$18.

65 Per hour FT Patient Access and Authorization Specialist\n

MUENSTER MEMORIAL HOSPITAL

Occupation:

Medical Secretaries and Administrative Assistants\n

Location:

MUENSTER, TX

76252\n

Job Type:

Regular, Full Time (30 Hours or More), Permanent Employment, Night/Graveyard Shift\n

Posted:

08/18/2026\nPositions available: 1\n

Source:

WorkInTexas\n

Web Site:

WorkInTexas\nOnsite /

Remote:

Work onsite all of the time\n

Updated:

08/21/2026\n

Expires:

11/13/2026\nJob #: 17056670\nJob Requirements and Properties\nHelp for Job Requirements and Properties. We Hire Vets\nEmployers whose workforce is composed of at least 10 percent military veterans are eligible to receive a \"We Hire Vets\" employer recognition decal to proudly display on their storefront, an decal. We Hire Ability\nThe We Hire Ability program recognizes Texas employers for their commitment to hiring people with disabilities, and for their efforts to create an inclusive workforce. Work Onsite\nFull Time Education\nHigh School Diploma or Equivalent Schedule\nFull Time Job Type\nRegular Duration\nPermanent Employment Shift\nNight / Graveyard Shift Benefits Help for . About Muenster Hospital District In 1958, the citizens of Muenster, not satisfied with available medical services, set out to build a new hospital. J.M. Weinzapfel donated the land and spearheaded the efforts to make the hospital a reality. In 1960, the Benedictine Order of Sisters promised Muenster residents that they would provide nurses to operate the hospital. Sister Mildred Felderhoff leads the way as the first hospital administrator. Mission \"The mission of Muenster Hospital District is to promote health and wellness to our community through providing quality and personalized care in a trusted. Hometown atmosphere.\" Vision \"Transforming the health and wellness of the rural communities we serve.\" Values Integrity

Promoting the highest level of integrity to ensure public trust and patient confidence. Compassion
Treating all people with the highest regard, respect, and dignity. Public Service
Providing the highest level of professional services to the community. Efficiency
Continually providing efficient use of time and resources at all levels. Support
Creating an atmosphere of trust, support, and open communication.

The Patient Access and Authorization Specialist is responsible for coordinating insurance prior authorizations and referrals for therapy, radiology, and other outpatient hospital services. This position works closely with patients, providers, clinical departments, insurance companies, and physician offices to help ensure services are properly authorized and scheduled without unnecessary delays. The position also provides administrative support for utilization review and serves as a backup receptionist to support full-time business office and patient access operations. Essential Duties and Responsibilities Prior Authorizations and Referrals Obtain insurance prior authorizations for physical therapy, occupational therapy, speech therapy, radiology, and other outpatient services as assigned.\nReview physician orders, diagnoses, clinical documentation, insurance information, and medical necessity requirements before submitting authorization requests.\nSubmit prior authorization requests through payer websites, telephone systems, fax, or other required methods.\nTrack pending authorization requests and follow up with insurance companies until a determination is received.\nCommunicate authorization approvals, denials, limitations, and expiration dates to the appropriate hospital department.\nNotify clinical staff when additional documentation, peer-to-peer review, or other action is required.\nVerify that required physician referrals are received and valid before services are provided.\nCoordinate with referring provider offices to obtain missing orders, referrals, clinical notes, or other required documentation.\nMaintain accurate records of authorization numbers, approved visits, effective dates, payer communications, and supporting documentation.\nMonitor authorized visit limits and expiration dates to reduce the risk of providing unauthorized services.\nAssist patients and staff with questions regarding authorization status and insurance requirements.\nMaintain a working knowledge of Medicare, Medicaid, commercial insurance, managed care, and other payer requirements. Utilization Review Support Provide backup administrative support for utilization review activities.\nGather and organize clinical and insurance documentation needed for payer reviews.\nSubmit requested records and information to insurance companies within required timeframes.\nTrack inpatient, observation, swing bed, and other utilization review requests as assigned.\nDocument payer communications, reference numbers, review status, and determinations.\nCommunicate requests for additional clinical information to nursing, providers, health information management, or other appropriate staff.\nEscalate clinical questions and medical necessity determinations to the qualified nurse, provider, or utilization review professional.\nAssist with tracking denials, appeals, concurrent reviews, and continued-stay authorization requirements.\nMaintain confidentiality and follow all HIPAA, hospital, and payer requirements. Reception and Patient Access Coverage Serve as a backup receptionist during breaks, lunches, absences, and periods of increased patient volume.\nGreet patients and visitors in a courteous and professional manner.\nAnswer and route telephone calls to the appropriate department or staff member.\nAssist with patient registration, demographic updates, insurance verification, and collection of required forms as trained and assigned.\nProvide patients with general information regarding hospital services, appointment locations, and registration procedures.\nProtect patient privacy and maintain confidentiality in all communications.\nAssist with scanning, filing, faxing, copying, and other business office duties as needed. General Responsibilities Work cooperatively with therapy, radiology, nursing, providers, registration, health information management, billing, and other departments.\nProvide timely updates when an authorization or referral issue may delay patient care.\nMaintain accurate and complete documentation in the electronic health record, authorization system, or other designated systems.\nFollow hospital policies, compliance requirements, patient privacy standards, and departmental procedures.\nParticipate in training, staff meetings, process improvement activities, and competency requirements.\nMaintain organized work queues and prioritize requests based on scheduled service dates and urgency.\nPerform other duties as assigned. Minimum Qualifications High school diploma or equivalent required.\nAt least one year of experience in a medical office, hospital business office, patient access, insurance verification, referrals, billing, or prior authorizations preferred.\nExperience working with insurance companies and payer websites preferred.\nBasic knowledge of medical terminology, insurance plans, and healthcare documentation preferred.\nExperience with electronic health records and Microsoft Office applications preferred. Knowledge, Skills, and Abilities Strong organizational and time-management skills.\nAbility to manage multiple requests, deadlines, and payer requirements.\nStrong written and verbal communication skills.\nProfessional and courteous customer service skills.\nAbility to communicate effectively with patients, physician offices, insurance companies, and hospital staff.\nAttention to detail and ability to accurately document authorization information.\nAbility to understand and follow payer guidelines and hospital procedures.\nAbility to work independently while recognizing when an issue should be escalated.\nAbility to maintain patient confidentiality and comply with HIPAA requirements.\nDependable attendance and flexibility to provide reception coverage when needed. 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Muenster Hospital District is an equal opportunity employer.

All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. Must be able to pass a drug screen and background check. 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