Senior Patient Affairs Specialist

Baylor College of Medicine; Houston (TX); Híbrido; USD 47 000 - 56 000; Tempo integral

Resumo da oferta

Baylor College of Medicine in Houston, TX, is seeking a Senior Patient Affairs Specialist. The role supports coverage verification, benefits assessments, and prior authorizations for surgeries, procedures, and radiology services.

This hybrid position is located at Greenway Plaza, and requires strong customer service and coordination with patients and providers. The ideal candidate will prioritize workloads, assist with STAT verifications, and thrive in a multi-specialty environment while

Qualificações

• High school diploma or GED minimum requirement.
• Three years of relevant experience preferred.
• Epic experience preferred for workflow efficiency.

Responsabilidades

• Verify coverage and benefits for upcoming services.
• Obtain prior authorization or predetermination for procedures.
• Financially clear patients and communicate with patients and providers.
• Document actions accurately in patient records.

Conhecimentos

Customer service

Insurance verification

Prior authorization

Formação académica

High school diploma or GED

Ferramentas

Epic

Descrição da oferta de emprego

Job Title: Senior Patient Affairs Specialist

Division: Patient Business Services

Work Arrangement: Hybrid

Location: Houston, TX

Salary Range: $47,372 to $55,731

FLSA Status: Nonexempt

Work Schedule: Monday - Friday, 8 a.m. - 5 p.m.

Summary

Verifies coverage, benefits and obtains prior authorization or predetermination for upcoming surgeries, procedure and radiology services. Provides great customer service during interaction with patients, providers, Baylor staff, insurance companies and anyone else while performing all job duties. The ideal candidate must be able to prioritize workload in order to meet productivity standards, assists with STAT verification requests in a timely matter, and understands high-level multi-specialty services.

This position is located at our Greenway Plaza location.

Job Duties

• Financially clears patients for upcoming services.
• Verifies coverage and benefits for upcoming services.
• Submits authorization requests and performs follow ups.
• Pull appropriate clinical documentation for case submission.
• Communicates status updates to MD office representatives and patients.
• Creates estimates and collects patient out of pocket prior to services being rendered.
• Answers Insurance Verification Helpline and resolves insurance inquiries from patients, physicians, and departments.
• Investigates patient insurance coverage and demographic issues.
• Accurately documents all work efforts in patient's chart.
• Responds to specific account inquiries by management.
• Performs other job-related duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• Three years of relevant experience.

Preferred Qualifications

• Epic experience.
• Authorization submission and follow up experience.
• Multi-specialty clinic experience in a fast pace environment.

Work Authorization Requirement:

This position is not eligible for visa sponsorship.Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

Baylor College of Medicine fosters diversity among its students, trainees, faculty, and staff as a prerequisite to accomplishing our institutional mission and setting standards for excellence in training healthcare providers and biomedical scientists, promoting scientific innovation, and providing patient-centered care. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.