Insurance Authorizations Analyst

United Surgical Partners International, Inc; Dallas (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

North Central Surgical Center in Dallas, TX is seeking an Insurance Authorizations Analyst to join our team. Under general supervision, you will obtain, track and communicate evolving payer authorization requirements for hospital services.

You will review payer requirements, obtain authorizations or follow up with physician offices, and keep the Business Office Director updated on authorizations related to hospital billing. Strong communication and time management are essential.

Qualifications

• High school graduate or equivalent.
• Prefer 1-2 years’ experience obtaining hospital authorizations.
• One year hospital clerical experience or medical terminology preferred.
• Must have the skills necessary to operate the office equipment.
• Good communication skills and interpersonal relation skills.
• Must use independent judgment and adapt quickly to changing circumstances.
• Excellent time management skills.

Responsibilities

• Obtain, track and communicate evolving payer authorization requirements.
• Review payer requirements and obtain authorization or follow-up with physician offices.
• Ensure the business office director is updated on requirements related to authorizations for hospital billing related services.
• Actively support 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.

Skills

Communication skills

Interpersonal skills

Time management

Independent judgment

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 InsuranceAuthorizations 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.