13 Insurance Authorization Specialist Jobs in San Antonio, TX
Sorry! This job is no longer available. Please explore similar jobs listed on the left.
PRMA Plastic Surgery is Hiring an Insurance Authorization Specialist Near San Antonio, TX
- Obtain pre-authorization for all procedures and treatments being provided prior to patient appointments.
- Verify patients’ eligibility and benefit information by using Availity or other medical benefits platform, calling insurance companies, and receiving benefits via fax prior to any procedure being scheduled and/or performed.
- Investigate, report, and analyze patient CPT codes not originally noted in the CPTN at the onset of the pre-authorization process.
- Obtain updated referrals for HMO patients prior to office procedures and verify referral is within the authorized time period. Add referral information into MOMS.
- Print weekly surgery listing authorization/location reports. Review and resolve all reported authorization issues timely and effectively.
- Communicate authorization, and any financial and benefit coverage with patients and providers timely and professionally.
- Obtain appropriate documentation to validate the approval or denial of authorizations.
- Maintain patient file security and confidentiality by adhering to appropriate confidentiality and HIPPAA policies and guidelines.
- Advise management of identified trends with payers to minimize problems.
- Scanning and Filing of all authorizations and mail into Nextgen EMR
- Back up to benefits coordinator to enter surgery sheets into the daily tracker and distribute them to each scheduler according to type of surgery.
- Schedule and coordinate Peer-to-Peer conferences as needed /appeals with benefits coordinator.
- Notify the billing department of any insurance errors (i.e., member ID, group number, etc.)
- Upload completed insurance verification forms and procedure history into patient’s EMR.
- Identify and communicate any insurance concerns with the appropriate departments.
- Request DOS/FAC/Provider changes on authorization
- Verify all authorizations and insurances are active one week prior to surgery.
- Consistently train and learn Benefits coordinator role, to provide back up at all times.
- All other duties as assigned.
- Able to organize workload and manage time effectively.
- Able to establish and maintain effective working relationships with patients, management, employees, and the public.
- Technologically savvy
- Able to read and interpret medical benefits for verification requests.
- Able to handle a high volume of work with speed and accuracy.
- Required - High School Diploma or Equivalent
- Preferred - 3-5 years of comprehensive Insurance authorization experience.
- Preferred - Bilingual
- Required - Knowledge of Microsoft applications.
- Required-Knowledge of CPT and ICD-10.
- Preferred- knowledge of MOMS AT system and Nextgen system.
Job Summary
Full Time
$37k-45k (estimate)
04/27/2023
04/17/2024
prma-enhance.com
San Antonio, TX
<25
Related Companies
The job skills required for Insurance Authorization Specialist include Billing, CPT, Confidentiality, etc. Having related job skills and expertise will give you an advantage when applying to be an Insurance Authorization Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Insurance Authorization Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Insurance Authorization Specialist positions, which can be used as a reference in future career path planning. As an Insurance Authorization Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Insurance Authorization Specialist. You can explore the career advancement for an Insurance Authorization Specialist below and select your interested title to get hiring information.
Similar Jobs
Popular Articles
