Authorization Specialist
1 month ago
Level
Experienced
Job Location
Annex - San Antonio, TX
Position Type
Full Time
Education Level
High School
Salary Range
$16.00 - $23.36 Hourly
Travel Percentage
None
Job Shift
Day
Job Category
Health Care
Description
Get to know us:
TSAOG Orthopaedics and Spine is a large multi-specialty physician group. We have been here since 1947 and were not going anywhere. We take a big part in Community outreach with our Light Charity program. If you are looking for a team that enjoys Laughing, is Family orientated, and has the work hard play hard mentality, then this company is for you. We value Respect, Communication, Accountability, Dependability and Compassion. A place where you can rely on great Teamwork and Integrity. We are a place that is true to its values. If this is what you are looking for then look no further.
Summary of position:
We are looking for a sharp, ambitious, and enthusiastic Authorization Specialist to join our team. The successful candidate is someone that is passionate about working in a care team model with a personal responsibility of providing care for our orthopaedics patients and clinical support to the team. The right candidate will be able to provide an exceptional patient care experience that promotes healing and recovery, and having an attention to detail mindset while being caring and compassionate.
If you're a people person looking to join an amazing company in the world of Orthopaedics, this is the place for you
JOB SUMMARY: Gathers pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient is not financially obligated for services provided.
DUTIES INCLUDE, BUT ARE NOT LIMITED TO:
- Resolves pre-certification, registration and case-related concerns prior to a patient's appointment.
- Ensures patients have been cleared for specialty service office visits.
- Obtains referrals from primary care physicians.
- Verify eligibility and benefits to establish office visit.
- Work on daily list for designated physician(s) and follow up with office via fax to determine patient coverage, coordination of benefits, etc.
- Do precertification for surgical procedures (call insurance company to verify if deductible met, fax clinical to insurance company precertification department to obtain authorization for procedure).
- Respond to phone calls from internal doctor teams, check in/check out staff, or primary care physician offices and respond accordingly.
- Relays pertinent messages from hospitals and directs team to reschedule surgical procedures at facility where benefits are accepted.
- Assist billing department to obtain retro referrals for services that were rendered (either office visits or surgical procedures). This may include hospital procedures, office visits or outpatient surgical procedures.
- Review daily schedules to verify that visits have been through pre-authorization process. Any new additions to the schedule will require coordination of benefits and follow up with the respective department.
- Review personal faxes for newly scheduled surgery and conduct insurance verification and obtain proper authorizations.
- Daily review of internal practice management system for requests from doctors team offices. This may include rescheduled surgeries, rescheduled office visits, etc.
- May explain benefits information to patients who arrive to visit and may not understand their portion of the bill (co-pay, deductibles, etc.).
- Data enter pre-authorization deductibles, co-insurance, out-of-pocket and related information in to patient demographic record.
- Regular and predictable attendance
- Must have a High School Diploma or equivalent.
- Knowledge of health insurance concepts (i.e., HMO, PPO, etc.). Experience in a healthcare environment a plus.
- Proficient computer skills. Exceptional customer service skills. Proficient and accurate data entry skills..
- Ability to multi-task, prioritize work and make sound judgments. Ability to remain patient during long periods of telephonic hold times..
- Other duties as assigned as necessary and may vary at times, as needed, by your immediate supervisor or as directed by the company.
- Prolonged sitting. Repetitive motion (data entry), and phone contact.
#BackOffice4
-
Authorization Specialist
3 days ago
San Antonio, United States TSAOG Orthopaedics and Spine Full timeGet to know us: TSAOG Orthopaedics and Spine is a large multi-specialty physician group. We have been here since 1947 and were not going anywhere. We take a big part in Community outreach with our Light Charity program. If you are looking for a team that enjoys Laughing, is Family orientated, and has the work hard play hard mentality, then this company is...
-
Authorization Specialist
2 weeks ago
San Antonio, United States SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO Full timeSeeking immediate hire to join our Business Office as an Authorization Specialist in a high-profile Sports Medicine Group supporting 18 physicians and 7 clinic locations. DUTIES INCLUDE, BUT ARE NOT LIMITED TO: Interpret insurance benefits and calculate patient responsibility Review chart documentation to ensure patient meets medical policy guidelines...
-
Authorization Specialist
4 weeks ago
San Antonio, United States SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO Full timeSeeking immediate hire to join our Business Office as an Authorization Specialist in a high-profile Sports Medicine Group supporting 18 physicians and 7 clinic locations. DUTIES INCLUDE, BUT ARE NOT LIMITED TO: Interpret insurance benefits and calculate patient responsibility Review chart documentation to ensure patient meets medical policy guidelines...
-
Authorization Specialist
4 days ago
San Antonio, United States TSAOG Orthopaedics and Spine Full timeGet to know us: TSAOG Orthopaedics and Spine is a large multi-specialty physician group. We have been here since 1947 and were not going anywhere. We take a big part in Community outreach with our Light Charity program. If you are looking for a team that enjoys Laughing, is Family orientated, and has the work hard play hard mentality, then this company is...
-
Medical Authorization Specialist
1 hour ago
San Antonio, Texas, United States TEKsystems Full timeJob OverviewThis is an exciting opportunity to join TEKsystems as a Medical Authorization Specialist - Oncology Expert. In this role, you will play a critical part in ensuring seamless healthcare services for patients undergoing chemotherapy treatments.The ideal candidate will have a strong understanding of medical necessity and the ability to navigate...
-
Insurance Authorization Specialist
5 days ago
San Antonio, United States TEKsystems Full timeJob DescriptionJob DescriptionDescription· Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence.· Understanding the difference between a referral and authorization· Obtains insurance authorization and pre-certification specifically for chemotherapy...
-
Insurance Authorization Specialist
1 week ago
San Diego, United States MeBe Full timeMeBe Family is a provider of evidence-based therapies for children with autism and other special needs. Our mission is to empower families, professionals, and communities by educating and training them on evidence-based approaches. Our secret sauce? Play-filled, research-based care across multi-disciplines including ABA, Speech and OT. At MeBe, you'll be...
-
Prior authorization
1 week ago
San Antonio, United States Randstad Full timeIn partnership with our client, a leader in the healthcare field, Randstad is hiring for an Authorizations Specialist to work remotely in San Antonio, TX! Candidates must have experience working with Prior Authorizations and Medical Claims. Location: Must reside in San Antonio, TX Hours: 8:00 a.m. to 5:00 p.m. and must be flexible for overtime Rate: $18.50...
-
Insurance Authorization Specialist
19 hours ago
San Antonio, TX, United States TEKsystems Full timeDescription· Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence.· Understanding the difference between a referral and authorization· Obtains insurance authorization and pre-certification specifically for chemotherapy services.· Works as a patient advocate...
-
San Angelo, United States Shannon Medical Center Full timeUnder general supervision, performs clerical and general office work of moderate difficulty, registers and pre-registers patients, schedules ancillary procedures, assists patients and guarantors with insurance questions, and works hospital and office Insurance, Authorization, Registration, Specialist, Patient, Healthcare
-
Clinical Pharmacist
3 weeks ago
San Antonio, United States UnitedHealth Group Full timeWellMed, part of the Optum family of businesses, is seeking aClinical Pharmacist - Prior Authorizations to join our team in San Antonio, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for...
-
San Diego, United States vTech Solution Full time*Candidate MUST be in PST and have an operational desktop to apply* *NO MAC or MACBOOKS** Job Summary: Under general supervision this person is responsible for ensuring that insurance benefits are verified, patient responsibility estimates are calculated and communicated to the patient and/or family, and authorization is secured timely for all assigned...
-
san antonio, United States UnitedHealth Group Inc Full timeRegistered Nurse RN Supervisor Prior Authorization Healthcare TexasWellMed, part of the Optum family of businesses, is seeking a Registered Nurse RN Supervisor Prior Authorization or UM Healthcare to join our team in Texas. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery...
-
Home Health Intake Specialist
4 weeks ago
San Antonio, United States UnitedHealth Group Full timeCollects and records initial client information to include type of referral, type of insurance, and patient demographics Requests the referral source fax orders on all patients. Verifies client benefits Notifies pharmacy, nursing, RT, and HME when ve Health, Intake, Specialist, Pharmacy Technician, Authorization, Healthcare, Insurance
-
Security Specialist
1 month ago
San Antonio, Texas, United States MSCCN Full timeJob Title: Security SpecialistJob Summary:The Security Specialist is responsible for ensuring the safety and security of hotel guests and employees. This includes enforcing hotel policies and procedures, responding to emergency incidents, and monitoring security systems.Responsibilities:Perform safety and security patrols of the hotel, including all public...
-
Medical Care Specialist
1 month ago
San Antonio, Texas, United States University Health System- San Antonio Full timeAs a Medical Care Specialist with University Health System- San Antonio, you will play a vital role in delivering high-quality care to neonates up to 6 months of age. Your responsibilities will include providing comprehensive care in the delivery room, well-baby nursery, and neonatal intensive care unit, as well as follow-up care for newborns and...
-
Audit Support Specialist
4 weeks ago
San Antonio, United States Hamdan Resources Full timeJob Description Our client is seeking an Audit Support Specialist that will work closely with project teams to provide expertise (functional, technical, industry, tools/methods) to ensure successful solution design and delivery. This is a hybrid role in San Antonio, TX. Responsibilities Support requests from the Government Develop presentations to...
-
Information Assurance Specialist Senior
1 month ago
San Antonio, Texas, United States NetImpact Strategies Full timeJob Title: Senior Information Assurance Security SpecialistWe are seeking a highly skilled Senior Information Assurance Security Specialist to join our team in San Antonio, TX.As a Senior Information Assurance Security Specialist, you will be responsible for implementing security policies and procedures, developing and monitoring security controls,...
-
Accounts Payable Specialist
2 months ago
San Antonio, United States Creative Financial Staffing Full timeAbout the Company and Opportunity: Our repeat client has been in the service industry for over 40 years. Due to significant growth, they are looking to bring on an AP Specialist to join their accounting team on a full time, contractual basis Accounting team is described as tight knit, enjoying happy hours together and working very collaboratively! Overview...
-
Nurse Care Specialist
47 minutes ago
San Antonio, Texas, United States HCA Full timeAbout the RoleWe are seeking a skilled Nurse Care Specialist to join our team at HCA Healthcare. This role is perfect for an individual who is passionate about delivering high-quality patient care and is looking for a challenging and rewarding career opportunity.Job SummaryThe Nurse Care Specialist will work closely with our healthcare team to provide...