- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …excellent communication skills to ensure that the patient has adequate insurance or payor coverage for the infusion services that are being requested for AristaCare ... Duties:** + Communicates in a timely manner the referral source (clinical liaison , discharge planner, medical social worker, clinic nurse) the patients insurance… more
- Walgreens (Deerfield, IL)
- …and support for the stores. Investigates Payer Inquiry Tickets from Payor Partners, Enterprise Prescriber Data File issue resolution and Audits, Prescriber ... are not compliant with the plan specifications. + Collaborates with third party payor and Walgreens Direct Bill contracts and appropriate Walgreens team members to… more
- AdventHealth (Hinsdale, IL)
- …with regulatory policies * Ensures patient accounts are assigned the appropriate payor plans * Ensures all financial assessments, eligibility, and benefits are ... to change and is sensitive to department and organization needs * Acts as a liaison to various departments as a knowledge leader * Utilizes knowledge of and performs… more
- CenterWell (Springfield, IL)
- …for audio only visits, and missing telehealth platform) + Serve as liaison to provide timely updates on documentation requirements and process changes. **Mergers ... reviews. + Compile payer findings and assist with research. + Participate in payor meetings/discussions to ensure accurate data submission. **Use your skills to make… more
- Fresenius Medical Center (Evergreen Park, IL)
- …area and accessibility to staff and patients. + Acts as the primary liaison between the company and the Medical Directors, Medical Advisory Board members, and ... performance indicators. + Works closely with Managed Care resources to increase the payor mix and to retain commercial patients. + Manages the payroll and oversees… more
- BrightSpring Health Services (Kankakee, IL)
- …to consumers, families and/or staff. Provides behavioral evaluations, acts as liaison for psychiatric supports, participates in on-going assessments, develops, and ... of the job include age-appropriate activities/behaviors; understanding of CPT codes/ payor rules/regulations/policies; language grammar/punctuation/spelling/vocabulary; and research-based accepted treatment modalities… more
- R1 RCM (Chicago, IL)
- …medical necessity criteria, physician documentation, and medical policies of the payor . Every day you will supervise the day-to-day clinical operations and ... on clinical appeals that require no further action. + Act as a liaison for non-clinical staff and attorneys to collaborate on appeals processing. + Leverage… more