Senior Patient Affairs Specialist

Job Description

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Job Title: Senior Patient Affairs Specialist

Division: Patient Business Services

Work Arrangement: Hybrid

Location: Houston, TX

Salary Range: $47,372 to $55,731

FLSA Status: Nonexempt

Work Schedule: Monday - Friday, 8 a.m. - 5 p.m.

Summary

Verifies coverage, benefits and obtains prior authorization or predetermination for upcoming surgeries, procedure and radiology services. Provides great customer service during interaction with patients, providers, Baylor staff, insurance companies and anyone else while performing all job duties.

The ideal candidate must be able to prioritize workload in order to meet productivity standards.

This position is located at our Greenway Plaza location.

Job Duties

• Financially clears patients for upcoming services.
• Verifies coverage and benefits for upcoming services.
• Submits authorization requests and performs follow ups.
• Pulls appropriate clinical documentation for case submission.
• Communicates status updates to MD office representatives and patients.
• Creates estimates and collects patient out of pocket prior to services being rendered.
• Answers Insurance Verification Helpline and resolves insurance inquiries from patients, physicians, and departments.
• Investigates patient insurance coverage and demographic issues.
• Accurately documents all work efforts in patient''s chart.
• Responds to specific account inquiries by management.
• Assists with STAT verification requests in a timely matter.
• Understands high-level multi-specialty services.

Minimum Qualifications

• High school diploma or GED.
• Three years of relevant experience.

Preferred Qualifications

• Epic experience.
• Authorization submission and follow up experience.
• Medical doctor office experience.

Work Authorization Requirement:

This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

Requisition ID: 25955

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