- 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
- BrightSpring Health Services (Indianapolis, IN)
- …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
- Robert Half Technology (Westlake, OH)
- …initiatives related to software development lifecycles, database management, and payor integrations while fostering collaboration and accountability within the team. ... ownership, initiative, and adaptability among team members. * Act as a liaison between technical teams and business stakeholders to ensure successful integration and… more
- Cedars-Sinai (Los Angeles, CA)
- …assumes fiscal responsibility through preparation of unit budgets, serves as a liaison with medical staff and other personnel, promotes maximum growth and ... Medicare, Medical, commercial and managed care payors with specific knowledge of CSMC payor contracts + Has knowledge of electronic, web based, and vendor sponsored… more
- Mount Sinai Health System (NJ)
- …but not beyond, in accordance with Institutional policies + Act as a liaison between VMG physicians and VMG and Hospital business units to address operational ... professionalism, and system-based practice initiatives. + Participate, as requested, in payor contract negotiation and contract compliance activities with the goal… more
- Cedars-Sinai (Los Angeles, CA)
- …cycle. Incumbents have expert knowledge and understanding of regulatory requirements, payor contracts and CSHS policies governing billing and collections and sound ... and issues, and following up on accounts to ensure resolution. Serves as liaison between CSRC Services and Clinical Departments in the coordination of billing and… more
- CVS Health (Topeka, KS)
- …activities. + The Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical ... **Preferred Qualifications:** Previous UM experience with a Health Plan / Payor / Physician Advisor in a Healthcare system. Board Certification in Internal… more
- CVS Health (Sacramento, CA)
- …team activities. The Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of ... patient care experience. **Preferred Qualifications:** Previous UM experience with a Health Plan/ Payor . **Education:** MD or DO **Pay Range** The typical pay range… more
- R1 RCM (Boise, ID)
- …medical necessity criteria, physician documentation, and medical policies of the payor . Every day you will supervise the day-to-day clinical operations and ... on clinical appeals that require no further action. + Act as a liaison for non-clinical staff and attorneys to collaborate on appeals processing. + Leverage… more
- Omnicell (Fort Worth, TX)
- …between customer advocacy and business needs. + Act as a strategic liaison between specialty pharmacy customers and internal teams (including Support, Product ... years equivalent experience in 340B third-party administrator (TPA) services, clinical support, payor relations or pharmacy operations will be considered. + At least… more