- Beth Israel Lahey Health (Wakefield, MA)
- …taking a job, you're making a difference in people's lives.** The Director, Payor Operations will assist in overseeing and managing operations and payer partnerships ... payer submissions, processes, and tracking. * Directs BILHPN wide aspects of payor program design and development, establishing goals and metrics that support payer… more
- WellSpan Health (York, PA)
- …resolution. - Conducts quality assurance reviews on applications, verifications, and payor submissions to identify errors, trends, and training needs. - Prepares ... and improve workflow efficiency, automation and documentation practices. - Acts as liaison with IT, Population Health and other internal teams to communicate system… more
- Cardinal Health (Hartford, CT)
- **_What Network and Payor Relations contributes to Cardinal Health_** Marketing is responsible for assessing customer needs, market conditions and competition to ... commercializing and monitoring the appropriate products and services. Network and Payor Relations is responsible for the development and management of business… more
- Boehringer Ingelheim (Little Rock, AR)
- …(BI) products. To support this mission, the Value Evidence and Outcomes Liaison is responsible for communicating and implementing clinical, economic, and humanistic ... strategies and tactics are robust in filling key evidence gaps from a payor perspective. + Establishes and maintains research and other collaborations with key… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Account Billing Liaison , CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and ... changes to published Medicare and other payer billing guidelines/policies. The Billing Liaison must be able to answer policy guideline questions and provide… more
- Sevita (Augusta, GA)
- …services for infants, children, adolescents, Military Service Members and Veterans. **Clinical Liaison - Georgia region** Are you looking for rewarding work in an ... 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 (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. 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 (Norwalk, CT)
- …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 (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
- Sevita (Austin, TX)
- …required, completes clinical screens to determine eligibility for programs and for payor and other stakeholder review of proposed supports and services. + Completes ... protocols and records in established systems + Acts as communication liaison for clinical and funding information: Communicates details of individual referrals… more
- Hackensack Meridian Health (Little Falls, NJ)
- …a 401k match and Tuition Reimbursement. The primary role of the Clinical Liaison , Hospice is to connect healthcare facilities with hospice services by performing ... the admission process, inclusive of obtaining necessary paperwork and payor information. Perform clinical, admission assessment as needed/necessary. + Relationship… more
- Hackensack Meridian Health (Little Falls, NJ)
- …with authorizations for self and other disciplines as necessary. Meet payor source guidelines. Maintain visit frequency with authorization range. Utilize secure ... indicates case communication. Appropriately utilize manager as a resource. + Act as liaison among physician, Manager of Clinical Practice and other members of the… more
- Bon Secours Mercy Health (Paducah, KY)
- …and state resources + Knowledge of government and non-government payor practices, regulations, standards and reimbursement Soft/Interpersonal Skills: + Knowledge ... Sharing + Attention to detail + Critical thinking + Communication with family members + Conflict resolution + Proactive + Problem Solving + Active listening + Relationship building + Effective problem solving + Teamwork + Facilitation **Training:** N/A As a… more
- Ochsner Health (Jefferson, LA)
- …skills. + Knowledge of core therapy referrals and qualifying criteria by payor source, such as: TPN, Enteral Nutrition and Inotropic Agents for Medicare. ... + Ability to work with frequent interruptions and changes in priorities. + Must be able to work in stressful situations, while remaining objective and professional. **Job Duties** + Develops and maintains core therapy and service line admissions through… more
- Ochsner Health (Jefferson, LA)
- …skills. + Knowledge of core therapy referrals and qualifying criteria by payor source, such as: TPN, Enteral Nutrition and Inotropic Agents for Medicare. ... + Ability to work with frequent interruptions and changes in priorities. + Must be able to work in stressful situations, while remaining objective and professional. **Job Duties** + Develops and maintains core therapy and service line admissions through… more
- Covenant Health Inc. (Knoxville, TN)
- …submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing. Reviews deficient claims (ie claim rejections) ... that are unable to be processed by the payor , makes corrections, and processes rebills as appropriate. +...balances via verbal and written communication. Act as a liaison between the patient, charge entry staff, and office… more
- Covenant Health Inc. (Knoxville, TN)
- …submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing. Reviews deficient claims (ie claim rejections) ... that are unable to be processed by the payor , makes corrections, and processes rebills as appropriate. +...balances via verbal and written communication. Act as a liaison between the patient, charge entry staff, and office… more
- Houston Methodist (Sugar Land, TX)
- …to ensure appropriate utilization of medical resources and services based on payor regulations and guidelines and, as appropriate, successfully appeal denials and ... with managed care contracting as needed. + Maintains knowledge of contracts, payor plans and benefits, billing/follow up procedures + Strong organizational and… more
- Amgen (Scottsdale, AZ)
- …to support open access to Amgen portfolio + Serves as GPO liaison between Amgen and GPO representatives + Provides field insight/recommendations to Pricing/Brand/GPO ... Qualifications:** + 3+ years of account management and/or public payor experience + Resides in the geography and has...of the current marketplace and trends + Knowledge of payor systems, billing, coding and reimbursement processes + Knowledge… more
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