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Job Description
Insurance Verification & Procedure Authorization Coordinator Universal Health Solutions - 1.0 League City, TX Job Details Full-time $18 - $21 an hour 8 hours ago Benefits Paid holidays Health insurance Paid time off Professional development assistance Qualifications Customer communication Overseeing health insurance pre-certification Customer service Medical office experience Medical administrative support Healthcare referral management Attention to detail Data verification Patient interaction Health insurance referral requirements
Full Job Description Job Title:
Insurance Verification & Procedure Authorization Coordinator We are a growing specialty medical practice dedicated to providing exceptional patient care and a seamless patient experience. We are seeking a highly organized, detail-oriented Insurance Verification & Procedure Authorization Coordinator to join our team. The ideal candidate will have experience with insurance verification, referrals, prior authorizations, patient financial counseling, and EMR documentation. Position Summary The Insurance Verification & Procedure Authorization Coordinator is responsible for ensuring all insurance, referral, authorization, and patient financial requirements are completed prior to appointments and procedures. This position serves as a key liaison between patients, insurance companies, providers, and the billing team to ensure accurate information, timely approvals, and a positive patient experience. Essential Duties and ResponsibilitiesInsurance Verification & Benefits Verify patient insurance eligibility and benefits prior to appointments and procedures. Obtain and document procedure-specific benefits, patient responsibility amounts, deductibles, co-insurance, co-pays, and out-of-pocket estimates. Verify anesthesia benefits and determine patient financial responsibility when applicable. Ensure all insurance information is accurately entered and maintained within the EMR. Referrals & Authorizations Obtain and track required referrals prior to patient appointments. Initiate, monitor, and follow up on prior authorizations for procedures and related services. Communicate with referring providers, insurance carriers, and patients regarding outstanding referral or authorization requirements. Maintain authorization records and ensure approvals are documented appropriately. Patient Financial Counseling & Collections Contact patients prior to appointments and procedures to review benefits, expected financial responsibility, payment options, and practice policies. Collect pre-service payments and establish payment plans as needed. Follow up on outstanding balances related to procedures, anesthesia services, and patient responsibility amounts. Document all financial discussions and collection efforts thoroughly. Documentation & Administrative Support Maintain accurate documentation within the EMR and associated tracking spreadsheets. Ensure all patient interactions, insurance information, referrals, authorizations, and financial arrangements are properly recorded. Assist with appointment reminder calls and other patient outreach activities. Support front office and administrative workflows as needed. Perform additional duties assigned by management. Qualifications Minimum 2 years of experience in a medical office, ambulatory surgery center, or healthcare setting preferred. Experience with insurance verification, referrals, prior authorizations, and benefit investigations required. Knowledge of commercial insurance, Medicare, workers' compensation, and personal injury/Letter of Protection cases preferred. Experience discussing patient financial responsibility and collecting payments. Proficiency with electronic medical records (EMR/EHR) systems, eCW a plus. Strong computer skills, including Microsoft Excel and data tracking spreadsheets. Excellent communication and customer service skills. Strong attention to detail, organization, and follow-through. Ability to manage multiple priorities in a fast-paced environment. Preferred Qualifications Experience in pain management, surgery, interventional procedures, orthopedics, gastroenterology, or other procedural specialties. Knowledge of anesthesia billing and benefits verification. Familiarity with prior authorization portals and payer websites. Benefits Competitive compensation Paid time off Paid holidays Health Insurance Professional development opportunities
Pay:
$18.00 - $21.00 per hour
Benefits:
Paid time off Professional development assistance Application Question(s): How many years of Insurance Verification do you have? How many years of experience do you have with Procedure Benefits / Anesthesia Benefits? Are you experienced in eClinical Works EMR? Do you have experience in patient collections?
