- 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
- 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
- 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)
- …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
- 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
- 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
- Spectrum Health and Human Services (Orchard Park, NY)
- …Support programs in achieving compliance with OMH, OASAS, DOH, Medicaid, and payor audit requirements. + Participate in licensing visits, accreditation surveys, and ... payor audits. Performance Measures & Data Analytics + Collaborate...into improvement strategies. + Serve as a resource and liaison to regulatory agencies, accrediting bodies, and community partners… more
- Bassett Healthcare (Cooperstown, NY)
- …What you'll do The Case Manager RN - ED acts a principle liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and ... as a consultant and educator with medical staff regarding status, placement, payor requirements, and utilization of resources Identifies patient for readmission risk… more
- Northwell Health (Mount Kisco, 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