Insurance Representative

Ascension Health; Austin (TX); On-site; USD 25,000 - 34,000; Full time

Benefits offered by this job

Comprehensive health coverage

403(b) retirement plan

Paid time off

Tuition assistance

Employee assistance program

Parental leave

Transportation benefits

Job summary

Ascension Health in Austin, TX, is seeking an Insurance Verification Coordinator to confirm coverage, obtain pre-authorization, and process referrals. You will schedule timely appointments and maintain referrals within network requirements.

Role emphasizes accurate documentation, proactive payer communications, and efficient handling of authorization status and coverage issues to support optimal patient care.

Qualifications

• High School diploma equivalency or 1 year of applicable cumulative job-specific experience required.
• Professional licensure/certification as applicable may be used in lieu of education/experience.

Responsibilities

• 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 required and within networks.
• Keeps current on referral policies, payer requirements, and determines financial responsibility for services.
• Communicates with patients, providers, and third-party services regarding insurance coverage and barriers to care.
• Documents detailed information in the patient medical record and notifies patients/providers of services not authorized.

Skills

Insurance verification

Authorization processing

Referral scheduling

Communication with patients/providers

Medical records documentation

Education

High School diploma or equivalent

Tools

Payer portals

Job description

Your future role at a glance

• Location: Austin, TX

• Facility: Midtown Medical

• Department: Oral & Maxillofacial Surgery

• Schedule: Day Shift l Monday - Friday; Full Time

How you’ll make an impact in this role

• Responsibilities: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) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRightsSp6.12.pdf) poster.

Min Salary: 18.31

Max Salary 24.77