Senior Patient Affairs Specialist
Baylor College of Medicine
Houston, TX
Job posting number: #7228706 (Ref:18830-en_US)
Posted: March 16, 2024
Job Description
Summary
The Senior Patient Affairs Specialist verifies coverage, benefits and obtains insurance prior authorization requirements for specialty office visits such as psychiatry, bariatric and nutrition. 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.
Job Duties
- Financially clears patients for upcoming services.
- Verifies coverage and benefits for upcoming services.
- Contacts and follows up with non-Baylor PCP offices to obtain insurance referral approvals.
- Obtains insurance referral approvals on behalf of Baylor PCP's.
- 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.
- Performs authorization follow up.
- Accurately documents all work efforts in patient's chart.
- Responds to specific account inquiries by management.
- Performs other job-related duties as assigned.
- 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.
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
18830
Baylor College of Medicine fosters diversity among its students, trainees, faculty and staff as a prerequisite to accomplishing our institutional mission, and setting standards for excellence in training healthcare providers and biomedical scientists, promoting scientific innovation, and providing patient-centered care. - Diversity, respect, and inclusiveness create an environment that is conducive to academic excellence, and strengthens our institution by increasing talent, encouraging creativity, and ensuring a broader perspective. - Diversity helps position Baylor to reduce disparities in health and healthcare access and to better address the needs of the community we serve. - Baylor is committed to recruiting and retaining outstanding students, trainees, faculty and staff from diverse backgrounds by providing a welcoming, supportive learning environment for all members of the Baylor community.
