- Insmed Incorporated (Minneapolis, MN)
- …we're in. Are you?About the Role:The Associate Director Medical Science Liaison will develop and maintain professional relationships with external healthcare ... information, and education to health care customers within managed markets/healthcare/ payor systems, in addition to other unique healthcare influencers.Full support… more
- Novant Health (Charlotte, NC)
- …+ Single case agreements, Direct to Employer agreements + Value Based Care liaison between payor and Novant Health clinical teams Qualifications + Education: ... purview of Novant Health's Revenue & Relationship Management team is leading the payor strategy, negotiation, and management of a portfolio of commercial and managed… more
- Henry Ford Health System (Detroit, MI)
- …policies, CMS guidelines, and internal documentation standards. + Serve as a liaison to legal, compliance, and contracting teams on audit-related matters. + ... Represent the organization in payer discussions and external audit forums. EDUCATION/EXPERIENCE REQUIRED + Bachelor's degree in Nursing, Health Information Management, Business, or related field required; Master's Preferred. + RN, RHIA, RHIT, or CCS credential… more
- Boehringer Ingelheim (Portland, OR)
- …(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 (Tyler, TX)
- …infants, children, adolescents, Military Service Members and Veterans. **Clinical Liaison Marketer** Markets programs regionally and performs clinical screens when ... required, completes clinical screens to determine eligibility for programs and for payor and other stakeholder review of proposed supports and services. *Completes… more
- Sevita (San Jose, CA)
- …for infants, children, adolescents, Military Service Members and Veterans. Marketing Clinical Liaison - Must be local to Bay Area (California) **SUMMARY** Market ... 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 (Danbury, 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
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …excellence in healthcare. SUMMARY OF JOB SUMMARY OF JOB: Supports the lead admissions liaison in regards to all aspects of the Short Stay program resident admissions ... for life care. Meets life care's financial goals related to percentage of payor mix by assessing for the appropriate patients, assuring insurance approval and… 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
- 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
- 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
- Owens & Minor (Elmsford, 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
- 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 ... appeal strategies. **PEOPLE ESSENTIAL FUNCTIONS** + Serves as an educational liaison to clinical staff including physicians/providers and clinical directors, and… more
- Select Medical (Yorktown, VA)
- …post-acute services in consultation with the field Clinical Liaisons,Senior Clinical Liaison , or Director of Business Development. Review and analyze medical records ... are followed to minimize financial risk. + Maintain relationship profile by payor for payor case managers and medical directors. + Identify by payor … more
- Mount Sinai Health System (New York, NY)
- …a working knowledge of the UR (Utilization Review) requirements of each payor within the patient population; b. Provides the clinical information requested by ... companies on concurrent denial appeals e. Communicates clinical information to the payor , as needed, coordinating direct communication between physician and payor… more
- Banner Health (Sun City West, AZ)
- …in order to maximize reimbursement and minimize denials/penalties from the payor (s). Obtains federally/state required information and all consents and documentation ... financial assistance, prompt pay discount, loan program). 5. Acts as a liaison between the patient, the billing department, vendors, physician offices and the… more
- Banner Health (Mesa, AZ)
- …practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being ... basis for all scheduling requirements 2. Acts as a liaison between patients, providers and staff members for patients'...3. Provides all pertinent clinical information needed for the payor authorization, the facility or specialist prior to the… more
