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Insurance Authorization Specialist

Cedar Park Regional Medical Center – Cedar Park, TX

Located minutes from downtown Austin, Cedar Park Regional Medical Center is a level IV Designated Trauma Center with more than 600 healthcare professionals working together to provide inpatient, outpatient, surgical and emergency care for Cedar Park and the greater Austin region.


Position Overview


We have a position available for an Insurance Authorization Specialist to join our team! This is a full time day shift position working Monday Friday 8:00 am 5:00 pm. The Insurance Authorization Specialist completes accurate and timely payer authorization, insurance benefits, and pre-certification for services ordered / rendered by the facility and its hospital based off-campus service lines for appropriate reimbursement.


Responsibilities


  • Obtains complete and accurate demographic and financial information from a variety of sources, physician offices and in-house departments
  • Enters patient information into the patient registration computer system, according to hospital policies and procedures, and thoroughly documents any incomplete or missing information
  • Obtains all required signatures and provides the patient with the necessary documents required of the registration process
  • Completes the medical necessity verification process in a timely manner and follows the appropriate course of action
  • Ensures proper documentation and signatures on all physician order forms and accurately completes the patient registration for the correct test or procedure order by the physician
  • Verifies insurance coverage and benefits by various methods and documents the information in the patient account
  • Completes all necessary paperwork and documents required to ensure proper insurance authorization in a timely manner
  • Accurately computes any patient portion liability
  • Completes any required corrections or changes to a patient registration identified by the Quality Assurance (QA) process in a timely and efficient manner
  • Performs all other duties as assigned

Qualifications


  • Minimum of two (2) years of related experience in a hospital or medical related environment
  • Knowledge of insurances and insurance and industry required
  • The ability to manage multiple tasks and effectively work under high stress and fast paced environments is a must
  • Must be able to work in a team environment
  • Requires strong communication skills, both written and verbal
  • The ability to communicate in Spanish is highly preferred, but not required

What we offer


  • Competitive Pay + Shift Differentials
  • Medical, Dental, Vision & Life Insurance
  • Matching 401(k)
  • Generous Paid Time-Off (PTO)
  • Extended Illness Bank (EIB)
  • Tuition Reimbursement
  • RN Loan Repayment Program
  • Clinical Ladder Program
  • Employee Referral Bonus Program
  • Opportunities for career advancement
  • Rewards and recognition programs
  • Additional perks and discounts

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