- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …prior to service. + Submit pre-authorization requests and follow up with payer to ensure timely approvals. + Update resident providers and supervising faculty ... basic medical terminology. + Knowledge of CPT and ICD-10 coding. Familiarity with payer authorization processes. + Ability to apply a strong attention to detail to… more
- Guidehouse (Lewisville, TX)
- …ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. This position performs all related job ... assigned. **Duties and Responsibilities** + Contacts third party payers and guarantors via payer websites or by phone to resolve account balances on all assigned… more
- BrightSpring Health Services (San Antonio, TX)
- …clinical outcome tools based on diagnosis.. Monitors patient, family, physician and payer /case manager, referral source satisfaction with the program on a regular ... and family members.. Communicates regularly with patient, family/ care partner, payer /case manager and physician regarding patient progress and any important issues… more
- Walgreens (Dallas, TX)
- …of customer service (including patients, providers, and pharmaceutical and payer partners), and developing and protecting department assets. **Job Responsibilities** ... pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and… more
- HCA Healthcare (San Antonio, TX)
- …Inform Administration of any significant issues in the Billing area (eg, backlogs, payer issues, vendor issues, etc). + Stay abreast of regulatory requirements and ... policies, ensuring timely staff education. + Inform Billing staff regarding payer requirements, significant changes and developments. Develop and monitor charge… more
- Adecco US, Inc. (Irving, TX)
- …manufacturer partners to resolve reimbursement challenges and deliver critical education on payer landscapes and available support services. The FRM acts as a ... Education (25%)** - Educate providers on benefit verification, prior authorization, payer trends, and support center services. Document and report all interactions… more
- System One (Frisco, TX)
- …accurately in the billing system. + Maintain current knowledge of payer policies, coding guidelines, and neurology-specific procedures (EEG, EMG, Botox, Infusions, ... capture. + Ensure all billing activities comply with HIPAA, CMS, and payer -specific regulations. + Identify trends and recommend process improvements to enhance… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …RWE, and other evidence generation initiatives to support regulatory, HTA, and payer submissions, and demonstrate the differentiated value of our products + Utilize ... associations etc. + Deep understanding of global HTA and payer requirements, regulatory frameworks, and healthcare systems. + Deep understanding… more
- Intermountain Health (Austin, TX)
- …leadership team. + Performs extensive data mining, mentoring/training, regulatory and payer policy review, abstracting of financial and clinical information from ... experience and operational success. + Demonstrates advanced knowledge of regulation, payer policy, charge capture and/or revenue monitoring. **Preferred** + **Cath… more
- Houston Methodist (The Woodlands, TX)
- …resources to initiate and verify authorization needed for prompt submission. Notifies the payer of the patient's admission or procedure in a timely manner, to ensure ... volume + Ability to review clinical documentation for Medical Necessity and payer requirements + Working knowledge of CPT, International Classification of Diseases… more