- Cardinal Health (Albany, NY)
- **_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
- 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 (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
- 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
- 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: 11. Maintains a working knowledge of the UR requirements of each payor within the patient population; 12. Provides the clinical information requested by the ... on concurrent denial appeals 15. 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 (Lynbrook, 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
- Northwell Health (Melville, NY)
- …and identifies coding issues and knowledge gaps. Job Responsibility + Serves as liaison between the patient and facility/physician and the third party payer. + ... and medical necessity for assigned case. + Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care… more