Insurance Authorization Verification Specialist I/II Practice Plan - Center for Interventional Psychiatry

UTHealth Houston; Houston (TX); Presencial; USD 38 000 - 60 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

100% paid medical premiums for full‑t​

Generous time off (vacation and sick)

Retirement/pension plan

Resumo da oferta

UTHealth Houston Department of Psychiatry and Behavioral Sciences’ Center for Interventional Psychiatry is seeking an Insurance Authorization Verification Specialist to support insurance authorization and verification, with potential back-office duties as needed. Epic experience is a plus, and the role focuses on groundwork for groundbreaking interventions in treatment-resistant depression.

The organization emphasizes a comprehensive rewards package and a mission-driven environment, aiming to

Qualificações

• High school diploma or equivalent required; some college preferred.
• Minimum 6 months related experience; 3 years for Insurance Authorization Verification Specialist II.
• Experience navigating benefits for procedures preferred.
• Experience with Epic is a plus.

Responsabilidades

• Verifies insurance policy benefits for new and returning patients.
• Obtains Authorization/Precertification prior to visit or soon after admission.
• Documents all pertinent insurance information and referrals.
• Educates patients and families on insurance issues.
• Communicates patient’s financial responsibility professionally.
• Notifies work units of patient’s insurance coverage or status.

Formação académica

High School Diploma Or Equivalent

Some College Preferred

Ferramentas

Epic

Descrição da oferta de emprego

UTHealth Houston Department of Psychiatry and Behavioral Sciences' Center for Interventional Psychiatry is looking for an Insurance Authorization Verification Specialist! This role will support insurance authorization and verification. The position may assist with front-office and back-office duties as needed. Experience navigating benefits for procedures is preferred. Experience with Epic is also a plus.

This is a unique opportunity to work with a clinic focusing on groundbreaking interventions for treatment-resistant depression. Come be a part of life-changing work with our Interventional Psychiatry team!

What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.

Once you join us you won't want to leave.

It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:

• 100% paid medical premiums for our full-time employees
• Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
• The longer you stay, the more vacation you’ll accrue!
• Longevity Pay (Monthly payments after two years of service)
• Build your future with our awesome retirement/pension plan!

We take care of our employees!

As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as...

• Free financial and legal counseling
• Free mental health counseling services
• Gym membership discounts and access to wellness programs
• Other employee discounts including entertainment, car rentals, cell phones, etc.
• Resources for child and elder care
• Plus many more!

Position Summary:

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.

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.
• Performs other duties as assigned.

Certification/Skills:

• None

Minimum Education:

High School Diploma Or Equivalent Required Some College Preferred

Minimum Experience:

6 months of related experience required. Three years required for Insurance Authorization Verification Specialist II.

Physical Requirements:

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

Security Sensitive:

• 51.215 and Texas Government Code
• 411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code
• 117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R.
• 791.4.

Residency Requirement:

Employees must permanently reside and work in the State of Texas.