- IQVIA (New York, NY)
- …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 (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 (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
- 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
- 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
- Mount Sinai Health System (New York, NY)
- …Review: 1. Maintains a working knowledge of the UR requirements of each payor within the patient population; 2. Provides the clinical information requested by the ... companies on concurrent denial appeals 5. Communicates clinical information to the payor , as needed, coordinating direct communication between physician and payor… more
- Mohawk Valley Health System (Utica, NY)
- …admission. + Monitor observation and the application of the 2nd Midnight across payor types (CMS regulation). + Perform concurrent review and escalation of cases not ... and reimbursement models in decision making and reviews. + Provide peer-to-peer payor review in collaboration with attending physicians. + Support Recovery Audit… more
- Northwell Health (Glen Cove, NY)
- …well as outside referrals. + Verifies all required insurance information, including primary payor data. + Notifies Nurses of any change in insurance information, as ... form. + Enters verified insurance information into computer. + Acts as a liaison between verifications and reimbursement. + Performs related duties as required. All… more
- CenterWell (Albany, NY)
- …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
- WMCHealth (Kingston, NY)
- …completeness. + Documents in hospital care management program financials, payor requirements, clinical documentation and authorization status. + Perform concurrent ... activities related to Length of Stay issues and concerns. + Serves as liaison between the physicians, treatment teams, patients and 3rd party payers when applicable.… more
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