Authorization Mgmt Specialist
Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.
Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its two hospitals: Ben Taub and LBJ.
Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Association’s Hospitals & Health Networks magazine.
Additionally, Harris Health System is pleased that each of its hospitals — Ben Taub and Lyndon B. Johnson — achieved Pathway to Excellence™ designation by the American Nurses Credentialing Center.
Skills / Requirements
Verifies all third party information with carriers, employers, and review agencies. Updates all benefits in Epic to ensure appropriate billing and reimbursement for services, and verifies all Third Party coverage. Obtains all authorizations, pre-certifications and referral specifics and update accounts. Customer Service and phone etiquette.
Education/Specialized Training/Licensure: High School Diploma, or GED; Associates degree or 2 years of college preferred.
Work Experience: Minimum 3 years of progressive customer service experience or 2 years of hospital /physician office/insurance related; collector, registrar, or customer service related capacity preferred. ICD/CPT and Epic Software a plus.
Equipment Operated: Must have PC skills, knowledge of computerized patient accounting/registration and eligibility systems, and facsimile operation..
Above Average Verbal (Heavy Public Contact)
Bilingual Skills Preferred - Languages: Spanish
Writing /Composing (Correspondence/Reports)
Analytical, Mathematics, Medical Terms, P.C., MS Word, MS Excel
Other Requirements: Able to work efficiently with little supervision, handle stressful situations and have excellent customer service skills. Must be able to interact successfully in a culturally diverse environment.