Patient Access & Authorization Coordinator

Muenster Hospital District; Muenster (TX); On-site; USD 38,000 - 54,000; Full time

Job summary

Muenster Hospital District is seeking a Patient Access and Authorization Specialist to coordinate insurance prior authorizations and referrals for outpatient services. You will work with patients, providers, and payer staff to ensure timely approvals and accurate scheduling.

In this full-time role, you will support utilization review, assist with reception coverage, and maintain confidential records in the electronic health record system. Strong organization and communication are essential.

Qualifications

• High school diploma or equivalent required.
• At least one year of experience in a medical office or hospital business office preferred.
• Experience with insurance verification, referrals, or prior authorizations preferred.
• Experience with electronic health records and Microsoft Office preferred.
• Basic knowledge of medical terminology and healthcare documentation preferred.

Responsibilities

• Obtain insurance prior authorizations for therapy, radiology, and other outpatient services.
• Review physician orders, diagnoses, clinical documentation, insurance information, and medical necessity requirements before submitting authorization requests.
• Submit prior authorization requests through payer websites, telephone systems, fax, or other required methods.
• Track pending authorization requests and follow up with insurance companies until a determination is received.
• Communicate authorization approvals, denials, limitations, and expiration dates to the appropriate hospital department.
• Coordinate with referring provider offices to obtain missing orders, referrals, clinical notes, or other required documentation.
• Maintain accurate records of authorization numbers, approved visits, effective dates, payer communications, and supporting documentation.
• Assist patients and staff with questions regarding authorization status and insurance requirements.
• Maintain confidentiality and follow all HIPAA, hospital, and payer requirements.
• Work cooperatively with therapy, radiology, nursing, providers, registration, health information management, billing, and other departments.

Skills

Organizational skills

Time management

Communication skills

Customer service

HIPAA knowledge

Education

High school diploma or equivalent

Tools

Electronic health records

Microsoft Office

Job description

Muenster Hospital District is seeking a Patient Access and Authorization Specialist to coordinate insurance prior authorizations and referrals for outpatient services. You will work with patients, providers, and payer staff to ensure timely approvals and accurate scheduling.

In this full-time role, you will support utilization review, assist with reception coverage, and maintain confidential records in the electronic health record system. Strong organization and communication are essential.