Authorization Coordinator

United Surgical Partners International; Trophy Club (TX); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Medical, dental, vision

Life and AD&D

Disability coverage

FSAs and HSAs

401(k) retirement plan

Paid holidays and vacation

Job summary

Baylor Scott & White Medical Center - Trophy Club is seeking an Authorization Coordinator to obtain prior authorizations, verify insurance coverage, and maintain accurate documentation in the EHR.

You will collaborate with clinical staff and billing to ensure timely approvals, while staying compliant with regulations and center policies. This role emphasizes patient-centered service and precise administrative tasks.

Qualifications

• High school graduate or equivalent.
• One-year hospital clerical experience preferred.
• Forty-five wpm typing and basic computer knowledge.
• Medical terminology and computer experience beneficial.
• Good communication skills.
• Ability to operate office equipment.

Responsibilities

• Obtain necessary prior authorizations for procedures.
• Verify patient insurance coverage and eligibility.
• Document authorizations and verifications in the EHR.
• Coordinate with billing and coding to resolve discrepancies.

Skills

Typing 45 wpm

Medical terminology

Communication skills

Office software

Education

High school diploma

Tools

Word

Excel

EHR system

Job description

Welcome to Baylor Scott & White Medical Center - Trophy Club, TX where we are dedicated to providing the pinnacle of excellence you've come to expect from Baylor – right within your own community!

Why Choose Baylor Scott & White Medical Center - Trophy Club?

• A Commitment to Excellence: Join a team devoted to delivering top-tier clinical care and an outstanding patient experience, all within your local reach. Our commitment to excellence is palpable in every facet of your journey.
• Diverse Specializations: Our specialties range from Bariatrics to Urology, catering to a wide spectrum of medical needs. We currently have 9 Operating Room, Bariatric Center of Excellence and are Total Joint Accredited. Whether it's a specialized procedure or general care, you'll play an essential role in our commitment to patient well-being.
• 24/7 Emergency Care: Our 24-hour emergency department is always primed to handle unexpected pain or injuries, providing timely care when it's needed most.
• Cutting-Edge Facilities: Our six advanced operating rooms enable our physicians to deliver the highest standard of surgical care. Extensive onsite diagnostic imaging expedites treatment and enhances patient care.
• USPI Partnership: Baylor Scott & White Medical Center - Trophy Club stands as a testament to collaborative excellence, as a partnership between Baylor Scott & White and USPI. This synergy fosters a culture of innovation, learning, and collective growth.
• Committed Patient Care: Just as we would for our own families, we are unwavering in our commitment to providing quality, specialized treatment with compassion tailored to each individual under our care.

Join us at Baylor Scott & White Medical Center - Trophy Club and embark on a career journey that marries professional growth with impactful patient care. Your path to a rewarding career starts here!

Authorization Coordinator

at Baylor Scott & White Surgical Hospital Fort Worth:

Authorization and Referrals

• Obtain necessary prior authorizations for the procedure.
• Track and follow up on pending authorizations to avoid delays in patient care.
• Coordinate with clinical staff to provide timely updates on authorization statuses.

Insurance Verification

• May be asked to assist in verifying patient insurance coverage before appointments, including eligibility, benefits, and network status.
• Confirm that the health center is listed as the patient’s primary care provider (PCP).
• Ensure accurate documentation of insurance information in the electronic health record (EHR) system.
• Communicate with insurance companies to verify coverage details, including co-pays, deductibles, and coinsurance.
• Provide support for patients in resolving insurance-related problems.

Documentation and Compliance

• Maintain accurate and detailed records of insurance verifications, authorizations, and communications in the EHR.
• Ensure all insurance information is updated and accurate in the EHR system.
• Stay informed about changes in insurance policies and procedures and communicate these changes to relevant staff members.
• Comply with all federal, state, and local regulations, as well as health center policies and procedures.
• Meet/exceed performance expectations and complete work within required timeframes

Collaboration

• Work closely with the billing and coding teams to resolve discrepancies and denials related to authorizations.
• Maintain effective communication with patients, addressing their concerns and providing updates on insurance verification status.

Qualifications

Education

• High school graduate or equivalent

Experience

• One-year previous experience or some hospital clerical experience or medical terminology preferred
• Must have the skills necessary to operate the office equipment required to fulfill job duties.
• Forty-five wpm typing skills required.
• Medical terminology and computer experience beneficial.
• Good communication skills.
• Basic computer knowledge – Word and Excel preferred.

What We Offer

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs and HSAs
• 401(k) and access to retirement planning
• Paid holidays and vacation

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.