist the HospitalCFOin managing payor analysis, patient account claims and resolutions. Will track and ... industry preferred. #LI-CA1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/178138/business-office- liaison revenue-cycle/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityDallas Regional Medical Center… more
- Surgery Care Affiliates (Jacksonville, FL)
- …in accordance with the hospital's defined policies and procedures.. + Functions as a liaison to the payor to manage the financial resources and ensure effective ... the hospital's defined policies and procedures. + Functions as a liaison to the payor to manage the financial resources and ensure effective communication… more
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