Billing and Insurance Specialist Job In Irving, Texas
Risk Management Claims Analysis Specialist - Finance
This job was posted 4 days ago. Be one of the first applicants.
Irving, Texas 75039 Type of Facility: Hospital
Summary:
This position monitors and controls the workflow of legal claims, maintains legal files and acts as a liaison between internal departments, CHRISTUS Legal Department and appointed counsel to gather discovery documents, arrange appointments, and telephone conferences. This position also involves multiple Risk Management activities related to patient and visitor event investigations, subpoenas, generating reports, insurance, product recalls and the maintenance of evidence. This position also involves inputting and maintaining root cause analysis documentation and following up to assure actions plans are completed.
Responsibilities:
- Prepares claims files upon receipt of claim, petition or unasserted Potential Liability Event (UPLE)
- Reviews claim letter or petition to determine necessary data
- Gathers necessary medical records
- Completes claims information summary sheet, composes appropriate notification email to CHRISTUS Health Risk Management, and completes all necessary forms for file documentation
- Requests and distributes as appropriate, all pertinent documents to the hospital attorneys and CHRISTUS Health
- Closes and purges closed files as indicated and prepares for storage
- Maintains tracking system for all claims/lawsuits received as well as trial dates and settlements
- Calendars trial dates and mediation dates to Manager’s calendar
- Coordinates scheduling of individuals for investigation, pre-deposition and deposition conferences with CHRISTUS Health representative, and legal counsel
- Coordinates and assists counsel with responses to discovery, interrogatories and requests for production
- Assists claims investigation by scheduling and accompanying attorneys on incident site locations
- Gathers evidence and/or documentation in response to claims reviewer or attorneys’ request
- Communicating with aggrieved persons and witnesses to gather information
- Gathers information from various departments related to analysis of visitor and patient events and inputs data into PROACT software for Human Factors Analysis Classifications investigations
- Follows up with involved associates on action plans to assure completion
- Maintains confidentiality of all information
- Adapts easily to changes in assignments and environment
Requirements:
- High School Diploma
Work Type:
Full Time
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CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures.
Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ.
To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.
EXTENDING THE HEALING MINISTRY OF JESUS CHRIST
We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.