Authorization Specialist - Medical Center
Type: Full Time
Location: Medical Center, Houston, TX
"You can make a difference in the life of an oncology patient and find your career satisfaction by joining our team of healthcare professionals today."
About Oncology Consultants
Oncology Consultants has been a premier adult medical oncology & hematology practice in Houston, TX for over 35 years. Our healthcare team is committed to provide state of the art cancer treatment in a caring environment as we continue to expand our oncology services in the metropolitan region.
About the Position
The Authorization Specialist is responsible for investigating benefits and coverage to ensure services and procedures are covered by the patient’s insurance company. Once coverage has been verified, the Authorization Specialist proceeds to submit a request for authorization via different channels, including insurance company portals. Once authorization has been procured by the Authorization Specialist, he/she is responsible for calculating the patient’s financial responsibility and discussing said responsibility with patient before a service or procedure is rendered. Interaction with front office, clinical staff, and insurance companies on a daily basis is necessary in order to coordinate patients’ insurance information and compete the authorization process
- Mon - Fri: 8am - 5pm
- Mon - Fri 9am - 6pm
- Insurances: Life, medical, dental, short term and long term disability
- Free parking
- Competitive salary
Review schedule ahead of time to see who needs authorizations
Look in ONCO EMR for the task list of requested authorizations
Review task list several times a day
Verify benefits and submit authorization requests according to doctors’ orders
Talk directly with insurance company to review coverage of ordered services and procedures
Once authorization is back:
Create financial assessment
Find out patient out-of-pocket portion
Call patient and discuss their financial obligation
Offer financial assistance if needed by patient
Communicate with nursing staff once patient is released for scheduling
Note approval, including authorization number in the patient’s chart
ADDITIONAL DUTIES AND RESPONSIBILITIES:
Communicate with patients and fellow employees Via Company Email clearly and timely
Interact professionally with patients, physicians, and fellow employees
Cooperate with team members to accomplish departmental goals
Accept and incorporate changes or new ideas into daily work.
Provide service in a timely and accurate manner to both patients and fellow employees.
Understand and adhere to policies and procedures
Recognize priorities and take action; make productive use of time
Strive to resolve problems and conflicts in order to maintain patient care flow
Any other activity as directed by the doctor, supervisor or administrator
2 or more years of experience in insurance verification/authorization
Oncology experience preferred.
High school diploma or equivalent required.
· Spanish bi-lingual preferred.
KNOWLEDGE AND SKILL REQUIREMENTS
Able to type at least 35 WPM
Knowledge of business office procedures.
Working experience with health insurance.
Ability to operate a computer and basic office equipment.
Ability to operate a multi-line telephone system.
Skill in answering a telephone in a pleasant and helpful manner.
Ability to read, understand and follow oral and written instructions in English.
Ability to establish and maintain effective working relationships with patients, physicians, and fellow employees.
Must be well organized and detail-oriented.
Normal office environment. Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve. Ability to read and comprehend simple instructions, short correspondence, and memos in English. Ability to write simple correspondence. Occasional overtime may be required. COMMENTS: This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties,
LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos in English. Ability to write simple correspondence. Occasional overtime may be required.
This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.
Oncology Consultants is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Medical Center | Memorial City | Sugar Land | Katy | Willowbrook | Southwest Northwest | West Houston
Apply today. Our short application process takes less than 5 minutes with your phone, tablet or computer.
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