- Cardinal Health (Austin, TX)
- …projects. + Monitor reimbursement trends and claim-level data to identify underpayments or systemic payor issues. + Act as liaison and pharmacy advocate for all ... is expected of you for success in your role_** The Network and Payor Relations Advisor is responsible for the development and management of business relationships… more
- Houston Methodist (Sugar Land, TX)
- …to ensure appropriate utilization of medical resources and services based on payor regulations and guidelines and, as appropriate, successfully appeal denials and ... appeal strategies. **PEOPLE ESSENTIAL FUNCTIONS** + Serves as an educational liaison to clinical staff including physicians/providers and clinical directors, and… more
- Intermountain Health (Austin, TX)
- … liaison to Legal, Appeals RN Consultants, Physician Advisors, Payor Contracting and various internal and external departments within Intermountain Healthcare. ... mentor to others within the RCO, clinical departments, Appeal RN's, legal, IPAS and Payor Contracting on the art of appealing. + **Skills** + Critical thinking +… more
- Texas Health Resources (Arlington, TX)
- …communicate payment integrity updates and resolve process issues. Acts as a liaison between the payment integrity team and key department stakeholders including ... vendors and executive leadership. - Helps resolve more complex and/or escalated payor issues, handling follow-up questions and resolving payor discrepancies or… more
- KPH Healthcare Services, Inc. (Longview, TX)
- …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
- Houston Methodist (Houston, TX)
- …(SBO) Customer Service Representative position is responsible for acting as a liaison between Houston Methodist, patients, providers, and payers for all post-care ... breakdown to document the status of next responsible party (ie, primary, secondary payor , patient balance, or credit balance). + Meets or exceeds stated Performance… more
- Cardinal Health (Austin, TX)
- …+ Champion cross-functional alignment by serving as the primary internal liaison , coordinating seamlessly with Sales, Operations, Clinical, and Finance teams to ... Demonstrated success developing and managing strategic relationships with C-suite payor executives as well as managed care clinical/network management/operations… more
- Highmark Health (Austin, TX)
- …of third-party reimbursement services and acts as a financial and operational liaison for operations, regulatory agencies , or other outside entities. This incumbent ... and operating budgets, supports monthly financial statement and comparisons of payor performance. (10%). + Performs detailed variance analysis against expected… more
- Baylor Scott & White Health (Plano, TX)
- …for lease vs. buy decision relating to new equipment. + Serves as liaison between the assigned area and Decision Support Services and other finance areas ... the operational and financial dynamics of a healthcare environment, including payor mix, reimbursement models, and cost structure. + Collaboration & Influence:… more
- Houston Methodist (Houston, TX)
- …Methodist, the Escalation Specialist position is responsible for acting as a liaison between the patient and the hospital, the Physician Organization (PO) and/or ... breakdown to document the status of next responsible party (ie, primary, secondary payor , patient balance, or credit balance). + Meets or exceeds stated Performance… more