Summary

This position verifies coverage, benefits and obtains insurance prior authorization requirements for specialty office visits such as psychiatry, bariatric and nutrition. 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.

This position is located at Greenway Plaza with opportunities to telecommute.

Job Duties

• Financially clears patients for upcoming services.
• Verifies coverage and benefits for upcoming services.
• Contacts and follows up with non-Baylor PCP offices to obtain insurance referral approvals.
• Obtains insurance referral approvals on behalf of Baylor PCP's.
• Creates estimates and collects patient out of pocket prior to services being rendered. 
• Processes external referrals.
• Answers Insurance Verification Helpline and resolves insurance inquiries from patients, physicians, and departments.
• Investigates patient insurance coverage and demographic issues.
• Performs PCP referral approval requests and follow up. 
• Accurately documents all work efforts in patient's chart.
• Responds to specific account inquiries by management.
• Assists with STAT verification requests in a timely matter.
• Understands multi-specialty services.
• Performs other job-related duties as assigned.

Minimum Qualifications

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

Preferred Qualifications

• Epic experience.
• PCP referral submission and follow up experience.