Top 235 Authorization representative Jobs in Austin, Tx

Insurance Authorization Specialist
Texas Oncology —Round Rock, TX
- Full-time
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
4d
Billing Representative- Remote
SPECIALTY RX OF CENTRAL TEXAS LLC —Austin, TX
- Weekends as needed
- Remote
- Computer literacy
- Research
- Mid-level
Quick Apply
3d
Patient Benefits Representative
Texas Oncology —Cedar Park, TX
- Full-time
- Microsoft Excel
- HIPAA
- Finance
13d
Patient Services Representative
Texas Oncology —Austin, TX
- Full-time
- Surgery
- High school diploma or GED
- Clinic
Patient Services Representative - Lakeway, TX
Texas Oncology —Austin, TX
- Full-time
- Mid-level
- High school diploma or GED
- Typing
Patient Referral Specialist
MSO - Women's Services —Austin, TX
- Full-time
- Organizational skills
- 1 year
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Patient Benefits Coordinator
CCRM Fertility —Austin, TX
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
Quick Apply
Statewide Intake Specialist
Dept of Family & Protectve Svc —Austin, TX
- $3,409.83 - $5,094.16 a month
- Online Application
- Background check
- Word processing
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
6d
Patient Access Representative PRN
FAMILY HOSPITAL MANAGEMENT COMPANY —Cedar Park, TX
- PRN
- Hospital
- BLS Certification
- HIPAA
Account Development Representative - Charlotte, NC. St. Louis, MO, Austin, TX
Siemens —Austin, TX
- Full-time
- Hybrid work
- Research
- Office
- Business development
2d
Surgery Scheduler
Urology America, MSO —Austin, TX
- Full-time
- Microsoft Outlook
- Surgery
- Mid-level
Quick Apply
Insurance A/R Specialist III
iPractice —Austin, TX
- $20 - $25 an hour
- Full-time
- Hybrid work
- Background check
- Ability to walk for extended periods
- Research
- Health insurance
- Dental insurance
Quick Apply
Production Control Leader (Director of Supply Chain)
CFAN Company —San Marcos, TX
- $100,000 - $150,000 a year
- Full-time
- Management
- Inventory management
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Preconstruction Services & Sales - Round Rock, TX
Bonded Lightning Protection Systems, Ltd. —Round Rock, TX
- From $55,000 a year
- Full-time
- Customer service
- Pass drug screening
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
5d
Maintenance Business Leader
CFAN Company —San Marcos, TX
- $100,000 - $135,000 a year
- Full-time
- Bachelor's degree
- US work authorization
- In-person
- Disability insurance
- Health insurance
Quick Apply
Lean Specialist
CFAN Company —San Marcos, TX
- $80,000 - $95,000 a year
- Full-time
- 3 years
- High school diploma or GED
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Director IV - Consumer Affairs and Appeals
Dept of Family & Protectve Svc —Austin, TX
- $8,488.33 - $14,356.00 a month
- Online Application
- Background check
- 7 years
- Office
- Paid holidays
- Dental insurance
Quick Apply
Behavioral Health Policy Analyst
Health & Human Services Comm —Austin, TX
- $5,797.66 - $9,508.25 a month
- Online Application
- LMFT
- Licensed Clinical Social Worker
- LPC
- Health insurance
- Dental insurance
Quick Apply
5d
Research Associate I
University of Texas at Austin —Austin, TX
- From $41,000 a year
- Urgently hiring
- Spanish
- Psychiatry
- English
- Retirement plan
Customer Service Representative I
Capital Metro —Austin, TX
- 8 hour shift
- Spanish
- Microsoft Outlook
- Salesforce
12d

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Insurance Authorization Specialist

Texas Oncology -
Round Rock, TX

Apply Now

Job Details

Full-time
4 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Vision insurance

Qualifications

Medical insurance coverage verification
Pre-authorization review for utilization management

Full Job Description

Overview:

The US Oncology Network is looking for an Insurance Authorization Specialist to join our team at Texas Oncology. This full-time remote position will support the Oncology Department at our 2410 Round Rock Avenue #150 clinic in Round Rock, Texas. Typical work week is Monday through Friday, 8:00a - 5:00p.

Note from Hiring Manager: Great Benefits - Medical/Vision/Dental, 401K, Paid Holidays, and opportunity for growth!

This position will be either a level 1 or Sr based on candidate work experience.

As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today—at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.” ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

What does the Insurance Authorization Specialist do? (including but not limited to)

Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

Responsibilities:

The essential duties and responsibilities (including but not limited to):

Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence.
Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs.
Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis
Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays.
Researches additional or alternative resources for non-covered chemotherapy services to prevent payment denials. Provides a contact list for patients community resources including special programs, drugs and pharmaceutical supplies and financial resources.
Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization. Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records.
Other duties as requested or assigned.

Qualifications:

The ideal candidate for the Insurance Authorization Specialist position will have the following background and experience:

Level 1

High school degree or equivalent.
Associates degree in Healthcare, LPN state license and registration preferred.
Minimum three (3) years medical insurance verification and authorization preferred.

Level Sr (in addition to level 1 requirements)

Minimum three (3) years medical insurance verification and authorization and two (2) years clinical review experience required.

Competencies:

Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded as an expert in the technical/functional area; accesses and uses other expert resources when appropriate.
Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience inn the face of constraints, frustrations, or adversity; demonstrates flexibility.
Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.
Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment:

The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.

Apply Now

Refine Your Search

authorization representative jobs in austin, tx

Insurance Authorization Specialist

Billing Representative- Remote

Patient Benefits Representative

Patient Services Representative

Patient Services Representative - Lakeway, TX

Patient Referral Specialist

Patient Benefits Coordinator

Statewide Intake Specialist

Patient Access Representative PRN

Account Development Representative - Charlotte, NC. St. Louis, MO, Austin, TX

Surgery Scheduler

Insurance A/R Specialist III

Production Control Leader (Director of Supply Chain)

Preconstruction Services & Sales - Round Rock, TX

Maintenance Business Leader

Lean Specialist

Director IV - Consumer Affairs and Appeals

Behavioral Health Policy Analyst

Research Associate I

Customer Service Representative I

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