Loading...

Title:  Senior Patient Affairs Specialist

Division:  Patient Business Services
Schedule:  Monday - Friday 8:00 a.m. - 5:00 p.m.
Work Location:  Houston, TX
Salary Range:  $37,463 - $42,000
FLSA Status:  Nonexempt
Requisition ID:  5934

Summary

The Senior Patient Affairs Specialist provides information to patients and maintains good patient rapport. Obtains insurance pre-certifications and verifications and ensure reimbursement from patients or other responsible parties.

Job Duties

  • Responds to and assists physicians with patient questions.
  • Obtains benefits, creates estimates for patient out of pocket, and submits authorizations for services.
  • Follows up on submitted authorizations, notates authorization in appropriate area in Epic for all services. 
  • Contacts patient to collect out of pocket expenses. 
  • Contacts departments regarding missing clinical information if required by insurance company. 
  • Contacts PCP offices to obtain referrals. 
  • Understands high level specialty services authorizations.
  • Updates referral statuses and collection efforts in Epic. 
  • Answers Insurance Verification Helpline and solves insurance issues for patients, physicians, and departments.
  • Responds to specific account inquiries by management.
  • Creates estimate letters that are electronically forwarded to patients to inform them of their financial responsibility.
  • Provides and explains educational material to patients. 
  • Investigates insurance coverage and demographics.
  • Reseraches claims denied for no authorization and performs retro authorizations
  • Answers phones and provides information to patients or takes detailed messages and routes them to the appropriate party.

Minimum Qualifications

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

Preferred Qualifications

  • Epic experience preferred.
  • Infusion experience and general specialty services benefits and authorization experiences a must.

 

 

 

 

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

 5934