Senior Insurance Authorization Specialist — Streamline Care

Houstonmethodistcareers; Houston (TX); In loco; USD 55.000 - 75.000; Tempo pieno

Descrizione del lavoro

Houston Methodist is seeking a Sr Insurance Authorization Specialist to obtain and manage insurance authorizations for medical services, complex procedures, and complex plans (e.g., CVCP, Transplant). The role also involves insurance verification and scheduling of surgical cases, with emphasis on clear communication among patients, physicians, and staff.

The position requires thorough knowledge of insurance requirements and strong customer service, adapting to unanticipated patient volumes while

Competenze

• Three years of experience working with insurance authorization, preferably in a physician office setting.
• High School diploma or equivalent education.
• Sufficient proficiency in speaking, reading, and writing English to perform essential functions.

Mansioni

• Initiates and manages the authorization process for medical services and simple procedures.
• Obtains insurance verification and schedules OR cases as needed.
• Maintains accurate and up-to-date records of all authorization requests and approvals.
• Documents communication with insurance providers, physicians and internal stakeholders.
• Collaborates with healthcare providers to gather necessary documentation for authorization requests.

Conoscenze

Insurance authorization

Communication

Medical terminology

English proficiency

Multitasking

Medicare/Medicaid knowledge

CPT ICD-10 knowledge

Formazione

High School diploma or equivalent

Descrizione del lavoro

Houston Methodist is seeking a Sr Insurance Authorization Specialist to obtain and manage insurance authorizations for medical services, complex procedures, and complex plans (e.g., CVCP, Transplant). The role also involves insurance verification and scheduling of surgical cases, with emphasis on clear communication among patients, physicians, and staff.

The position requires thorough knowledge of insurance requirements and strong customer service, adapting to unanticipated patient volumes while