- Abbott (Plano, TX)
- …**Working at Abbott** At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll ... follow up for requested authorizations. + For each procedure, audit required clinical documents for completeness and accuracy. + Obtain authorization for the… more
- CVS Health (Austin, TX)
- …requests for appeals and pre-authorizations, specifically those not handled by Clinical Claim Management. + Perform review of member claim history to ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Intermountain Health (Austin, TX)
- …within Intermountain's policies and procedures. Scope 1.Analyze data, develop reports, review trends, and recommend enhancements as defined by the RI leadership ... responses and activities in collaboration with others involved including the care site teams, external business partners/vendors, compliance, legal counsel, health… more
- Guidehouse (Lewisville, TX)
- …+ Works all denials taking necessary actions to obtain account resolution + Submits appeals , as appropriate, for all non- clinical denials + Monitors all denials ... receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine… more
- Select Medical (Dallas, TX)
- …provide resource assistance as needed. Coordinates team and family conferences to review patient progress, problem solve barriers, receive family input and modify ... plans of care as needed. Oversees insurance continued stay authorizations, confirming...the time of discharge. + Obtains insurance authorizations and appeals denials as needed + Works collaboratively with workers… more