Title:  Senior Patient Affairs Specialist

Division:  Patient Business Services
Schedule:  Monday to Friday 8 a.m. to 5 p.m.
Work Location:  Houston, TX
Salary Range:  $38,212 to $51,683
FLSA Status:  Nonexempt
Requisition ID:  14099

Summary

Provides information to patients and maintains good patient rapport. Obtains insurance pre-certifications and verifications and ensure reimbursement from patients or other responsible parties.

 

This position is located at our Greenway location.  This position is on site with future possibility of being remote.

Job Duties

  • Verifies insurance eligibility, obtains benefits, and authorization requirements in order to financially clear patients for upcoming services.
  • Ensures that insurance information obtained is current and coordination of benefits is up to date when primary and secondary insurance is on file.
  • Notifies leadership when a patient is not financially cleared, and advises patient of potential delays.
  • Contacts insurance or external MD/PCP office to obtain insurance referrals and/or out of network referral authorizations. 
  • Initiates and creates insurance referrals for internal BCM primary care physicians and specialist. 
  • Follows up regarding pending referral/authorization with MD/PCP office, insurance or adjustor and updates referral shell statuses accordingly and documents efforts in designated area within Epic. 
  • Creates estimate letters that are electronically forwarded to patients to inform them of their financial responsibility. 
  • Contacts patient to collect on out of pocket expenses and answers any questions patient may have regarding estimate/benefits. 
  • Answers Insurance Verification Helpline calls/e-mails and solves insurance issues for patients, physicians, and departments.
  • Answers high-volume phone calls and provides information to patients or takes detailed messages and routes them to the appropriate party.
  • Responds to specific account inquiries by management.
  • Performs other duties or special projects as assigned.
  • Provides assistance in other areas within the insurance verification department.
  • Helps team meet service line agreement with doctors’ offices by managing time wisely to meet productivity requirements established for each function within the insurance verification department.
  • Exhibit high level of quality through attention to detail and monitoring of work.

Minimum Qualifications

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

 

 

Baylor College of Medicine requires employees to be fully vaccinated -subject to approved exemptions-against vaccine-preventable diseases including, but not limited to, COVID-19 and influenza.

 

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

 14099

CA