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.

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.
• Pulls 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.
• Assists with STAT verification requests in a timely matter.
• Understands high-level multi-specialty services.

Minimum Qualifications

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

Preferred Qualifications

• Epic experience.
• Authorization submission and follow up experience.
• Medical doctor office experience.