- Sysco (Houston, TX)
- …Maintain accurate and confidential records of leave requests, approvals, and denials . + **Reporting:** Generate reports on leave trends, usage, and compliance ... metrics for management. **Qualifications:** + Bachelor's degree in Human Resources, Business Administration, or a related field and/or equivalent experience. + Previous experience in case management, HR, or leave administration preferred. + Strong knowledge of… more
- Houston Methodist (Houston, TX)
- …appropriate notification of issues that may result in service delays or denials . Handles add-ons, reschedules, and cancellations appropriately and as per department ... protocol. + Functions as a role model and mentor for less experienced staff and serves as the next level resolution source for problems. **SERVICE ESSENTIAL FUNCTIONS** + Uses excellent communication skills (verbal, non-verbal, written) to facilitate providing… more
- Baylor Scott & White Health (Dallas, TX)
- …handling. + Responsibility for the preparation of summaries and files for denials , appeals, medical advice, subrogation, and litigation. + Collection of documents ... and summarizing information. + Providing presentations for committee meetings and any required correspondence. + Apply technical knowledge and human relations skills to ensure fair and prompt case disposal. Contribute to a reduced loss ratio. + Assign… more
- Baylor Scott & White Health (Dallas, TX)
- …medical appropriateness criteria, you'll alert relevant teams and coordinate actions during denials . + As part of your role, you'll also streamline the authorization ... process and anticipate discharge requirements. + Clear communication of issues or trends impacting specific entities to the appropriate management is expected. + Part of your work will involve identifying and conveying potential quality assurance or risk… more
- Texas Health Resources (Fort Worth, TX)
- …services rendered by appropriately identifying insurance carrier, benefits, etc. Prevents denials by ensuring timely notification of admission to insurance carriers ... * Assists patients in understanding financial obligations; collects co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable. * Stays abreast of and complies with applicable regulations, entity and/or system policies and procedures.… more
- Texas Health Resources (Fort Worth, TX)
- …patients to prevent unexpected financial burdens. -Assists in resolving claim denials and explain Explanation of Benefits (EOBs) in easy-to-understand terms. ... -Utilizes online tools, databases, and insurance portals to ensure accurate eligibility verification. -Ensures a smooth patient experience by managing Financial Clearance Work queues and providing Good Faith Estimates (GFE). -Records and maintain accurate… more
- Houston Methodist (Houston, TX)
- …appropriate notification of issues that may result in service delays or denials . Handles add-ons, reschedules, and cancellations appropriately and as per department ... protocol. **SERVICE ESSENTIAL FUNCTIONS** + Uses excellent communication skills (verbal, non-verbal, written) to facilitate providing the highest quality service during every patient, physician, guest, employee, or other encounter. Responds promptly to… more
- Catholic Health Initiatives (Lufkin, TX)
- …accuracy of billing within areas of responsibility/specialty. Reviews and resolves denials . Participates in special projects and completes other duties as assigned. ... **Qualifications** **_Education / Experience / Accreditation:_** High school diploma or equivalent required. Minimum of two years of physician coding experience required. Previous Electronic Health Record experience preferred. **_License / Certification:_**… more
- Houston Methodist (Sugar Land, TX)
- …timeliness and expert skill while may result in service delays or denials . Handles add-ons, reschedules, and cancellations appropriately and as per department ... protocol. **SERVICE ESSENTIAL FUNCTIONS** + Provides care to patients visiting the clinic under the direct supervision of a Physician, Registered Nurse, or clinic leadership procedures. Complete pre-visit planning workflow prior to visit whenever possible,… more
- UTMB Health (Galveston, TX)
- …procedures * Responds to daily correspondence according to procedures * Identifies denials and underpayments for appeal * Reviews, research, and processes denied ... claims * Appeal claims as appropriate according to policies and procedures * Updates account information and documents as appropriate within Epic Resolute * Processes account adjustments according to policies/procedures * Issues payer and/or patient refunds… more