- Banner Health (Loveland, CO)
- …in order to maximize reimbursement and minimize denials/penalties from the payor (s). Obtains federally/state required information and all consents and documentation ... financial assistance, prompt pay discount, loan program). 4. Acts as a liaison between the patient, the billing department, vendors, physician offices and the… 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
- Banner Health (Phoenix, AZ)
- …in order to maximize reimbursement and minimize denials/penalties from the payor (s). Obtains federally/state required information and all consents and documentation ... financial assistance, prompt pay discount, loan program). 4. Acts as a liaison between the patient, the billing department, vendors, physician offices and the… more
- Brockton Hospital (Brockton, MA)
- …resource utilization. Plans and develops systems and processes in response to payor requirements. Monitors payor denials, identifying patterns and trends. ... Develops actions plans and responses for the reduction of payor denials. Utilizing an array of information systems, plans...and monitoring of the Care Maps project. Acts as liaison with payors and external review agencies, to coordinate… more
- Banner Health (Phoenix, AZ)
- …as they pertain to long-term care and low-income patients. May serve as a liaison between the facility and community in making community resources available to the ... patient and family. 5. Acts as a liaison between patient/PFS department/payer to enhance account receivables performance, resolve outstanding issues and/or patient… more
- Dignity Health (Northridge, CA)
- …family adjustment and continuity of care needs. Provides information referrals and liaison activities with third party payor and community resources necessary ... planning and milieu management. + Provides information, referrals and liaison activities with third party payor and...referrals and liaison activities with third party payor and community resources necessary for patient's post hospital… more
- Select Medical (Camp Hill, PA)
- …in the Central Billing Office (CBO). The supervisor will also serve as liaison between other departments within the organization and the CBO management team to ... the CBO. Communicate and train team members on policies and procedures. + Liaison between team members and management to address and remedy issues/inquiries related… 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
- University of Southern California (Arcadia, CA)
- …patients and families, hospital staff and community resources, agency, facility and /or payor representatives. Serves as a liaison to external case managers, ... + Provides resources to patients and families as requested to meet payor requirements for communication and documentation. + Delegates insurance issues to the… more
- Banner Health (Phoenix, AZ)
- …responsible for billing and collections for healthcare services, acting as a liaison between patients, insurance companies, and the healthcare provider. You may be ... as necessary. Maximizes reimbursement by scheduling patients in accordance with payor plan provisions. Confirms patient appointments for the following day as… more