Insurance Specialist I

5 days ago


Dallas, Texas, United States University of Texas Southwestern Medical Center Full time
Job Summary

At UT Southwestern Medical Center, we are committed to excellence, innovation, and teamwork. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued patients and employees. We invite you to join our team as an Insurance Specialist I in the Pre-Arrival Financial Services Department.

Key Responsibilities
  • Monitor patient work queues to determine accounts needing verification and coordinate with physician's offices and ancillary departments to obtain pre-certification and insurance benefits.
  • Verify insurance information by utilizing insurance websites or calling insurance companies to confirm active coverage, deductible, copay, and other specific information.
  • Create and call patients with cost estimates for scheduled appointments and ensure all exams are scheduled with proper patient class and clinical indicators and coding nomenclature.
  • Accurately monitor, review, data enter, and process authorizations and validate that requests are accurate, within the required timeline, and in compliance with applicable insurance guidelines.
  • Protect patient health information and maintain confidentiality.
Requirements
  • High school diploma and two to four years of benefit verification/authorization experience or equivalent.
  • Strong customer service and problem-solving skills.
  • Ability to read and write effectively and interact with departmental management and communicate effectively in all patient and department interactions.
Benefits

UT Southwestern Medical Center offers a competitive and comprehensive benefits package to eligible employees, including a PPO medical plan, paid time off, retirement programs, paid parental leave benefit, wellness programs, tuition reimbursement, and public service loan forgiveness.



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