Authorization Specialist

Position: Benefits and Authorization Specialist

Job Posting

Title:

Benefits and Authorization Specialist

Hiring Department:

Dell Medical School

Position Open To:

All Applicants

Weekly Scheduled

Hours:

40

FLSA Status:

To Be Determined at Offer

Earliest

Start Date:

Ongoing

Position Duration:

Expected to Continue

Location:

AUSTIN, TX

Job Details:
Purpose

The Benefits and Authorization Specialist is responsible for verifying patient insurance coverage, obtaining pre-authorizations, and providing financial assistance support to ensure patients receive necessary medical services. This role involves coordinating with insurance companies, healthcare providers, and patients to manage benefits and authorizations efficiently.

Responsibilities Patient Benefits Verification

• Verify patient insurance coverage and benefits for medical services.
• Communicate with insurance companies to confirm patient eligibility and coverage details.
• Provide patients with clear and accurate information regarding their benefits and financial responsibilities.

Authorization Management

• Obtain prior authorizations for medical procedures and services as required by insurance providers.
• Track and follow up on pending authorizations to ensure timely approval.
• Maintain accurate records of authorization requests and approvals.

Patient Communication & Support

• Serve as a point of contact for patients regarding their insurance benefits and authorization status.
• Address patient inquiries and concerns with empathy and professionalism.
• Educate patients on their insurance plans and assist them in understanding their coverage.

Collaboration with Healthcare Providers

• Work closely with healthcare providers to gather necessary documentation for authorization requests.
• Coordinate with medical staff to ensure all required information is submitted to insurance companies.
• Facilitate communication between providers and insurance companies to resolve any issues.

Documentation and Record Keeping

• Maintain detailed and accurate records of all patient interactions, benefits verifications, and authorization requests.
• Ensure compliance with all regulatory and organizational policies regarding patient information and documentation.
• Regularly update patient records in the electronic health record (EHR) system.

Required Qualifications

• High School Diploma/GED
• At least 2 year(s) of experience in healthcare setting, preferably in patient benefits, insurance verification, or authorization roles.

Relevant education and experience may be substituted as appropriate.

Preferred Qualifications

• Associate's Degree in healthcare administration, business, or a related field
• At least 3 year(s) of experience in medical billing or insurance authorization.
• Certification in medical billing and coding (e.g., CPC, CPB)
• Prior Authorization Certified Specialist (PACS) certification.

Salary Range

$45,000 + depending on qualifications

Working Equipment/Environment

• Standard office environment
• Repetitive use of a keyboard

Required Materials

• Resume/CV
• 3 work references with their contact information; at least one reference should be from a supervisor
• Letter of interest

Important for applicants who are NOT current university employees or contingent workers:

You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure that

ALL Required Materials have been uploaded. Once your job application has been submitted, you cannot make changes.

Important for Current university employees and contingent workers:

As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application.

The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.

Employment Eligibility:

Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion/transfer eligible may apply for positions without supervisor approval.

Retirement Plan Eligibility:

The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length.

Background Checks:

A criminal history background check will be required for finalist(s) under…