Top 18 Prior authorization specialist Jobs in Austin Tx

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
1d
Benefits and Authorization Specialist
University of Texas at Austin —Austin, TX
- $45,000 a year
- Full-time
- Mid-level
- Office
- 3 years
- Retirement plan
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
Insurance Verification Specialist
Austin Retina Associates —Austin, TX
- Overtime
- Spanish
- Medical office experience
- Mid-level
Quick Apply
HME Authorization Specialist
Giving Home Health Care —Austin, TX
- $21 - $25 an hour
- Full-time
- Background check
- Current TB test
- Mid-level
Quick Apply
Medical Insurance Authorization Coordinator
Texas Physical Therapy Specialists —Austin, TX
- $16 - $17 an hour
- Full-time
- Hybrid work
- Microsoft Outlook
- Medical office experience
- Mid-level
- Paid training
- Dental insurance
Insurance Authorizations
Pain Control of Texas PLLC —Austin, TX
- Full-time
- High school diploma or GED
- Organizational skills
- Medical terminology
Quick Apply
Referral Coordinator
University of Texas at Austin —Austin, TX
- $45,000 a year
- Urgently hiring
- HIPAA
- Mid-level
- Office
- Retirement plan
Member and Provider Services Specialist
Harbor Health —Austin, TX
- Full-time
- In person
- Spanish
- HIPAA
- English
- Paid holidays
- Health insurance
Quick Apply
2d
Senior Advanced Imaging Coordinator
Covenant Management Systems, L.P. —Austin, TX
- OSHA
- Computer literacy
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
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
Surgical Coordinator (Varied Schedule Options)
Aspire Allergy & Sinus —Austin, TX
- Full-time
- Spanish
- Surgery
- HIPAA
- Free parking
- Paid holidays
Quick Apply
3d
Senior Patient Services Coordinator (Neurology)
Covenant Management Systems, L.P. —Austin, TX
- OSHA
- Computer literacy
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
2d
Epic Ambulatory Bones Application Engineer Specialist - 6079188
Accenture —Austin, TX
- $47.85 - $57.85 an hour
- Full-time
- Remote
- 5 years
- High school diploma or GED
- US work authorization
- Disability insurance
- Health insurance
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
8d

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Prior Authorization Specialist - Weekend Only

Baylor Scott & White Institute for Rehabilitation - Lakeway Hospital -
Lakeway, TX

Apply Now

Job Details

Part-time
1 day ago

Benefits

Employee assistance program
Opportunities for advancement

Qualifications

Nursing

Full Job Description

Overview:

Baylor Scott & White Institute for Rehabilitation

*A joint venture with Select Medical & Baylor Scott & White*

Prior Authorization Specialist ( RN or LPN ) - Part-Time Weekends

This position will work every Saturday and Sunday, 8 hours each day

This is primarily a work-from-home position, but to be considered, candidates must live within driving distance of Austin, TX, Temple, TX, and the DFW area.

Responsibilities:

Job Responsibilities

Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital.

Follows the Select Workflow Process for initiating and completing patient authorizations. Takes full responsibility for following the “Workflow Process” and ensures each referral follows the process, from taking the initial referral until final disposition, acceptance or denial. As appropriate, submits the preadmission assessments completed by clinical liaisons to the insurance company.
Ensures documentation meets standards and expectations by working and mentoring team as needed.
Obtains timely authorization of all patients requiring pre-certification and is accountable for conversion percentage and results.
Ensures all policies governing commercial pre-certification and authorization are followed to minimize financial risk.
Develops relationships that increase and stabilize conversion as well as generates referrals both locally and regionally. This may include identifying relationship opportunities for self and others within Select Medical to include but not limited to CEO, DBD, CLs, Admissions Coordinator and Case Management team that may help grow relationships and impact results.
Maintains profiles on each payer to include case managers and medical directors, P2P and appeal info.
Identifies by payor communication preference and utilizes to maximize results.
Encourages and models teamwork, communication and collaboration with other departments to include but not limited to the transition of patients into the critical illness recovery hospital or acute inpatient rehabilitation hospital.
Serves as a resource to the Business Development Team educating them on payor preference to promote exceptional customer service and efficient processes
Maintains and further develops relationships with customers which may include but are not limited to surveying for satisfaction with the work of Select Medical and off-site meetings with the customer.
Evaluates Non-Medicare benefits as verified by the Central Business Office or Rehab Admissions Coordinator. Reviews benefits with Admissions Coordinator for possible risk and applies/completes written guidelines as necessary to reduce or manage risk.
Answers phone with appropriate behavior and ensures back-up when not available or out of the office.
Works closely with Admissions Coordinator to apply correct accommodation code per contract as well as billing/reimbursement requirements.
Tracks approval and denials through TOC.
Ensure outstanding customer service for all customers.
Performs other duties as requested.

Qualifications:

Minimum Qualifications

Licensure as a Registered Nurse or LVN/LPN
2 years of direct experience in third-party reimbursement

Preferred Experience

Previous Experience within a physical rehabilitation setting preferred
Experience working with Excel and databases

Additional Data:

Why Join Us:

Start Strong: Extensive orientation program to ensure a smooth transition into our setting.
Opportunity for Advancement: Demonstrate your skills and dedication, which could lead to potential full-time opportunities
Foster Well-being: We offer benefits that support the financial, work/life, and emotional well-being of you and your family members. Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. We also offer our employee assistance program to part-time employees.
Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care

Equal Opportunity Employer, including Disabled/Veterans

Apply Now

Refine Your Search

prior authorization specialist jobs in austin tx

Prior Authorization Specialist - Weekend Only

Benefits and Authorization Specialist

Pre-Authorization Specialist

Insurance Verification Specialist

HME Authorization Specialist

Medical Insurance Authorization Coordinator

Insurance Authorizations

Referral Coordinator

Member and Provider Services Specialist

Senior Advanced Imaging Coordinator

Medical Biller - Insurance A/R Specialist

Surgical Coordinator (Varied Schedule Options)

Senior Patient Services Coordinator (Neurology)

Epic Ambulatory Bones Application Engineer Specialist - 6079188

Front Office Administrator and Texas Notary Public

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