Health Access Partner - Insurance Verification

University of Texas at Austin•Austin, TX

17h•Onsite

About The Position

The Health Access Partner – Insurance Verification (HAP) ensures patients are financially and administratively cleared for care by verifying insurance coverage and securing prior authorizations. This role collaborates with patients, providers, and payers to prevent delays, educates patients on benefits and financial responsibility, and maintains accurate EHR documentation. The HAP plays a key role in reducing denials, improving efficiency, and enhancing the patient experience.

Requirements

High School Diploma/GED
At least 2 year(s) of experience in similar role.
Basic computer skills and familiarity with scheduling software.

Nice To Haves

Associate's Degree
At least 4 year(s) of experience in healthcare setting.
Advanced proficiency in scheduling software and customer service.
Certification in Healthcare Access Management (CHAM)

Responsibilities

Verify patient insurance eligibility and benefits prior to scheduled services.
Initiate, obtain, and track prior authorizations in accordance with payer requirements.
Communicate with insurance companies to confirm coverage, benefits, and authorization status.
Identify and resolve coverage issues, eligibility discrepancies, and authorization denials.
Educate patients on insurance benefits, coverage limitations, and expected financial responsibility.
Communicate authorization requirements, status updates, and any potential delays in care.
Provide clear guidance to patients on next steps related to insurance or documentation needs.
Accurately document insurance verification, authorization status, and payer communications in the EHR.
Maintain up-to-date and compliant patient financial and insurance records.
Ensure adherence to organizational, payer, and regulatory documentation standards.
Collaborate with clinical staff to obtain required documentation for authorizations.
Partner with revenue cycle and referral teams to ensure patients are financially cleared prior to service.
Communicate delays or issues that may impact scheduling or service delivery.
Manage assigned work queues for insurance verification and authorization follow-up.
Prioritize tasks based on service dates, urgency, and payer timelines.
Proactively follow up on pending authorizations and escalate issues as needed to prevent delays in care.