Insurance Verification & Precertification Specialist II

University of Texas Southwestern Medical Center; Dallas (TX); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

PPO plan

Preventive care coverage

Paid Time Off

TRS retirement

Parental leave

Wellness programs

Tuition reimbursement

PSLF eligible

Job summary

UT Southwestern Medical Center in Dallas, TX seeks a Benefits Verification Specialist to verify patient insurance, pre-certify procedures, and coordinate with physicians and departments to secure benefits. The role emphasizes accuracy, HIPAA compliance, and timely communication with patients and providers.

The candidate will manage verification queues, schedule and pre-register patients, and document all steps in the hospital system, including EPIC-based workflows.

Qualifications

• High School diploma or equivalent is required.
• 3 years of benefit verification/authorization experience or equivalent.
• 1 year Customer Service experience.
• 3 years Clinical/Medical/Precertification/Predetermination/Authorizations/Verification.
• 4 years end user Desktop Tools, Microsoft Outlook, Word, Office Equipment/Fax/Copier.
• 1 year of EPIC experience.

Responsibilities

• Monitors the correct patient work queue to determine accounts needing verification.
• Coordinates with physician's office and/or ancillary department regarding additional information needed to obtain pre-certification and insurance benefits.
• Maintains department productivity standards.
• Pre-registers patient cases by entering complete and accurate information prior to patient arrivals; verifies intake, insurance verification/eligibility, and precertification.
• Documents pertinent information in computer systems per department standards.
• Verifies insurance information via websites or calls to verify coverage, deductible and copay.
• Creates and calls patients with cost estimates for scheduled appointments.
• Ensures exams are scheduled with proper patient class and clinical indicators.

Skills

Benefit verification

Customer service

Precertification/Authorization

HIPAA awareness

Communication

Education

High School diploma or equivalent

Tools

EPIC

Microsoft Outlook

Microsoft Word

Office Equipment/Fax/Copier

Job description

UT Southwestern Medical Center in Dallas, TX seeks a Benefits Verification Specialist to verify patient insurance, pre-certify procedures, and coordinate with physicians and departments to secure benefits. The role emphasizes accuracy, HIPAA compliance, and timely communication with patients and providers.

The candidate will manage verification queues, schedule and pre-register patients, and document all steps in the hospital system, including EPIC-based workflows.