Top 19 Prior authorization specialist Jobs in Austin, Tx

Senior Patient Services Coordinator (Authorizations)
Austin Regional Clinic —Austin, TX
- Full-time
- OSHA
- Computer literacy
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Pre-Certification Specialist
The Specialty Alliance —Austin, TX
- Full-time
- Mid-level
- High school diploma or GED
- Data entry
Quick Apply
1d
Insurance Authorizations
Pain Control of Texas PLLC —Austin, TX
- Full-time
- High school diploma or GED
- Organizational skills
- Medical terminology
Quick Apply
Benefits and Authorization Specialist
University of Texas at Austin —Austin, TX
- $45,000 a year
- Full-time
- Mid-level
- Office
- 3 years
- Retirement plan
Prior Authorization Specialist - Weekend Only
Baylor Scott & White Institute for Rehabilitation - Lakeway Hospital —Lakeway, TX
- 8 hour shift
- LVN
- RN License
- Mid-level
- Employee assistance program
- Opportunities for advancement
10d
HME Authorization Specialist
Giving Home Health Care —Austin, TX
- $21 - $25 an hour
- Full-time
- Background check
- Current TB test
- Mid-level
Quick Apply
Pre-Authorization Specialist
Advanced Pain Care —Austin, TX
- $18 - $22 an hour
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
Remote Processing Specialist
CLEAResult Consulting Inc. —Austin, TX
- $16 an hour
- Full-time
- Remote
- US work authorization
- Organizational skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
3d
Remote Energy Efficiency Customer Support Specialist
CLEAResult Consulting Inc. —Austin, TX
- $17 an hour
- Full-time
- Remote
- Sales
- High school diploma or GED
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
3d
Member and Provider Services Specialist
Harbor Health —Austin, TX
- Full-time
- In person
- Spanish
- HIPAA
- English
- Paid holidays
- Health insurance
Quick Apply
11d
Insurance Verification Specialist
Austin Retina Associates —Austin, TX
- Overtime
- Spanish
- Medical office experience
- Mid-level
Quick Apply
Surgical Coordinator (Varied Schedule Options)
Aspire Allergy & Sinus —Austin, TX
- Full-time
- Spanish
- Surgery
- HIPAA
- Free parking
- Paid holidays
Quick Apply
11d
Front Office Administrator and Texas Notary Public
Ramirez Accounting Service Llc —Austin, TX
- $19.50 - $30.00 an hour
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
Quick Apply
Senior Advanced Imaging Coordinator
Covenant Management Systems, L.P. —Austin, TX
- OSHA
- Computer literacy
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Global Service System Specialist Manager
DiaSorin —Austin, TX
- Full-time
- Background check
- Pass drug screening
- Office
- Health insurance
8d
Medical Biller - Insurance A/R Specialist
Southwest Dermatology & Vein —Austin, TX
- From $17 an hour
- Full-time
- Background check
- Google Workspace
- Writing skills
- COVID-19 protective measures
- Health insurance
Quick Apply
Front Desk Receptionist - Bi-Lingual Preferred
Esperanza Neurological Group Inc —Austin, TX
- Spanish
- HIPAA
- Administrative experience
Quick Apply
3d

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Senior Patient Services Coordinator (Authorizations)

Austin Regional Clinic -
Austin, TX

Quick Apply

Job Details

Full-time

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Life insurance

Qualifications

Computer operation
Customer communication
Medical documentation
Windows
Medical scheduling
High school diploma or GED
Medical administrative support
ICD-10
Medical terminology

Full Job Description

ABOUT AUSTIN REGIONAL CLINIC:

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/

PURPOSE

Performs advanced Patient Service Coordinator functions and serves as a resource for other business office staff. May train entry level business office staff. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.

ESSENTIAL FUNCTIONS

Performs all of the tasks of the Patient Service Coordinator as needed or assigned.
Assists other Business Office staff with front desk duties, which include but are not limited to answering phones, booking appointments, greeting patients, check-in/check-out, end of day processing & documentation, including deposit, etc.
Performs full patient registration functions which include collecting and entering all patient insurance and demographic information necessary to set up insurance coverage and patient accounts.
Generates and processes referrals and authorizations.
Responsible for opening front office and all duties associated with this function.
Responsible for end of day processing and documentation, including deposit.
Assists with the initiation of prior authorizations for medications.
Verifies scheduling accuracy of MyChart appointments.
Researches and resolves problems with patient accounts in work queues.
Processes claim denial adjustments to patient accounts.
Using reports, audits tickets in work queue for missed charges, completeness, accurate coding, etc.
Performs charge entry functions.
Communicates with providers regarding coding issues.
Serves as a resource for other Business Office staff.
Assists with training of entry level Business Office staff.
Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
Regular and dependable attendance.
Follows the core competencies set forth by the Company, which are available for review on CMSweb.
Works holiday shift(s) as required by Company policy

Must be trained and provide backup coverage in one or more of the following duties:

CBO Site Requests:

Researches and resolves problems with patient accounts from site requests.
Works with the providers to communicate coding issues and submit adjustment journals as needed.

CRWQ:

When working in the charge review work queue, responsible for following workflows consistent with the policies of the Compliance Plan.

Surgery Scheduling:

Schedules surgeries for physicians at local surgery centers and hospitals.
Creates and maintains surgery schedules for physicians and notifies them of their schedules.
Updates EPIC with physician schedules and opens up office time slots when applicable.
Confirms all surgeries with patients and facilities.
Works closely with physicians to help keep schedule flowing smoothly throughout the day.
Obtains authorization with the insurance companies and verifies benefits for in office procedures.
Performs patient registration functions by collecting and entering demographic and insurance related information into computer system in order to set up patient accounts.

Referrals and/or Prior Authorizations:

Maintains current knowledge of insurance authorization and/or referral requirements
Obtains authorizations from insurance carriers in a timely manner.
Acts as a resource for patients and staff with authorization and/or referral related questions/problems requiring resolution.
Communicates authorization and/or referral information to patients and specialist offices in a timely manner.
Serves as a liaison between Primary Care and Specialty offices.
Responsible for coordinating medical record information for transmission to specialist’s office.
Responsible for maintaining access to online resources.
Ensures authorization and/or referral information is properly documented in Epic.
If aware, informs physician of patient compliance with referral plan.
Maintains authorizations and/or referrals to ensure that specialty visits are covered (Specialty Offices).
Coordinates with Primary Care Offices as needed (Specialty Offices).
Informs physicians and management of any issues causing a delay in authorization process.

OTHER DUTIES AND RESPONSIBILITIES

Responsible for coordinating surgery details and appointments if applicable.
Obtains insurance eligibility and benefit details.
Performs other duties as assigned.

QUALIFICATIONS

Education and Experience

Required: High school diploma or GED. Six or more months of experience working in the office of a healthcare related facility. Experience using a PC in a Windows environment. Proficient in at least one of the following areas: CBO Site Requests, CRWQ, Surgery Scheduling, Hospital Tickets or Referrals.

Preferred: Experience working with ICD-10 and CPT coding.

Knowledge, Skills and Abilities

Excellent verbal and written documentation and communication skills.
Knowledge of medical terminology,
Familiarity with procedural and diagnostic coding.
Familiarity with ICD and CPT coding methodology.
Knowledge of medical insurance, collections, and appointments.
Keyboarding ability.
Excellent customer service skills.
Excellent computer and keyboarding skills, including familiarity with Windows.
Excellent interpersonal and problem solve skills.
Ability to work in a team environment.
Ability to manage competing priorities.
Ability to engage others, listen and adapt response to meet others’ needs.
Ability to perform job duties in a professional manner at all times.
Ability to align own actions with those of other team members committed to common goals.
Ability to understand, recall, and communicate, factual information.
Ability to understand, recall, and apply oral and/or written instructions or other information.
Ability to organize thoughts and ideas into understandable terminology.
Ability to apply common sense in performing job.

Certificate/License

If work in the charge review work queue, then must attend and complete all work queue training and successfully pass all tests based on the guidelines listed in the Compliance Plan.

Work Schedule: Monday- Friday 8am-5pm

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Life insurance
Paid time off
Tuition reimbursement
Vision insurance

Application Question(s):

What are your minimum salary requirements?

Experience:

working in the office of a healthcare facility: 1 year (Preferred)
Authorization and/or Referral: 1 year (Preferred)

Ability to Commute:

Austin, TX 78731 (Required)

Work Location: In person

Quick Apply

Refine Your Search

prior authorization specialist jobs in austin, tx

Senior Patient Services Coordinator (Authorizations)

Pre-Certification Specialist

Insurance Authorizations

Benefits and Authorization Specialist

Prior Authorization Specialist - Weekend Only

HME Authorization Specialist

Pre-Authorization Specialist

Remote Processing Specialist

Remote Energy Efficiency Customer Support Specialist

Member and Provider Services Specialist

Insurance Verification Specialist

Surgical Coordinator (Varied Schedule Options)

Front Office Administrator and Texas Notary Public

Senior Advanced Imaging Coordinator

Global Service System Specialist Manager

Medical Biller - Insurance A/R Specialist

Front Desk Receptionist - Bi-Lingual Preferred

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