Insurance Authorization Specialist

20 hours ago


Houston, Texas, United States Houston Methodist Full time
Job Summary

We are seeking a highly skilled and detail-oriented Insurance Authorization Specialist to join our team at Houston Methodist. As a key member of our healthcare team, you will be responsible for obtaining and managing insurance authorizations for medical services, complex procedures, and treatments.

Key Responsibilities
  • Initiate and manage the authorization process for medical services and simple procedures and treatments.
  • Maintain accurate and up-to-date records of all authorization requests and approvals.
  • Document communication with insurance providers, healthcare professionals, and internal stakeholders.
  • Collaborate with healthcare providers to gather necessary documentation for insurance authorization requests.
  • Respond promptly to requests and keep open channels of communication with physicians, patients, and operational partners regarding authorization status and resolution.
Requirements
  • High School diploma or equivalent education.
  • Three years of experience working with insurance authorization, preferably in a physician office setting.
Preferred Qualifications
  • Knowledge of Medicare, Medicaid, and managed care reimbursement methodologies.
  • Ability to manage multiple tasks in a fast-paced environment.
  • Mid-level medical terminology and knowledge of insurance requirements for physician visits and procedures.
About Houston Methodist

Houston Methodist is a leading healthcare provider in the nation, known for its exceptional patient care and innovative medical research. As a member of our team, you will have the opportunity to work with a talented group of healthcare professionals and contribute to the delivery of high-quality patient care.



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