- 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
- Prime Healthcare (Kansas City, MO)
- …multiple practices. You'll oversee initiatives that align with CMS, ACO, and payor requirements, mentor team members, and ensure quality and performance goals are ... execution of care coordination strategies. + Serve as the primary liaison between interdisciplinary teams, practice managers, and leadership to drive organizational… more
- Omaha Children's Hospital (Omaha, NE)
- …or concerns in a timely and professional manner. * Serves as a liaison between all inter-disciplinary team members to ensure smooth operations and to resolve ... changes in the industry by keeping current with CMS, Medicaid, HIPAA and payor billing regulations as well as market changes through workshops, newsletters, and… more
- UNC Health Care (Morrisville, NC)
- …statewide clinical integration, maximizing value contract performance management, fostering payor relationships, and evaluating advanced payment models. This key ... Management is a strategic thought leader, a strong operator and a key liaison between UNC Health Alliance and internal healthcare system leaders as well as… more
- University of Southern California (Los Angeles, CA)
- …issues to maintain consistent process and controls. Serves as the primary liaison with the hospital system revenue cycle and finance departments and maintains ... financial matters including budget preparation, expense monitoring, productivity monitoring, payor mix, FTE tracking/utilization, revenue tracking, and billing integrity.… more
- Rush University Medical Center (Chicago, IL)
- …Job **Responsibilities:** * Apply advanced understanding of regulations, NCD's. LCD's and payor concepts, along with revenue integrity concepts to make new and ... capture, data, and technology space * Serve as a liaison with compliance to promote and optimize accuracy *...optimize accuracy * Researches all current and future complex payor requirements for compliant billing, timely payment, and maximum… more
- Fairview Health Services (Minneapolis, MN)
- …proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison activities. The Financial Analyst extracts and validates data from ... of business and payer mix + Ad-hoc reporting to identify third party payor populations as needed by leadership. + Review reconciliation of claims activity… more
- Covenant Health Inc. (Knoxville, TN)
- …maintained and is being disseminated to leadership as indicated. + Assists with payor denials when necessary. + Assists with special projects and performs other ... coding and billing compliance. + Advises, educates and acts as clinical/billing liaison between CFOs, department managers, providers, and billing staff to maximize… more