Centralized Verification of Benefits/Authorization Estimate Specialist

Seeking a Skilled CVOB/Authorization Estimate Specialist to join our team!

Work location: 9350 Amberton Pkwy Dallas Tx 75243

• Potential to telework once the employee meets the THR Telework Policy guidelines, including, but not limited to, 90 days of successful onsite training, compliance with productivity standards, residency in the State of Texas, etc.
• May require in-person attendance, as needed, to department meetings, trainings and other department authorized activities, mainly at the above-mentioned address or other locations as directed by the supervisor/department.

Work hours: Full Time (40 Hours); Day Shift; Monday – Friday, 08:00 AM -4:30pm

Texas Health Physicians Group includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe care at more than 240 offices located throughout the DFW Metroplex.

THPG members are active in group governance and serve on multiple committees and councils. Ongoing Texas Health initiatives, like the Diversity Action Council and Living the Promise, have helped to create an inclusive, supportive, people-first, excellence-driven culture and workplace, making THPG a great place to work.

Department highlights:

• Opportunity to work from home majority of the time
• You will have an opportunity to join a diverse team where all ideas are welcomed and encouraged
• Growth and development opportunities available within
• Team members have immediate access to leadership and other resources
• All levels of Department leadership communicate openly with all members of the team

Here’s What You Need

• Education
  • H.S. Diploma or Equivalent is required.
• Experience
  • 1 Year Benefit verification or authorization experience is required.
  • 1 – 2 years of admissions, patient access experience is strongly preferred
  • 1 years of EPIC experience is strongly preferred.
  
  

What You Will Do

• Executes accurate and timely completion of estimate, patient insurance verification, benefit package review (including patient liability, in/out of network coverage, and subsequent insurance coverage), patient liability documentation, and next steps/actions in account notes.
• Updates patient account with coverage, guarantor, benefit, and demographic information accurately and consistently in EMR system. Resolves any issues with coverage and escalates complicated issues to manager.
• Contacts patients to confirm outstanding demographic, guarantor, or coverage information in order to secure all required data on patient accounts (if needed).
• Exhibits excellent customer service, courteous phone manner, and knowledgeable rapport when managing communication to/from patients (if needed).
• Reviews patient procedural information in order to obtain and/or verify timely completion of pre-authorization codes documented on patient accounts.
• Utilizes available tools to expedite and automate critical functions of patient account work, including but not limited to: RTE eligibility software, payor websites, third party verification websites, payor phone lines, and auto-authorization tools.
• Maintains and/or owns account volumes within EMR work queues; demonstrates organization and priority awareness when completing or deferring account work.
• Manages appropriate communication (including account escalations) to and from outside departments including but not limited to: THPG clinics, scheduling departments, and referring departments.
• Sustains consistent levels of account productivity and quality based on department and role needs; escalates quality or productivity barriers to supervisor(s) in time manner.
• Maintains full compliance with all organizational policies, procedures, and compliance regulations regarding operational processes, patient information privacy, and technical security.
• Participates in and completes all required employee trainings, including recurring and ad-hoc education sessions.
  

Additional perks of being a Texas Health employee

• Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
• Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.
• Strong Unit Based Council (UBC).
• A supportive, team environment with outstanding opportunities for growth.
• Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we’ve won and more.
• Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.

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