25 days old

Insurance Authorization Verification Specialist II (Rev Cycle)

Houston, TX 77002
  • Job Code

Position Summary:

Verifies insurance policy benefit information and obtains Authorization/ Precertification, prior to the patient's visit or scheduled admission, or immediately following admission. Assist in identifying problems and ensures that the insurance is accurate on the patient account. Assures insurance information and appropriate referrals have been completely and accurately obtained.

Position Key Accountabilities:

  • Verifies insurance policy benefits for new and returning patients with carriers and employers.
  • Assures all insurance information has been completely and accurately obtained. Documents all pertinent insurance information. Documents information given or received to support actions taken on insurance charges or referral issues.
  • Identifies special policy clauses or pre-existing conditions and verifies effective date of policies.
  • Educates patients and families on insurance issues. Communicates patient's fiscal responsibility in a professional manner.
  • Notifies appropriate work units of patient's insurance coverage, authorizations, or status.
  • Identifies all patients without third party financial benefits and directs them for financial counseling according to Financial Counseling and Revenue Cycle policies and procedures.
  • Receives and reviews UT-H Health Science Center' Managed Care contracts to understand the contract provisions. Interprets managed care contracts for insurance coverage.
  • Provides support to Revenue Cycle work units and other work units as assigned.
  • Other duties as assigned.
  • Certification/Skills:

    Minimum Education:

    High school diploma or equivalent required; some college preferred.

    Minimum Experience:

    Three years of related experience required.

    Physical Requirements:

    Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

    Security Sensitive:

    This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code 51.215

    Posted: 2020-11-07 Expires: 2020-12-06
    Sponsored by:
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    Sponsored by:
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    Insurance Authorization Verification Specialist II (Rev Cycle)

    Houston, TX 77002

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