Description

Job Summary

Responsible for securing insurance authorizations for patients and performs pre-registration and scheduling functions for hospital visits and procedures.

Minimum Job Requirements

• 2- 3 years of medical insurance and billing experience required.
• Previous physician office or ambulatory experience preferred.

Qualifications

Essential Duties and Responsibilities

• Secures insurance authorization for all outpatient and diagnostic testing, consultation, and outpatient procedures.
• Schedules appointments and procedures, verifies medical appointments, and processes medical documentation.
• Coordinates the collection and submittal of additional insurance information from clinical/support staff.
• Escalates any authorization issues and coordinates peer-to-peer review.
• Coordinates with clinical team and communicates managed care requests via established work flows.
• Documents adequate and accurate records of insurance notes and authorizations.
• Answers telephones, routes calls to appropriate staff, takes accurate phone messages, and relays messages to staff.
• Follows-up with patients for return visits, missed appointments, and cancellations.

Knowledge/Skills/Abilities

• High school education or equivalent preferred.
• Bilingual in English/Spanish preferred.
• Excellent customer service skills.
• Critical thinking skills needed.

(EOE DFW)

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