Insurance Authorization Verification Specialist I/II Practice Plan - Center for Interventional Psychiatry

UTHealth Houston•Houston, TX

About The Position

The Insurance Authorization Verification Specialist supports insurance authorization and verification for UTHealth Houston Department of Psychiatry and Behavioral Sciences' Center for Interventional Psychiatry. The role may assist with front-office and back-office duties as needed. Experience navigating benefits for procedures is preferred, and experience with Epic is a plus. The position verifies insurance policy benefit information and obtains authorization or precertification before a patient's visit or scheduled admission, or immediately following admission. It helps identify problems, ensures insurance information is accurate on patient accounts, and ensures insurance information and appropriate referrals are completely and accurately obtained. The position may be filled at Specialist I or II level; Specialist II requires three years of related experience.

Requirements

High school diploma or equivalent.
At least 6 months of related experience for Specialist I.
Three years of related experience for Specialist II.
Permanently reside and work in the State of Texas.

Nice To Haves

Some college.
Experience navigating benefits for procedures.
Experience with Epic.

Responsibilities

Verify insurance policy benefits for new and returning patients with carriers and employers.
Ensure all insurance information has been completely and accurately obtained.
Document pertinent insurance information.
Document information given or received to support actions taken on insurance charges or referral issues.
Identify special policy clauses or pre-existing conditions and verify policy effective dates.
Educate patients and families on insurance issues.
Communicate patients' fiscal responsibility professionally.
Notify appropriate work units of patients' insurance coverage, authorizations, or status.
Identify patients without third-party financial benefits and direct them to financial counseling according to Financial Counseling and Revenue Cycle policies and procedures.
Receive and review UT-H Health Science Center Managed Care contracts to understand contract provisions.
Interpret managed care contracts for insurance coverage.
Provide support to Revenue Cycle work units and other work units as assigned.
Perform other duties as assigned.

Benefits

100% paid medical premiums for full-time employees.
Generous time off, including holidays, a preventative leave day, vacation, and sick time, equating to around 37–38 days per year.
Additional vacation accrual with longer service.
Longevity Pay, with monthly payments after two years of service.
Retirement/pension plan.
Free financial and legal counseling.
Free mental health counseling services.
Gym membership discounts and access to wellness programs.
Employee discounts, including entertainment, car rentals, and cell phones.
Child and elder care resources.