- Insmed Incorporated (Los Angeles, CA)
- …and Best Medium Workplaces™ lists.OverviewThe Associate Director Medical Science Liaison will develop and maintain professional relationships with external ... information, and education to health care customers within managed markets/healthcare/ payor systems, in addition to other unique healthcare influencers.Full support… more
- Elevance Health (Atlanta, GA)
- …+ Oversees the contracting and credentialing teams. Leads as the subject matter resource/ liaison for payor strategy. + Works with sales and operations with ... support throughout the consumer's treatment journey. **Staff VP Specialty Pharma Payor Sales & Strategy** **Location:** _May be located in any PulsePoint… more
- Cedars-Sinai (Los Angeles, CA)
- …Lines. + Supports recovery of unpaid/underpaid receivables and serves as liaison between internal departments and health plans. + Supervises contracting efforts ... ID** : 10874 **Working Title** : Managed Care and Payor Relations Director, Managed Care - #1 Hospital in...#1 Hospital in CA **Department** : Managed Care and Payor Relations **Business Entity** : Cedars-Sinai Medical Center **Job… more
- WellSpan Health (York, PA)
- …those from NCQA, URAC and The Joint Commission. Serves as a key liaison among hospitals, ambulatory practices, payer relations and executive leadership. **Duties and ... Responsibilities** **Essential Functions:** + Leads and develops a high-performing team of credentialing/enrollment professionals, including managers, specialists and coordinators. + Collaborates with executive leadership, medical staff services, compliance,… more
- Premier Health (Dayton, OH)
- …data sources. The Liaison t works with internal stakeholders and external payor representatives to ensure contract compliance and to resolve payment issues. The ... care contracts for Premier Health hospitals and physician organizations. The Liaison interprets and researches managed care contract language and methodologies. The… 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 (San Francisco, CA)
- …children, adolescents, Military Service Members and Veterans. **Marketing Clinical Liaison ** **SUMMARY** Market programs regionally and performs clinical screens ... 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 (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
- IQVIA (Hoboken, NJ)
- …Lead (MSOL) serves as a point of contact to the medical/scientific and payor community. The MSOL is responsible for establishing, developing and maintaining the ... point of contact for health-economic and medical/scientific discussions with payor accounts, Integrated Delivery Networks (IDNs) and Accountable Care Organizations… more
- Nuvance Health (Danbury, CT)
- …for services rendered. * 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. * 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
- Providence (Portland, OR)
- **Description** RN Infusion Liaison - Providence Home Services Oregon Schedule: Full Time/ Days Provides direct nursing services and case management related to ... 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… more
- Owens & Minor (Cromwell, CT)
- …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 (Milwaukee, WI)
- …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
- 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
- Fresenius Medical Center (Kennesaw, GA)
- **PURPOSE AND SCOPE:** The Sr Manager, Payor Revenue Programs manages, prepares, administers, and directs the implementation of payor revenue improvement ... initiatives. This role is responsible for managing all aspects of payor revenue project/program implementation, including the the monitoring, analysis and evaluation… more
