- Fresenius Medical Center (Houston, TX)
- …+ Review, reconcile and consolidate submitted financial data of moderate scope on a routine basis; ensuring compliance with company policies and procedures. + Support ... PURPOSE AND SCOPE: The Financial Analyst II assists in the performance of economic research and study in areas of financial analysis within the assigned function(s). In compliance with company policies and procedures the Financial Analyst II gathers, analyzes,… more
- ServiceNow, Inc. (Addison, TX)
- …Fast forward to today - ServiceNow stands as a global market leader, bringing innovative AI-enhanced technology to over 8,100 customers, including 85% of the Fortune ... 500(R). Our intelligent cloud-based platform seamlessly connects people, systems, and processes to empower organizations to find smarter, faster, and better ways to work. But this is just the beginning of our journey. Join us as we pursue our purpose to make… more
- HCA Healthcare (Houston, TX)
- …The Senior Underpayments Analyst researches and resolves High Dollar Insurance Payer Underpayments through a concise understanding of Payer Contract ... difficult high dollar underpayments. Candidate will demonstrate ability to grow strategic payer relationships and obtain understanding of payer system to… more
- Cardinal Health (Austin, TX)
- …Prior Authorization is responsible for obtaining, documenting, and tracking payer approvals for durable medical equipment (DME) orders, including diabetes ... ostomy, urological, wound care). This role submits prior authorization requests through payer portals or via fax, and conducts phone-based follow-ups with payers and… more
- CenterWell (Austin, TX)
- …and continuous improvement of all authorization, insurance eligibility re-verification and payer maintenance for a large, complex Home Health organization operating ... operations supporting high-volume, multi-branch environments and ensures timely, compliant payer approvals to protect revenue integrity and patient access. The… more
- Caris Life Sciences (Irving, TX)
- …to staff, while partnering cross-functionally to optimize workflows and resolve payer issues. **Job Responsibilities** + Lead and manage the Eligibility team, ... metrics, ensuring goals are met for turnaround time, accuracy, and payer compliance. + Collaborate with payers to resolve eligibility discrepancies, denials,… more
- Baylor Scott & White Health (Dallas, TX)
- …and managed care payers, ensuring all processes comply with regulatory and payer requirements. The Director, Provider Enrollment guides the management team and staff ... to ensure facility enrollment applications are submitted promptly and payer provider numbers are obtained timely, supporting accurate and efficient payer … more
- AbbVie (Houston, TX)
- …on patient prescription status, program eligibility, and educating offices on payer processes and procedures. Specific Responsibilities: + Educate HCPs on patient ... subject matter expert on relevant local, regional, and national payer policies to appropriately educate providers on payer... payer policies to appropriately educate providers on payer requirements. + Effectively work in a high cross-matrix… more
- Merck (Austin, TX)
- …with internal stakeholders to support seamless patient access to therapy * Monitor payer trends to address access barriers * Provide access information to HCP ... design (Commercial, Medicare, Medicaid) * Answer questions about coverage, including payer -specific access questions * Maintain deep knowledge of regional and… more
- Houston Methodist (Katy, TX)
- …of care appropriateness, and compliance with CMS Conditions of Participation, payer requirements, and organizational policies. The Director Centralized UR position ... closely with physician advisors to support medical necessity determinations and payer communications. Provides education and consultation to clinical and operational… more
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