Insurance Authorizations Analyst

United Surgical Partners International; Dallas (TX); On-site; USD 42,000 - 60,000; Full time

Job summary

North Central Surgical Center in Dallas, TX, affiliated with Baylor Scott & White, seeks an Insurance Authorizations Analyst to manage payer authorization requirements and communications. The role reports to the Business Office Director and collaborates with office and CSO management.

The ideal candidate has 1–2 years of hospital authorization experience, strong communication, and time-management skills to support strategic initiatives and improve authorization denial metrics.

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.

Responsibilities

• 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.

Skills

Communication skills

Time management

Interpersonal skills

Adaptability

Office equipment operation

Education

High school diploma or equivalent

Job description

North Central Surgical Centeris a highly successful, Baylor Scott & White affiliatedhospital located in Dallas, TX. We partner with the verybest team members and medical staff in the area. We area surgical focused hospital that performs over12,000procedures 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 Analystto 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.