Baylor Genetics
501 - 1000 employees
Founded 1978
🏥 Healthcare
💼 Consulting
🍽️ Food & Beverage
Healthcare • Consulting • Food & Beverage
Baylor Genetics is a clinical genomics and precision diagnostics laboratory affiliated with Baylor College of Medicine that provides comprehensive genetic testing and interpretation services. The company offers whole genome and whole exome sequencing, chromosomal microarray analysis, mitochondrial testing, pharmacogenomics, and specialized assays, along with genetic counseling, provider support, and insurance/payment resources. Baylor Genetics supports healthcare providers, researchers, and families with AI-enhanced interpretation, multimodal data integration, and end-to-end clinical and laboratory services.
Senior Eligibility Specialist – RCM
🕒 4 days ago
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Baylor Genetics
501 - 1000 employees
Founded 1978
🏥 Healthcare
💼 Consulting
🍽️ Food & Beverage
Healthcare • Consulting • Food & Beverage
Baylor Genetics is a clinical genomics and precision diagnostics laboratory affiliated with Baylor College of Medicine that provides comprehensive genetic testing and interpretation services. The company offers whole genome and whole exome sequencing, chromosomal microarray analysis, mitochondrial testing, pharmacogenomics, and specialized assays, along with genetic counseling, provider support, and insurance/payment resources. Baylor Genetics supports healthcare providers, researchers, and families with AI-enhanced interpretation, multimodal data integration, and end-to-end clinical and laboratory services.
📋 Description
• Oversee verification of patient eligibility and benefits for all insurance payers, ensuring information accuracy and completeness • Identify and resolve eligibility discrepancies to prevent billing and reimbursement delays • Handle complex and escalated eligibility issues with payers and other departments • Mentor and guide junior eligibility specialists on advanced problems, challenging cases, best practices, and procedures • Collaborate with billing, coding, and payer relations teams to proactively address eligibility and benefit verification issues • Maintain current eligibility information in payer systems • Monitor changes in payer policies and insurance coverage requirements to reduce claim denials • Generate and review reports on eligibility verification, payer-specific trends, discrepancies, and best practices • Analyze performance reports, identify trends and improvement areas, and share insights with management
🎯 Requirements
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