Insurance Representative

Ascension; Austin (TX); Presencial; USD 42.000 - 54.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive health coverage

Employer-matched 403(b)

Pro-rated PTO and holidays

Tuition reimbursement and development

Employee Assistance Program

Descripción de la vacante

Ascension is seeking an Insurance Verification professional for the Oral & Maxillofacial Surgery department in Austin, TX. Day shift, full time, with responsibilities including insurance verification, referrals, and pre-authorization management.

Responsibilities include coordinating with patients and providers, maintaining accurate records, and ensuring services align with payer requirements. Proficiency with payer portals and strong communication skills are essential.

Formación

• High School diploma equivalency or 1 year of applicable cumulative job specific experience required.
• No professional licensure/certification required.

Responsabilidades

• Confirms insurance coverage via payer portals and determines necessity for pre-authorization.
• Obtains authorization and processes referrals for services ordered by providers; schedules appointments within required timeframes.
• Remains current on referral policies, payer requirements, and financial responsibility for services.
• Communicates with patients, providers, and third-party service providers regarding insurance coverage and barriers to care.
• Documents detailed information in the patient record and notifies patients/providers of non-authorized services.

Conocimientos

Insurance verification

Pre-authorization

Educación

High School diploma or equivalent

Herramientas

Payer portals

Descripción del empleo

Your future role at a glance

• Department: Oral & Maxillofacial Surgery
• Schedule: Day Shift Monday - Friday; Full Time
• Location: Austin, TX
• Facility: Midtown Medical

How you’ll make an impact in this role

• Confirms insurance coverage via payer portals and determines necessity for pre-authorization.
• Obtains authorization and processes referrals for services ordered by providers. Schedules appointments as appropriate and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement.
• Remains current on referral policies and procedures, payer requirements, managed care matrix, portals and determines financial responsibility for services to be provided.
• Communicates with patients, healthcare providers, and third-party service providers regarding insurance coverage and barriers to care.
• Documents detailed information in the patient medical record and any actions taken regarding authorization status, coverage issues, restrictions and appointment details. Notifies patients and providers of services requested that are not authorized by insurance.

What Minimum Requirements You’ll Need

Licensure / Certification / Registration

• Required Credential(s): None Required.
• Preferred Credential(s): Approved Local Exception. For use with unique Union job requirements only. Remove if not for Union.

Education

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. *Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Benefits that help you thrive

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.