Top 12 Prior authorization specialist Jobs in Georgetown, Tx

Verification Specialist
Allegiance Mobile Health —Georgetown, TX
- Full-time
- Remote
- Medical office experience
- HIPAA
- Mid-level
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1d
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
6d
Pre-Authorization Specialist
Advanced Pain Care —Austin, TX
- $18 - $22 an hour
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
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Benefits and Authorization Specialist
University of Texas at Austin —Austin, TX
- $45,000 a year
- Full-time
- Mid-level
- Office
- 3 years
- Retirement plan
Medical Insurance Verification Specialist
ASC Sleep Solutions, LLC —Austin, TX
- $19 - $21 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid time off
- Employee discount
Quick Apply
1d
Member and Provider Services Specialist
Harbor Health —Austin, TX
- Full-time
- In person
- Spanish
- HIPAA
- English
- Paid holidays
- Health insurance
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8d
Referral Coordinator
University of Texas at Austin —Austin, TX
- $45,000 a year
- Urgently hiring
- HIPAA
- Mid-level
- Office
- Retirement plan
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
8d

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Prior Authorization Specialist - Weekend Only
Baylor Scott & White Institute for Rehabilitation - Lakeway Hospital —Lakeway, TX
Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for…
6d
Prior Authorization Specialist - Weekend Only
Baylor Scott & White Institute for Rehabilitation - Outpatient —Temple, TX
Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for…
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Billing Specialist
LOWER LIGHTS CHRISTIAN HEALTH CENTER INC —Columbus, OH
Familiarity with Medicare LCD/NCD guidance and state-specific Medicaid policies. Reconcile daily charges, payments, and balances; escalate discrepancies.
$19 - $26 an hour
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Prior Authorization Specialist
WSD —Westerville, OH
Must have prior experience with insurances and prior authorizations. Collaborate with clinical staff to ensure timely approvals for patient treatments.
$18 - $25 an hour
Quick Apply
7d

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Verification Specialist

Allegiance Mobile Health -
Georgetown, TX

Quick Apply

Job Details

Full-time
1 day ago

Qualifications

Phone communication
High school diploma or GED
Quality data entry
Client interaction via phone calls
Customer data entry

Full Job Description

SUMMARY: This position is responsible for the daily processing of patient and payer eligibility verification for ground ambulance transports, including Medicare, Medicaid, managed care, and third-party commercial insurance. The role verifies coverage for both emergency and non-emergency ambulance transports, confirms medical necessity documentation requirements, and identifies payer-specific prior authorization needs for scheduled/non-emergency transports (e.g., dialysis, discharge, and facility-to-facility runs). The daily productivity and quality standard is a minimum of 85 verifications per day utilizing web-based payer portals, clearinghouse tools (e.g., Waystar), and direct payer contact, while maintaining accuracy and completeness of eligibility data within the billing system (LOGIS).

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(Responsibilities include, but are not limited to)

Meets and/or exceeds the daily quota of Medicare, Medicaid, and commercial insurance verifications for ground ambulance transports.
Verifies patient eligibility and benefits for both emergency (911) and non-emergency (scheduled) ambulance transports prior to or immediately following dispatch.
Gathers all pertinent demographic, insurance, and guarantor information from the verification source at the initial encounter or dispatch record.
Accurately documents verification results, authorization numbers, and payer notes in LOGIS to support clean claim submission.
Takes necessary steps to obtain missing demographic or insurance information, including faxing facilities, contacting dispatch, and telephone communication with patients or family members when necessary.
Follows HIPAA guidelines regarding the handling and dissemination of patient information throughout the verification process.
Coordinates with billing, collections, and dispatch staff to resolve eligibility discrepancies and reduce downstream denials.
Adheres to company policies and procedures.
Regular attendance is an essential function of the position.
Other duties as assigned.

KNOWLEDGE AND SKILLS:

Ability to read, analyze, and interpret insurance plans and ambulance-specific coverage policies.
Working knowledge of Medicare, Medicaid, and commercial insurance benefits as they apply to ground ambulance transport.
Familiarity with ambulance billing terminology, including HCPCS transport codes, loaded mileage, and origin/destination modifiers, is preferred.
Proficient in online/web-based payer portal verification as well as verbal (phone-based) verification.
Must have accurate, high-level data entry skills with a continuous quality focus.
Must have excellent phone and customer service skills.
Must be detail oriented with excellent organizational and problem-solving skills.
Experience with LOGIS, Waystar, or similar EMS billing/clearinghouse platforms is a plus.
Experience in MS Office and general computer skills.

PHYSICAL REQUIREMENTS:

Frequent use of reference manuals and payer resource materials.

MINIMUM QUALIFICATIONS:

High School Diploma required; Associate's Degree preferred.
Minimum of nine (9) months of experience in a medical office, EMS, or ambulance billing setting; prior ambulance/EMS eligibility verification experience preferred.
This is a remote position. Texas residency required.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice.

Allegiance is an EEO employer as defined by the EEOC.

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Refine Your Search

prior authorization specialist jobs in georgetown, tx

Verification Specialist

Prior Authorization Specialist - Weekend Only

Pre-Authorization Specialist

Benefits and Authorization Specialist

Medical Insurance Verification Specialist

Member and Provider Services Specialist

Referral Coordinator

Insurance Verification Specialist

Surgical Coordinator (Varied Schedule Options)

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