About this role
- 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, assists with STAT verification requests in a timely matter, and understands high-level multi-specialty services.
- 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.
- Pull 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.
- Performs other job-related duties as assigned.
Minimum Qualifications
- High school diploma or GED.
- Three years of relevant experience.
Preferred Qualifications
- Epic experience.
- Authorization submission and follow up experience.
- Multi-specialty clinic experience in a fast pace environment.
- Work Authorization Requirement: This position is not eligible for visa sponsorship.
- Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.
- Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.