- WMCHealth (Kingston, NY)
- …completeness. + Documents in hospital care management program financials, payor requirements, clinical documentation and authorization status. + Perform concurrent ... activities related to Length of Stay issues and concerns. + Serves as liaison between the physicians, treatment teams, patients and 3rd party payers when applicable.… more
- CVS Health (Austin, TX)
- …clinical team activities. You will also act as a lead business and clinical liaison to account teams and health care providers to support the effective execution of ... including post-graduate direct patient care experience. **Preferred Qualifications** *Health plan/ payor experience. *Managed Care experience *Electronic medical systems/record experience… more
- Geisinger (Danville, PA)
- …investigation to determine coverage for prescribed treatment and act as a liaison for all medication prior authorization matters to insurance companies, departments, ... within established timeframes. Maintains knowledge of criteria changes of third-party payor authorization requirements. . Communicates with care team to provide… more
- BrightSpring Health Services (Walshville, IL)
- …to consumers, families and/or staff. Provides behavioral evaluations, acts as liaison for psychiatric supports, participates in on-going assessments, develops, and ... of the job include age-appropriate activities/behaviors; understanding of CPT codes/ payor rules/regulations/policies; language grammar/punctuation/spelling/vocabulary; and research-based accepted treatment modalities… more
- Insight Global (Miami, FL)
- Job Description - Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the ... ICD-10, HCPCS) - Experience with insurance claims and insurance denials Experience in payor portals and EHR systems - Experience in a gastro specialty, surgery,… more
- Fairview Health Services (St. Paul, MN)
- …will lead in collaboration forums as well as act in designated liaison roles with partners and stakeholders to ensure comprehensive awareness, alignment, decision ... and compliance areas that impact claims processing including EPIC HB system, and payor requirements. + . Guides and implements framework with leadership team that… more
- WellSpan Health (York, PA)
- …auditors with interim and year-end audit. Support annual preparation of third-party payor cost reports. + Supports monthly analysis of financial statement budget ... and entity performance. + Assumes the role as primary financial liaison with operations. Conducts meetings with Senior Leadership with assistance/support from… more
- Boehringer Ingelheim (Ridgefield, CT)
- …generating advanced and actionable insights that help drive key business decisions. + Liaison between Field Analytics, Brand teams, Payor Marketing, Sales and ... Contracting in the development of reporting including pull through measurement. Work with internal customers to assure that reporting insights are communicated and used effectively. + Manages multiple information management projects. Manages people and/or… more
- Nuvance Health (Danbury, CT)
- …of computer programs used within the department. Serves as front line liaison for department. *Responsibilities:* 1. Assist with tracking and compiling data for ... department including absences, PTO, FMLA, etc. 6. Maintains credentialing/enrollment for Payor Portals sending letter out to vendors, maintaining and updating… more
- BriteLife Recovery (Englewd Clfs, NJ)
- …ensure timely and accurate patient reimbursement. This role acts as a liaison between patients, insurance companies, and healthcare providers. The patient collection ... + . Properly obtain and secure documentation in accordance with facility and payor guidelines Other Functions: + Special projects as assigned Qualifications: + .… more