UT Health Insurance Authorization Verification Specialist I in Houston, Texas
Insurance Authorization Verification Specialist I
# Hours Per Week
MS - Revenue Cycle Management
Where Creating the Best Hope for a Healthier Future Begins...
Verifies insurance policy benefit information and obtains Authorization/ Precertification, prior to the patient's visit or scheduled admission, or immediately following admission. Assist in identifying problems and ensures that the insurance is accurate on the patient account. Assures insurance information and appropriate referrals have been completely and accurately obtained.
Additional Summary Specific to Job
POSITION KEY ACCOUNTABILITIES:
Verifies insurance policy benefits for new and returning patients with carriers and employers.
Assures all insurance information has been completely and accurately obtained. Documents all pertinent insurance information. Documents information given or received to support actions taken on insurance charges or referral issues.
Identifies special policy clauses or pre-existing conditions and verifies effective date of policies.
Educates patients and families on insurance issues. Communicates patient's fiscal responsibility in a professional manner.
Notifies appropriate work units of patient's insurance coverage, authorizations, or status.
Identifies all patients without third party financial benefits and directs them for financial counseling according to Financial Counseling and Revenue Cycle policies and procedures.
Receives and reviews UT-H Health Science Center' Managed Care contracts to understand the contract provisions. Interprets managed care contracts for insurance coverage.
Provides support to Revenue Cycle work units and other work units as assigned.
Other duties as assigned.
High school diploma or equivalent required; some college preferred.
6 months of related experience required.
Commensurate with experience
This position works with Houston Independent School District (H.I.S.D.) students.
This position works with minors under the age of 18 years.
This position will be working in a laboratory or clinic
This position will use radiation sources
Pre Employment Conditions
Open to current UTHSC-H employees only?
Does this position accept online applications?
This is a grant funded position
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