- Fresenius Medical Center (Metairie, LA)
- …performance indicators. + Works closely with Managed Care department to increase the payor mix and to retain commercial patients. + Manages the payroll and oversees ... and income statement s regarding revenue growth and commercial payor mix on a frequent basis to understand the...including ongoing compliance training. + Acts as the primary liaison between the company and the Medical Directors, Medical… more
- Caris Life Sciences (Irving, TX)
- …payer-specific requirements. This leader will work cross-functionally with clinical operations, payor relations, and revenue cycle teams to ensure timely, accurate, ... all upfront billing documentation and requirements. + Collaborate with payor relations and contracting teams to ensure alignment between...times, and payer response rates. + Act as a liaison with clinical and operational teams to resolve workflow… 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
- Fresenius Medical Center (Alexandria, LA)
- …performance indicators. + Works closely with Managed Care department to increase the payor mix and to retain commercial patients. + Manages the payroll and oversees ... sheet and income statements regarding revenue growth and commercial payor mix on a frequent basis to understand the...including ongoing compliance training. + Acts as the primary liaison between the company and the Medical Directors, Medical… 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
- Rhythm Pharmaceuticals (Cleveland, OH)
- …patients and families + Provide care coordination for patients/caregivers working as a liaison with the Field Access Manager and Territory Manager/ Sales and our ... to available resources + Maintain comprehensive understanding of regional trends ( payor and customer) + Meet documentation requirements to facilitate tracking of… 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
- Walgreens (Deerfield, IL)
- …and support for the stores. Investigates Payer Inquiry Tickets from Payor Partners, Enterprise Prescriber Data File issue resolution and Audits, Prescriber ... are not compliant with the plan specifications. + Collaborates with third party payor and Walgreens Direct Bill contracts and appropriate Walgreens team members to… more
- Henry Ford Health System (Detroit, MI)
- …of changes to enhance HFHS contract portfolio. 5. Coordinate implementation of Payor arrangements and provide ongoing education and support throughout HFHS. 6. ... Management, Finance, Patient Billing, Administration, Legal, etc. Information includes; payor relationships, operational requirements and contract terms. 7. Maintain… more
- Methodist Health System (Dallas, TX)
- …and contracting + System contract administration + Payment and billing issues + Payor contracting and payor litigation + Medical staff matters + Regulatory ... and billing and reimbursement issues. + The AGC is the Office of Legal Affairs liaison to the System Quality Review Committee, a committee of the MHS Board, the… more
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