Benefits and Authorization Specialist

Job Description

Job Duties

• Verify patient insurance information, eligibility and benefits for 3 providers.
• Ensure complete and accurate registration, including patient demographics and current insurance information.
• Ensure referrals and authorizations are on file prior to treatment.
• Obtain authorizations and pre-certification for services rendered and ensures authorization information is documented in the patient chart.
• Obtain authorization from insurance companies in a timely manner for patient injections, in-office procedures, x-rays and surgeries.
• Knowledge of fee schedules and ability to accurately calculate patient responsibility.
• Advise patient on insurance coverage and benefits before a procedure or treatment if applicable.
• Has a knowledge of Workman's Compensation protocol.
• Maintains referral logs
• Schedule appointments.
• Imaging uploads from outside facilities.
• Scans documents into charts weekly.
• Performs other related work as required.

Qualifications

• Education in medical terminology, or equivalent experience
• Minimum one year in clinic setting or medical billing office within the last three years
• Knowledge of CPT, HCPCS, and ICD-10 codes required.
• Knowledgeable of insurance verification processes.
• Background in computer data input utilizing EMR, Word and/or Excel
• Ability to concentrate and pay close attention to detail
• Ability to self-manage, set priorities and operate with minimal direct supervision
• Ability to develop and maintain effective working relationships with peers, physicians and other staff members
• Excellent verbal and written communication skills
• Ability to speak Spanish (plus, not required)

Preferred Qualifications For This Position Include

• Medical office billing experience or insurance verification 1-2 years
• Must be Able to Commute and Arrive on Time Daily to Position

Job Type: Full-time. Rate is based on knowledge/experience.

Experience:

• Relevant: 2 years (Required)

Job Type: Full-time

Salary: $17.00 to $19.50 /hour

Job Type: Full-time

Pay: $17.00 - $19.50 per hour

Expected hours: 35 – 45 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Experience:

• Insurance verification: 2 years (Required)

Location:

• San Antonio, TX 78258 (Preferred)

Ability to Commute:

• San Antonio, TX 78258 (Required)

Work Location: In person

Salary : $17 - $20