University of Texas Health Science Center Licensed Vocational Nurse-Intermediate in San Antonio, Texas
High school diploma and graduation from an approved vocation nursing school, with three (3) years of vocational nursing experience, and a current Texas license.
This position is responsible for verification and/or obtaining all information required to ensure payment for services provided in the clinic setting. This includes but is not limited to: obtaining medication and procedural prior authorizations, completion of disability/FMLA forms, verification of accurate insurance information, and acting as the clinical resource for all benefit related inquiries.
Three years’ experience in an outpatient clinic setting or physician office as a clinical / administrative support team member with three years of vocational nursing experience. At least one year of direct experience in third party reimbursement.
Perform verification and pre-certification authorizations using approved guidelines, screening criteria and protocols and refers authorizations that require additional expertise to applicable physician resource. Complete medication prior approval authorization documents. Timely completion of documentation, follow-up, etc. within specified deadlines. Provide referral / authorization support for ancillary or specialized services to facilitate retrieval and/or generation of necessary documents. Identifies by payor their preference or uses the best practice coversheet and submission portfolio to the insurance company to maximize results.
Percentage Of Time 70
Serves as clinical resource contact for all patient advocate staff. Serves as clinical resource for the team on clinical aspects of coverage policies to avoid backtracking and rework through an effective and efficient process.
Percentage Of Time 20
Attempts to resolve all patient issues or concerns prior to them becoming patient complaints. Provides excellent customer service to internal and external consumers at all times. Maintains professionalism at all times in appearance, verbal and written communications.
Percentage Of Time 10
We are an equal opportunity/affirmative action employer which includes protected veterans and individuals with disabilities.
Career Family: Clinical Programs & Services
Job Title: Licensed Vocational Nurse-Intermediate
Work Location: CTRC
Benefits Eligible?: Yes
Work Schedule: Monday – Friday; 8:00 am – 5:00 pm
Number of hours per week: 40
Is this position required to drive a UT vehicle?: No
Combination of Relevant Education and Experience accepted: No
Requisition Number: 20162165
Security Sensitive Statement: All positions are security sensitive and will require criminal background checks.