Top 76 physician liaison Jobs in silver spring md

Managed Care Payment Integrity Liaison
MedStar Health —Columbia, MD
- $65,062 - $117,291 a year
- Full-time
- 5 years
- Finance
- Epic
(Senior) Medical Science Liaison
Autolus Inc —Gaithersburg, MD
- Full-time
- Remote
- Nursing
- Up to 50% travel
- 5 years
Quick Apply
(Senior) Medical Science Liaison
Autolus Inc —Gaithersburg, MD
- Full-time
- Remote
- Nursing
- Up to 50% travel
- 5 years
Quick Apply
(Senior) Medical Science Liaison
Autolus Inc —Gaithersburg, MD
- Full-time
- Remote
- Nursing
- Up to 50% travel
- 5 years
Quick Apply
(Senior) Medical Science Liaison
Autolus Inc —Gaithersburg, MD
- Full-time
- Remote
- Nursing
- Up to 50% travel
- 5 years
Quick Apply
Hospice & Palliative Care Liaison (Alexandria, VA)
CONSTELLATION HEALTH SERVICES —Alexandria, VA
- $75,000 - $85,000 a year
- Full-time
- Skilled nursing facility
- Hospital
- Mid-level
- Mileage reimbursement
- Health insurance
Quick Apply
8d
Clinical Liaison VIPC
AccentCare, Inc. —Washington, DC
- $95,000 - $110,000 a year
- Full-time
- RN License
- Hospital
- Inpatient
- Health savings account
- Health insurance
Quick Apply
Medical Science Liaison, Neuro-Oncology, Mid-Atlantic
Jazz Pharmaceuticals —Washington, DC
- $160,000 - $240,000 a year
- Medicine
- RN License
- English
- Health insurance
- Dental insurance
5d
Clinical Liaison
Inova Specialty Hospital —Alexandria, VA
- Full-time
- RN License
- Mid-level
- Critical & Intensive Care
- Dental insurance
- Paid time off
Quick Apply
Home Health Community Liaison
All Heart Home Health —Fairfax, VA
- $18 - $25 an hour
- Full-time
- Customer service
- Adults
- Business development
- Health insurance
- Dental insurance
Quick Apply
Associate Physician Liaison
Gastro Center of Maryland —Fairfax, VA
- $62,000 - $72,000 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Marketing
- Mileage reimbursement
- Paid holidays
Quick Apply
Clinical Liaison (Fairfax / Loudoun / Arlington County, VA)
Ennoble Care —Arlington, VA
- $50,000 - $95,000 a year
- Full-time
- Acute care
- Nursing
- RN License
- Paid holidays
- Disability insurance
Quick Apply
Partnership Liaison - Maryland market
United Surgical Partners International —Bethesda, MD
- $50,000 - $100,000 a year
- Extended hours
- Mid-level
- High school diploma or GED
- Travel
- Health savings account
- AD&D insurance
Community Liaison
Bright Builders ABA —Germantown, MD
- Part-time
- Applied behavior analysis
- Travel
- Communication skills
Quick Apply
4d
Hospital Liaison
Kahak DC —Washington, DC
- $30 an hour
- Part-time
- Hybrid work
- Hospital
- Mid-level
- Home Health
Quick Apply
Nurse Practitioner Clinical Liaison, Day Shift, Rehabilitation
Adventist HealthCare —Rockville, MD
- $89,356.80 - $134,035.20 a year
- Weekends as needed
- Hybrid work
- Hospital
- 5 years
- BLS Certification
- Free parking
- AD&D insurance
Hospital Clinical Liaison
BridgePoint Continuing Care Hospital —Washington, DC
- $83,200.00 - $118,109.60 a year
- Weekends as needed
- Hospital
- Mid-level
- Driver's License
- Continuing education credits
- Paid holidays
Quick Apply
Medical Science Liaison (MSL) / Senior Medical Science Liaison (Sr. MSL), Oncology - DC, DE, MD and WV
Eisai —Bethesda, MD
- $165,300 - $216,900 a year
- Weekends as needed
- Medicine
- Word processing
- Office
Provider Relations Liaison
Children's National Hospital —Washington, DC
- $73,070.40 - $121,804.80 a year
- 8 hour shift
- In person
- Research
- Mid-level
- Bachelor's degree
PHYSICIAN LIAISON
Fyzical —Lanham, MD
- Full-time
- Marketing
- Mid-level
- Clinic
- Mileage reimbursement

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physician liaison jobs near silver spring md

Managed Care Payment Integrity Liaison

MedStar Health -
Columbia, MD

Apply Now

Job Details

Full-time
$65,062 - $117,291 a year

Qualifications

Appeals
Policy analysis
Medical insurance appeals management
Insurance claims appeal handling
Healthcare compliance
Hospital experience
DRG
Financial compliance

Full Job Description

About this Job:

General Summary of Position
The Managed Care Payment Integrity Associate will bridge the gap between managed care and revenue cycle ensuring accurate reimbursement and minimizing payment delays. This position focuses heavily on analyzing resolving and preventing denials and underpayments from Commercial Managed Medicare and Managed Medicaid payers. In addition this Associate will have the responsibility of tracking payer policies and informing key stakeholders of the operational and/or financial impact of any change.

Primary Duties and Responsibilities

Leads investigations into denial trends and payment discrepancies related to managed care contracts. Escalates claims and hold payers accountable for resolution.
Updates payer-specific escalation logs with relevant timely and informative data.
Collaborates with payer representatives to resolve systemic underpayments and denials. Develops and maintains payer-specific denial prevention strategies.
Tracks and reviews updates from payers including policy bulletins coverage determinations medical necessity guidelines coding updates and reimbursement rule changes. Maintains a comprehensive database of policy changes with effective dates impacted services and required organizational actions.
Analyzes the potential operational financial and compliance impacts of new or revised policies and communicates appropriately to key stakeholders.
Proactively identifies and addresses operational issues with payers. Gathers feedback from Revenue Cycle teams regarding contract implementation and performance.
Actively participates in all payer meetings focused on claim issue resolution.
Maintains effective working relationships and communications with internal staff MedStar Health leaders and external managed care payers.

Minimal Qualifications
Education

Bachelor's degree in Healthcare Administration Finance Business or related field required or
Associate's degree with 12-15 years of relevant experience required

Experience

5-7 years Experience in both managed care operations and/or tertiary hospital revenue cycle. required and
Deep understanding of managed care reimbursement models (DRG APC per diem etc.) required and
Strong working knowledge of denials underpayments and appeals workflows as well as billing compliance and payer policies required and
Experience with all forms of Managed Care plans and commercial payer negotiations. preferred and
Familiarity with payer portals and contract modeling tools. preferred and
Familiarity with Maryland's Health Services Cost Review Commission. preferred and
Familiarity with EPIC. preferred

Knowledge Skills and Abilities

Hospital billing systems
Communication collaboration and critical thinking skills
Microsoft Excel

This position has a hiring range of : USD $65,062.00 - USD $117,291.00 /Yr.

Apply Now

Refine Your Search

physician liaison jobs in silver spring md

Managed Care Payment Integrity Liaison

(Senior) Medical Science Liaison

(Senior) Medical Science Liaison

(Senior) Medical Science Liaison

(Senior) Medical Science Liaison

Hospice & Palliative Care Liaison (Alexandria, VA)

Clinical Liaison VIPC

Medical Science Liaison, Neuro-Oncology, Mid-Atlantic

Clinical Liaison

Home Health Community Liaison

Associate Physician Liaison

Clinical Liaison (Fairfax / Loudoun / Arlington County, VA)

Partnership Liaison - Maryland market

Community Liaison

Hospital Liaison

Nurse Practitioner Clinical Liaison, Day Shift, Rehabilitation

Hospital Clinical Liaison

Medical Science Liaison (MSL) / Senior Medical Science Liaison (Sr. MSL), Oncology - DC, DE, MD and WV

Provider Relations Liaison

PHYSICIAN LIAISON

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