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Prior Authorization Specialist

1 month ago

Houston, Texas, United States Team1Medical Full time
Job Description

Team1Medical is seeking a skilled Prior Authorization Specialist to join their team at an accredited cardiology center in North Houston. The ideal candidate will have experience working with insurance verification in a specialty clinic and thrive in a fast-paced environment.

Responsibilities:
  • Comply with pre-certification information and forward it to the insurance company to establish medical necessity and prior approval.
  • Perform regular follow-up calls with insurance companies to check the status of the prior authorization request.
  • Notify patients of any deductible and coinsurance due at the time of service.
  • Contact patients directly when necessary to obtain additional insurance information.
Qualifications:
  • A High School Diploma or GED is required.
  • Three (3) years of experience is required.
  • Experience in an ambulatory center or hospital setting is highly preferred.
  • EMR: eCW experience is a strong plus.
Company Culture & Perks:
  • Work Schedule: Monday - Friday, 8:00 a.m. to 5:00 p.m., with no weekends.
  • Large growing cardiovascular center in the North Houston area with a Starbucks in the lobby.
  • Generous benefits package after 90 days of employment, including 401K matching, PTO, and 100% paid health insurance.
  • During employment with Team1Medical, you can enroll in our benefits program, including medical (3 plans to choose from), dental, disability, critical illness, life, vision, accident, and behavioral health insurance. Additional benefits include 401K, direct deposit, and our referral bonus program.