Baylor Genetics Benefits Overview

Verifies patient insurance eligibility and investigates benefits for genetic and molecular diagnostic testing. Confirms coverage, deductibles, payer requirements, prior authorization needs, and patient responsibility. Resolves incomplete or conflicting insurance information, documents findings accurately, communicates with patients, providers, and payers, and manages work queues while maintaining HIPAA compliance, productivity, quality, and turnaround-time standards.

Administers and optimizes the UKG HCM platform across Core HCM, timekeeping, recruiting, benefits, and learning modules. Owns system governance, configuration, security, integrations, release testing, data integrity, compliance reporting, dashboards, and analytics. Provides Tier 2 support, trains HR users, and partners with HR Operations and Payroll to improve processes and system utilization.

Produces and validates recurring revenue cycle reports and dashboards, maintains metric definitions, analyzes payer and workflow performance, investigates data issues and root causes, and presents actionable findings to RCM and Finance leaders. Establishes project baselines and targets, monitors transformation outcomes, supports forecasting and capacity analyses, and standardizes or automates reporting while protecting confidential information and complying with HIPAA and applicable regulations.