- 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
- Tufts Medicine (Boston, MA)
- **Clinical Liaison - Home Infusion** **Job Profile** **Summary** This role focuses on providing pharmacy related services in a hospital or retail setting. In ... through explanation of facts, policies and practices. **Job Overview** The Clinical Liaison serves as an expert clinical consultant to hospital staff and clinical… 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
- Beth Israel Lahey Health (Charlestown, MA)
- …Business Development, the Beth Israel Lahey Health (BILH) Physician Outreach Liaison is responsible for cultivating and maintaining new and existing referring ... system fully compliant with established governmental regulations and private payor standards. **Job Description:** **Essential Duties & Responsibilities** including… more
- Nuvance Health (Poughkeepsie, NY)
- *Description* Summary: Responsible for all accountabilities of the Patient Access Liaison 1. Provides functional guidance to staff. Performs registration and ... liability payments. Responsibilities: 1. Performs all responsibilities of the Patient Access Liaison 1 position. May provide functional guidance to Patient Access … 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 (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
- 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
- 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
- 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
- Kestra Medical Technologies, Inc (Kirkland, WA)
- …on payor -specific collection techniques and denial resolution. + Act as a liaison with payor representatives to resolve escalated issues and advocate for ... monitor, manage, and protect life. The Accounts Receivable (AR) Payor Analyst plays a critical role in the healthcare...in the healthcare revenue cycle by serving as a liaison between the organization and third-party payors. This position… 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
- University of Michigan (Ann Arbor, MI)
- …or more designated service lines across all sites of service to ensure payor requirements are met and authorizations are obtained timely and appropriately prior to ... The Authorization Specialist will provide subject matter expertise in the payor authorization process, identify changes in payor authorization requirements… more