Job Details

Division: Patient Business Services

Work Arrangement: Hybrid

Location: Hybrid within Greater Houston, TX

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

FLSA Status: Nonexempt

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

Summary

Provides information to patients and maintains good patient rapport. Obtains insurance pre-certifications and verifications and ensures reimbursement from patients or other responsible parties.

This position is located at our Greenway Plaza location.

Job Duties

• Financially clears patients for upcoming services.
• Responds to and assists the physician with patient questions.
• Obtains benefits, creates estimates for patient out of pocket, and submits authorizations for services.
• Follows up on submitted authorizations, notates authorization in the appropriate area in Epic for all services.
• Contact patients to collect out-of-pocket expenses.
• Contacts departments regarding missing clinical information if required by the insurance company.
• Contact PCP offices to obtain referrals.
• Understands high-level specialty services authorizations.Updates referral statuses and collection efforts in Epic.
• Answers Insurance Verification Helpline and solves insurance issues for patients, physicians, and departments.
• Responds to specific account inquiries by management.
• Creates estimate letters that are electronically forwarded to patients to inform them of their financial responsibility.
• Provides and explains educational material to patients.
• Investigates insurance coverage and demographics.
• Research claims denied for no authorization and performed retro authorizations.
• Answers phones and provides information to patients or takes detailed messages and routes them to the appropriate party.
• Review patient treatment & therapy plans along with other clinical documentation for authorization submission
• Understands copay assistance, free drug, specialty pharmacy.
• May assist with other tasks as needed, such as enrolling patients in copay programs and assisting with the daily appointment report.
• Performs other duties as assigned.

Minimum Qualifications

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

Preferred Qualifications

• Epic experience.
• Infusion experience and general specialty services benefits and authorization 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: 24626