Authorization Mgmt Specialist - Harris Health System

Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Healths robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston.

Job Summary
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.

Minimum Qualifications

Degrees: Associates degree or Two (2) years of college preferred.

School Education: High School Diploma, or GED;

Work Experience:
Two (2) Years Work Experience of hospital /physician office/insurance related; collector, registrar, or customer service related capacity. ICD/CPT and Epic Software a plus.

Three (3) Years Work Experience of progressive customer service
experience.

Language Skills: Spanish preferred

Communication Skills:
Above Average Verbal (Heavy Public Contact)
Writing /Correspondence
Writing /Reports

Proficiencies: MS Excel, MS Word, Personal Computer

Job Attributes

Knowledge/Skills/Abilities: Analytical, Mathematics, Medical Terms

Work Schedule: Hybrid Telecommuter

Equipment Operated: Must have PC skills, knowledge of computerized patient accounting/registration and eligibility systems, and facsimile operation.

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.