- Intermountain Health (Austin, TX)
- …insurance eligibility, securing prior authorization and managing authorization related denials to ensure patient financial health. **Essential Functions** + ... related insurance eligibility, benefits, authorization; follow-up on appeals and denials when requested + Contacts patient/provider when authorization is unsecured… more
- Houston Methodist (Houston, TX)
- …insurance/managed care benefits + Supports and assists with concurrent insurance denials and appeals process, transmission of utilization reviews to insurance ... directed by the clinical team. Documents authorization, approvals, and denials **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Maintains awareness of payor/reimbursement… more
- Caris Life Sciences (Irving, TX)
- …solutions and process improvements that enhance operational efficiency and reduce claim denials . + Serve as the subject matter expert for payer requirements and ... of the upfront billing process. + Partner with analytics to monitor trends in denials , turnaround times, and payer response rates. + Act as a liaison with clinical… more
- Cardinal Health (Austin, TX)
- …products leverage data analysis and workflow automation to prevent claim denials , streamline enrollment in patient assistance programs, and optimize hospital-managed ... to medications. They also help healthcare systems minimize claim rejections and denials , navigate patient assistance programs, and reduce the cost of providing care… more
- Texas Health Resources (Bedford, TX)
- …by the department. + Responsible for reviewing patient account errors and denials that pertain to the Insurance Verification's Department. Also providing guidance to ... perform necessary action to correct patient account. Distributes corrections and denials as appropriate. + Responsible for maintaining appropriate work schedules.,… more
- Caris Life Sciences (Irving, TX)
- …role is responsible for overseeing appeals processes associated with denials from Caris-contracted and non-contracted commercial and government payors, identifying ... root causes of denials , ensuring compliance with payor-specific guidelines, and driving optimal recovery through timely, accurate, and persuasive appeals. **Job… more
- Houston Methodist (Houston, TX)
- …Department and provides prompt internal and external problem resolution. + Identifies denials trends and notifies department management to prevent future denials ... and further delay in payments. Makes recommendations for resolution. Pursues appeals when available. Initiates communication with coding team and clinical staff when coding related, and medical necessity appeals are warranted. **FINANCE ESSENTIAL FUNCTIONS** +… more
- UTMB Health (Galveston, TX)
- …encounter workflows to ensure accurate and maximum billing and reimbursement by reducing denials and write-offs. + RWSP Grant Management incl. consent form review, ... denials , and CPT usage/reconciliation. To include assurance the department is within grant spending authority and governance. + Financial and clinical reporting and… more
- HCA Healthcare (Live Oak, TX)
- …of managed care issues. Offers clinical support for appeals and denials process, discharge planning, case management, and utilization review/management + You ... consultant to hospital case managers and hospital staff in the reduction of payer denials and in the denial and appeals process, as requested by the Case Management… more
- US Tech Solutions (San Antonio, TX)
- …process. Maintains complete, timely and accurate documentation of all approvals and denials , and transfers all clinical questions and judgment calls to the ... process. Maintains complete, timely and accurate documentation of all approvals and denials , and transfers all clinical questions and judgment calls to the… more