Austin, TX · On-site
$18 - $22/hr
Pre-Authorization Specialist Job Purpose: The Pre-Authorization Specialist is a member of the Pre ... Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified ...
Austin, TX · On-site
$18 - $22/hr
Pre-Authorization Specialist Job Purpose: The Pre-Authorization Specialist is a member of the Pre ... Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified ...
At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical services, complex procedures and treatments ...
At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical services, complex procedures and treatments ...
Longview, TX · On-site
$16 - $21.75/hr
Medical
Dental
Vision
Retirement
PTO
Verify insurance eligibility and benefits for all new referrals. * Obtain prior authorizations and continued service authorizations from Medicare Advantage plans, and other payers. * Coordinate with ...
Longview, TX · On-site
$16 - $21.75/hr
Medical
Dental
Vision
Retirement
PTO
Verify insurance eligibility and benefits for all new referrals. * Obtain prior authorizations and continued service authorizations from Medicare Advantage plans, and other payers. * Coordinate with ...
Longview, TX · On-site
$16 - $21.75/hr
Medical
Dental
Vision
Retirement
PTO
Verify insurance eligibility and benefits for all new referrals. * Obtain prior authorizations and continued service authorizations from Medicare Advantage plans, and other payers. * Coordinate with ...
Longview, TX · On-site
$16 - $21.75/hr
Medical
Dental
Vision
Retirement
PTO
Verify insurance eligibility and benefits for all new referrals. * Obtain prior authorizations and continued service authorizations from Medicare Advantage plans, and other payers. * Coordinate with ...
San Angelo, TX · On-site
$17.25 - $23/hr
One or more years in Medical Billing/Insurance Authorization * One or more years of Medical Terminology Knowledge * One or more years in Cash Handling Certification/Licensure: N/A Supervises the ...
San Angelo, TX · On-site
$17.25 - $23/hr
One or more years in Medical Billing/Insurance Authorization * One or more years of Medical Terminology Knowledge * One or more years in Cash Handling Certification/Licensure: N/A Supervises the ...
Austin, TX · On-site
$45K/yr
Verify patient insurance coverage and benefits for medical services. * Communicate with insurance ... Authorization Management * Obtain prior authorizations for medical procedures and services as ...
Austin, TX · On-site
$45K/yr
Verify patient insurance coverage and benefits for medical services. * Communicate with insurance ... Authorization Management * Obtain prior authorizations for medical procedures and services as ...
Austin, TX · On-site
$45K/yr
Verify patient insurance coverage and benefits for medical services. * Communicate with insurance ... Authorization Management * Obtain prior authorizations for medical procedures and services as ...
Austin, TX · On-site
$45K/yr
Verify patient insurance coverage and benefits for medical services. * Communicate with insurance ... Authorization Management * Obtain prior authorizations for medical procedures and services as ...
Dallas, TX · On-site
$19.75 - $27/hr
Insurance Authorizations Analyst North Central Surgical Center is a highly successful, Baylor Scott ... Under general supervision of the Business Office Director, the Authorization Specialist is ...
New
Dallas, TX · On-site
$19.75 - $27/hr
Insurance Authorizations Analyst North Central Surgical Center is a highly successful, Baylor Scott ... Under general supervision of the Business Office Director, the Authorization Specialist is ...
New
San Antonio, TX · On-site
$16.25 - $20.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Insurance Authorization Specialist At Lifeline Vascular Care, we provide the highest quality, most comprehensive and up-to-date care for our patients. Our employees are talented, passionate health ...
San Antonio, TX · On-site
$16.25 - $20.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
Insurance Authorization Specialist At Lifeline Vascular Care, we provide the highest quality, most comprehensive and up-to-date care for our patients. Our employees are talented, passionate health ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
Lewisville, TX · On-site
Medical
Dental
Vision
Life
PTO
As the Insurance Biller you are responsible for verifying, facilitating insurance authorizations, and billing via UB04s for Skilled Nursing patients. Duties may also include communicating with ...
Lewisville, TX · On-site
Medical
Dental
Vision
Life
PTO
As the Insurance Biller you are responsible for verifying, facilitating insurance authorizations, and billing via UB04s for Skilled Nursing patients. Duties may also include communicating with ...
Lewisville, TX · On-site
Medical
Dental
Vision
Life
PTO
As the Insurance Biller you are responsible for verifying, facilitating insurance authorizations, and billing via UB04s for Skilled Nursing patients. Duties may also include communicating with ...
Quick apply
Lewisville, TX · On-site
Medical
Dental
Vision
Life
PTO
As the Insurance Biller you are responsible for verifying, facilitating insurance authorizations, and billing via UB04s for Skilled Nursing patients. Duties may also include communicating with ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
Performs duties of obtaining authorizations, referrals, account payment questions, collections for ... Insurance Authorization ≥1 Preferred Knowledge of Medical Terminology ≥1 Preferred Cash ...
Performs duties of obtaining authorizations, referrals, account payment questions, collections for ... Insurance Authorization ≥1 Preferred Knowledge of Medical Terminology ≥1 Preferred Cash ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
... insurance questions, and works hospital and office procedures pre-certification ... Performs duties of obtaining authorizations, referrals, account payment questions, collections for ...
Performs duties of obtaining authorizations, referrals, account payment questions, collections for ... Insurance Authorization ≥1 Preferred Knowledge of Medical Terminology ≥1 Preferred Cash ...
Performs duties of obtaining authorizations, referrals, account payment questions, collections for ... Insurance Authorization ≥1 Preferred Knowledge of Medical Terminology ≥1 Preferred Cash ...
$23.8K - $28.7K
3% of jobs
$28.7K - $33.6K
3% of jobs
$33.6K - $38.5K
4% of jobs
$38.5K - $43.4K
3% of jobs
$43.4K - $48.3K
2% of jobs
$48.3K - $53.2K
3% of jobs
$56.2K is the 25th percentile. Wages below this are outliers.
$53.2K - $58.1K
10% of jobs
$58.1K - $63.1K
19% of jobs
The median wage is $63.6K / yr.
$63.1K - $68K
19% of jobs
$70.4K is the 75th percentile. Wages above this are outliers.
$68K - $72.9K
16% of jobs
$72.9K - $77.8K
17% of jobs
$23.8K
$61.2K
$77.8K
An Insurance Authorization job involves verifying patient insurance coverage and obtaining necessary approvals before medical services are provided. Professionals in this role communicate with insurance companies, healthcare providers, and patients to ensure procedures are covered. They also handle documentation, follow up on pending requests, and assist in resolving authorization issues. Strong attention to detail and knowledge of insurance policies are essential for success in this role.
To excel in Insurance Authorization, you generally need knowledge of healthcare insurance procedures, attention to detail, and experience with medical terminology or health administration. Familiarity with insurance verification systems, EHRs, and payer portals is highly valued, and some positions may require certification in medical billing and coding. Strong organizational skills, clear communication, and customer service orientation help set top performers apart. These competencies ensure accurate authorization processes, minimize claim denials, and maintain effective communication among patients, providers, and insurers.
Working in Insurance Authorization often involves navigating complex insurance policies, staying updated with changing payer requirements, and handling high volumes of patient cases within tight deadlines. Effective team collaboration and strong problem-solving skills are essential to resolve issues such as denied claims or missing documentation. Many employers provide initial and ongoing training, along with access to supervisors or a supportive team, to help address these challenges. By staying organized and proactive in communication, Insurance Authorization professionals can efficiently manage their workload and ensure timely patient care.
$18 - $22/hr
Other
This job post has expired today. Applications are no longer accepted.
Description
***Must be local to Austin/ the surrounding area**
Pre-Authorization Specialist Job Purpose: The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of outpatient and ancillary services. The Pre-Authorization Specialist provides detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record. Other duties as assigned.
DUTIES INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:
Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt.
Successfully works with payers via electronic/telephonic and/or fax communications.
Responsible for verification and investigation of pre-certification, predetermination, and referral requirements for services.
Determines medical necessity by reviewing the appropriate medical policies established for each insurance payer.
Collaborates with designated clinical contacts regarding encounters that require escalation to peer-to-peer review.
Communicates with patients, clinical navigators, financial counselors, and others as necessary to facilitate authorization process.
Facilitates submission of clean claims and reduction in payer denials by adhering to both organizational and departmental policies and procedures and maintaining departmental productivity and quality goals.
Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner. Completes accurate documentation in electronic medical record.
Completes notification to all payers via electronic/fax/telephonic means within 24 business hours of service to ensure compliance with Managed Care contractual requirements.
Follows departmental policies and procedures when necessary authorization is not obtained prior to service date.
Answers provider, staff, and patient questions surrounding insurance authorization requirements.
Operates standard office equipment (e.g. copier, personal computer, fax, etc.).
Has regular and predictable attendance.
Adheres to Advanced Pain Care's Policies and procedures.
Performs other duties as assigned.
Requirements
SUPERVISION:
Pre-Authorization Manager
MINIMUM QUALIFICATIIONS:
Education:
Requires a high school diploma or GED
Experience:
Minimum of three years' experience in billing/pre-authorization or insurance verification with demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO's and PPO's required.
WORKING CONDITIONS:
Environmental Conditions:
Medical Office environment
Physical Conditions:
Must be able to work as scheduled - typically from 8:00 - 5:00 M-F
Must be able to sit for prolonged periods of time
Sourced by ZipRecruiter
Outpatient health care
51 - 200 Employees
Round Rock, TX, US
2002
