Insurance Authorizations Analyst

United Surgical Partners International Inc (USPI); Dallas (TX); On-site; USD 45,000 - 60,000; Full time

Job summary

North Central Surgical Center in Dallas, TX, affiliated with Baylor Scott & White, is seeking an Insurance Authorizations Analyst to join our team.

Under general supervision, you will obtain, track, and communicate evolving payer authorization requirements, review payer rules, and follow up with physician offices.

You will keep the Business Office Director informed, contribute to root cause analysis and denial metrics, and collaborate with CSO management to support hospital billing services.

Qualifications

• High school diploma or equivalent.
• 1–2 years’ experience obtaining hospital authorizations.
• Hospital clerical experience or medical terminology preferred.
• Ability to operate required office equipment.
• Strong communication and interpersonal skills.
• Ability to use independent judgment and adapt quickly.
• Excellent time management.

Responsibilities

• Obtain, track, and communicate payer authorization requirements.
• Review payer requirements and obtain authorization or follow up with physician offices.
• Keep Business Office Director updated on authorization requirements.
• Support strategic initiatives, including root cause analysis and denial metrics.
• Interact with business office staff and CSO management; report to Business Office Director.

Skills

Communication skills

Independent judgment

Time management

Interpersonal relations

Education

High school diploma or equivalent

Job description

**North Central Surgical Center is a highly successful, Baylor Scott & White affiliated hospital located in Dallas, TX. We partner with the very best team members and medical staff in the area. We are a surgical focused hospital that performs over 12,000 procedures per year. **

FACTS ABOUT NORTH CENTRAL: Opened in 2005, 14 Operating Rooms and 30 Medical/Surgical Patient Rooms. We are conveniently located at Walnut Hill & 75 in the prestigious NorthPark area Specialties include: Orthopedics, Spine, General Surgery, Pain Management, Urology, GI/Endoscopy, Plastic, Podiatry and Bariatric surgeries. Managed by United Surgical Partners International Joint Commission Accredited

We are currently looking for an Insurance Authorizations Analyst to join our team.

Job Summary:

• Under general supervision of the Business Office Director, the Authorization Specialist is responsible for the obtaining, tracking and communication of evolving payer authorization requirements.
• Responsible for reviewing payer requirements and obtain authorization or follow-up with physician offices.
• Ensures the business office director is updated on requirements related to authorizations for hospital billing related services.
• Actively supports the execution of strategic initiatives including root cause analysis metric/report development and special projects as it relates to authorization denials.
• This position will interact with business office staff and the Central Services Organization (CSO) management and will report directly to the Business Office Director at North Central Surgical Center.

Required Skills

• High school graduate or equivalent.
• Prefer 1-2 years’ experience obtaining hospital authorizations
• 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.
• Good communication skills and interpersonal relation skills
• Must use independent judgment and adapt quickly to changing circumstances.
• Excellent time management skills.

Required Experience

Qualifications:

• High school graduate or equivalent.
• Prefer 1-2 years’ experience obtaining hospital authorizations
• 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.
• Good communication skills and interpersonal relation skills
• Must use independent judgment and adapt quickly to changing circumstances.
• Excellent time management skills.