Authorization Coordinator

About the role

Welcome to Baylor Scott & White Medical Center - Trophy Club, TX, where we are dedicated to providing the pinnacle of excellence you've come to expect from Baylor – right within your own community! Our commitment to excellence is palpable in every facet of your journey. We have diverse specializations, 24/7 emergency care, cutting-edge facilities, and a partnership with USPI that fosters a culture of innovation, learning, and collective growth.

As an Authorization Coordinator at Baylor Scott & White Surgical Hospital Fort Worth, you will be responsible for obtaining necessary prior authorizations, tracking and following up on pending authorizations, and coordinating with clinical staff to provide timely updates on authorization statuses.

Responsibilities

• Obtain necessary prior authorizations for procedures and track and follow up on pending authorizations to avoid delays in patient care.
• Coordinate with clinical staff to provide timely updates on authorization statuses.
• Verify patient insurance coverage before appointments, including eligibility, benefits, and network status.
• Confirm that the health center is listed as the patient’s primary care provider (PCP) and ensure accurate documentation of insurance information in the electronic health record (EHR) system.
• Communicate with insurance companies to verify coverage details, including co-pays, deductibles, and coinsurance, and provide support for patients in resolving insurance-related problems.
• Maintain accurate and detailed records of insurance verifications, authorizations, and communications in the EHR.
• Stay informed about changes in insurance policies and procedures and communicate these changes to relevant staff members.
• Comply with all federal, state, and local regulations, as well as health center policies and procedures.
• Work closely with the billing and coding teams to resolve discrepancies and denials related to authorizations.
• Maintain effective communication with patients, addressing their concerns and providing updates on insurance verification status.

Qualifications

• High school graduate or equivalent.
• One-year previous experience or some hospital clerical experience or medical terminology preferred.
• Must have the skills necessary to operate the office equipment required to fulfill job duties.
• Forty-five (45) wpm typing skills required.
• Medical terminology and computer experience beneficial.
• Good communication skills.
• Basic computer knowledge – Word and Excel preferred.

Benefits

• Medical, dental, vision, and prescription coverage.
• Life and AD&D coverage.
• Availability of short- and long-term disability.
• Flexible financial benefits including FSAs and HSAs.
• 401(k) and access to retirement planning.
• Paid holidays and vacation.

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner. USPI is committed to, and proud of our inclusive culture, which is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity.