Patient Authorization & Benefits Specialist

UMC Health System; Lubbock, Northern (TX, KY); Hybrid; USD 36,000 - 48,000; Full time

Job summary

UMC Health System in Texas seeks a Patient Authorization Representative at the Main Campus to verify insurance eligibility, update patient benefits, and secure pre-certifications for inpatient and outpatient services. You will coordinate with physicians, facilities, and insurers to ensure timely authorizations and smooth patient care.

This full-time, on-site role requires a High School Diploma or GED and at least two years of experience with insurance verifications and pre-certifications,

Qualifications

• High School Diploma or GED required.
• +2 years experience with insurance verifications and pre certifications, preferably in a hospital setting.
• +2 years use of medical terminology and billing codes.

Responsibilities

• Verify insurance eligibility and benefits.
• Coordinate referrals and pre-certifications for patient appointments.
• Communicate with other hospital departments, insurance companies, and patient family members to ensure continuity of care and maximum reimbursement.
• Collect payments and discuss payment options.
• All other related assigned duties.

Skills

Customer service

English fluency

Multi-tasking

Professional communication

Education

High School Diploma or GED

Job description

UMC Health System in Texas seeks a Patient Authorization Representative at the Main Campus to verify insurance eligibility, update patient benefits, and secure pre-certifications for inpatient and outpatient services. You will coordinate with physicians, facilities, and insurers to ensure timely authorizations and smooth patient care.

This full-time, on-site role requires a High School Diploma or GED and at least two years of experience with insurance verifications and pre-certifications,