Top 37 Authorization specialist Jobs in Georgetown, Tx

Insurance Authorization Specialist
Texas Oncology —Cedar Park, TX
- Full-time
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
2d
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
4d
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
Referral Coordinator - Remote Texas
Concentra —Round Rock, TX
- Full-time
- Microsoft Word
- Microsoft Outlook
- Writing skills
- Commuter assistance
- Disability insurance
4d
CPS CVS Unit Administrative Assistant I
Dept of Family & Protectve Svc —Austin, TX
- $2,481.75 - $3,404.91 a month
- Overtime
- Background check
- Up to 50% travel
- Word processing
- Paid holidays
- Dental insurance
Quick Apply
Medical Billing/ Appeals Specialist - Workers Compensation- Hybrid
Advanced Pain Care —Austin, TX
- $20 - $25 an hour
- Full-time
- Remote
- Writing skills
- Research
- Mid-level
Quick Apply
Temporary Work Control Specialist
University of Texas at Austin —Austin, TX
- $18 an hour
- Overtime
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Medical Billing/Authorizations
Texas Fertility Center —Austin, TX
- Full-time
- Research
- Mid-level
- Organizational skills
- Health savings account
- Health insurance
Quick Apply
12d
Referral Coordinator
University of Texas at Austin —Austin, TX
- $45,000 a year
- Urgently hiring
- HIPAA
- Mid-level
- Office
- Retirement plan
Customer Service Representative
Bluebonnet Trails Community Services —Round Rock, TX
- $17.30 - $21.55 an hour
- Bilingual
- Typing
- Entry level
Patient Reception Specialist - Round Rock
Harbor Health —Round Rock, TX
- Full-time
- Spanish
- BLS Certification
- Basic math
- Paid holidays
- Health insurance
Quick Apply
5d
Member and Provider Services Specialist
Harbor Health —Austin, TX
- Full-time
- In person
- Spanish
- HIPAA
- English
- Paid holidays
- Health insurance
Quick Apply
5d
Medical Billing Specialist
Aspire Allergy & Sinus —Austin, TX
- Full-time
- Public speaking
- Mid-level
- Office
- Paid holidays
- 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
5d
Patient Reception Specialist - Park Bend
Harbor Health —Austin, TX
- Full-time
- Spanish
- BLS Certification
- Basic math
- Paid holidays
- Health insurance
Quick Apply
Health Information Management Specialist
University of Texas at Austin —Austin, TX
- From $34,864 a year
- Urgently hiring
- HIPAA
- Mid-level
- Office
- Retirement plan
Referral and Diagnostic Coordinator
People's Community Clinic —Austin, TX
- $17 - $21 an hour
- Full-time
- Spanish
- Medical office experience
- HIPAA
- 403(b) matching
- Paid holidays
Insurance Verification Specialist
Austin Retina Associates —Austin, TX
- Overtime
- Spanish
- Medical office experience
- Mid-level
Quick Apply
Certified Medical Assistant
Pain Specialist of America LLC —Cedar Park, TX
- Full-time
- Vital signs
- Microsoft Outlook
- High school diploma or GED
- Health savings account
- Paid holidays
Quick Apply

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Insurance Authorization Specialist

Texas Oncology -
Cedar Park, TX

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Job Details

Full-time
2 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
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 1401 Medical Parkway Building C clinic in Cedar Park, Texas. Typical work week is Monday through Friday, 8:00a - 5:00p.

Note from Hiring Manager: Health/Vision/Dental Benefits, 401K, paid holidays, tuition reimbursement.

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.

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Refine Your Search

authorization specialist jobs in georgetown, tx

Insurance Authorization Specialist

Prior Authorization Specialist - Weekend Only

Benefits and Authorization Specialist

Pre-Authorization Specialist

Referral Coordinator - Remote Texas

CPS CVS Unit Administrative Assistant I

Medical Billing/ Appeals Specialist - Workers Compensation- Hybrid

Temporary Work Control Specialist

Medical Billing/Authorizations

Referral Coordinator

Customer Service Representative

Patient Reception Specialist - Round Rock

Member and Provider Services Specialist

Medical Billing Specialist

Surgical Coordinator (Varied Schedule Options)

Patient Reception Specialist - Park Bend

Health Information Management Specialist

Referral and Diagnostic Coordinator

Insurance Verification Specialist

Certified Medical Assistant

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