UTHealth Houston
Insurance Authorization Verification Specialist I/II/III - Ob/Gyn
UTHealth Houston, Houston, Texas, United States, 77246
Insurance Authorization Verification Specialist I/II/III – Ob/Gyn
UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.
What we do here changes the world.
The Insurance Authorization Verification Specialist in our Ob/Gyn department verifies insurance policy benefit information and obtains Authorization/Precertification prior to the patient’s visit or scheduled admission, or immediately following admission. They assist in identifying problems and ensure that the insurance is accurate on the patient account and that insurance information and appropriate referrals have been completely and accurately obtained.
Once you join us you won't want to leave.
It’s because we reward our team for the excellent service they provide.
Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:
100% paid medical premiums for full‑time employees
Generous time off (holidays, preventative leave day, both vacation and sick time – around 37‑38 days per year) that increases with tenure
Longevity Pay (Monthly payments after two years of service)
Build your future with our retirement/pension plan
We take care of our employees!
As a world‑renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as:
Free financial and legal counseling
Free mental health counseling services
Gym membership discounts and access to wellness programs
Other employee discounts including entertainment, car rentals, cell phones, etc.
Resources for child and elder care
Plus many more!
Position Location UTHealth Houston Ob/Gyn Administration 1851 Crosspoint Avenue, Houston, 77054 Full Remote Following Training
Position Key Accountabilities
Verifies insurance policy benefits for new and returning patients with carriers and employers.
Assures all insurance information has been completely and accurately obtained and documents all pertinent insurance information.
Identifies special policy clauses or pre‑existing conditions and verifies effective date of policies.
Educates patients and families on insurance issues and communicates patient’s fiscal responsibility in a professional manner.
Notifies appropriate work units of patient’s insurance coverage, authorizations, or status.
Identifies all patients without third‑party financial benefits and directs them for financial counseling per Financial Counseling and Revenue Cycle policies and procedures.
Receives and reviews UT‑H Health Science Center’ Managed Care contracts to understand the contract provisions and interprets managed care contracts for insurance coverage.
Provides support to Revenue Cycle work units and other work units as assigned.
Other duties as assigned.
Certification / Skills None specified.
Minimum Education High school diploma or equivalent required; some college preferred.
Minimum Experience 6 months of related experience required.
Physical Requirements Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive This position is a security‑sensitive position pursuant to Texas Education Code 51.215 and Texas Government Code 411.094, and other applicable statutes. Employees must permanently reside and work in the State of Texas.
Seniority Level Entry level
Employment Type Full‑time
Job Function Other – Hospitals and Health Care
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What we do here changes the world.
The Insurance Authorization Verification Specialist in our Ob/Gyn department verifies insurance policy benefit information and obtains Authorization/Precertification prior to the patient’s visit or scheduled admission, or immediately following admission. They assist in identifying problems and ensure that the insurance is accurate on the patient account and that insurance information and appropriate referrals have been completely and accurately obtained.
Once you join us you won't want to leave.
It’s because we reward our team for the excellent service they provide.
Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:
100% paid medical premiums for full‑time employees
Generous time off (holidays, preventative leave day, both vacation and sick time – around 37‑38 days per year) that increases with tenure
Longevity Pay (Monthly payments after two years of service)
Build your future with our retirement/pension plan
We take care of our employees!
As a world‑renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as:
Free financial and legal counseling
Free mental health counseling services
Gym membership discounts and access to wellness programs
Other employee discounts including entertainment, car rentals, cell phones, etc.
Resources for child and elder care
Plus many more!
Position Location UTHealth Houston Ob/Gyn Administration 1851 Crosspoint Avenue, Houston, 77054 Full Remote Following Training
Position Key Accountabilities
Verifies insurance policy benefits for new and returning patients with carriers and employers.
Assures all insurance information has been completely and accurately obtained and documents all pertinent insurance information.
Identifies special policy clauses or pre‑existing conditions and verifies effective date of policies.
Educates patients and families on insurance issues and communicates patient’s fiscal responsibility in a professional manner.
Notifies appropriate work units of patient’s insurance coverage, authorizations, or status.
Identifies all patients without third‑party financial benefits and directs them for financial counseling per Financial Counseling and Revenue Cycle policies and procedures.
Receives and reviews UT‑H Health Science Center’ Managed Care contracts to understand the contract provisions and interprets managed care contracts for insurance coverage.
Provides support to Revenue Cycle work units and other work units as assigned.
Other duties as assigned.
Certification / Skills None specified.
Minimum Education High school diploma or equivalent required; some college preferred.
Minimum Experience 6 months of related experience required.
Physical Requirements Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive This position is a security‑sensitive position pursuant to Texas Education Code 51.215 and Texas Government Code 411.094, and other applicable statutes. Employees must permanently reside and work in the State of Texas.
Seniority Level Entry level
Employment Type Full‑time
Job Function Other – Hospitals and Health Care
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