Insurance Verification & Pre-Cert Specialist I

The University of Texas Southwestern Medical Center; Dallas (TX); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

PPO medical plan

Paid Time Off

Tuition Reimbursement

Public Service Loan Forgiveness (PSLF)

Job summary

The University of Texas Southwestern Medical Center is seeking an Insurance Specialist I in Dallas to support verification of benefits, precertification, and patient scheduling. You will coordinate with physician offices and insurance carriers to confirm coverage, eligibility, and authorization requirements for scheduled procedures.

Responsibilities include managing patient queues, documenting interactions, and ensuring accurate data entry in the EPIC ADT system while maintaining HIPAA

Qualifications

• 2 years of benefit verification/authorization experience or equivalent.
• 1 year Functional - Customer Service.
• 2 years Functional - Clinical / Medical / Precertification / Predetermination / Authorizations / Verification.
• 4 years Desktop Tools/Microsoft Outlook/End User
• 4 years Desktop Tools/Microsoft Word/End User
• 4 years Office Equipment/Fax/Copier/End User

Responsibilities

• Monitor the patient work queue to determine accounts needing verification.
• Coordinate with physician offices to obtain pre-certification and insurance verification.
• Pre-register patient cases with complete/accurate information.
• Verify insurance coverage and deductible information with carriers.
• Enter data into EPIC ADT hospital billing system prior to arrival.
• Ensure authorizations are complete and timely.

Skills

Customer service

Communication

HIPAA compliance

Education

High School

Tools

EPIC ADT

Microsoft Outlook

Microsoft Word

Job description

The University of Texas Southwestern Medical Center is seeking an Insurance Specialist I in Dallas to support verification of benefits, precertification, and patient scheduling. You will coordinate with physician offices and insurance carriers to confirm coverage, eligibility, and authorization requirements for scheduled procedures.

Responsibilities include managing patient queues, documenting interactions, and ensuring accurate data entry in the EPIC ADT system while maintaining HIPAA