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Full-time
high school
Medical Insurance, Dental Insurance, Vision Insurance, Basic Life Insurance, Employee Assistance Program, Long-term Disability Insurance
Posted 21d ago
~40 hrs/week
Responsibilities
The Authorization Specialist is responsible for verifying patient eligibility and initiating prior authorizations through insurance portals and medical record reviews. They coordinate with clinical staff and insurance companies to ensure timely benefit investigations and resolve insurance denials.
Requirements
Candidates must have a high school diploma and 1-3 years of experience in a healthcare environment. Proficiency in medical coding (CPT/DX), medical terminology, and EMR systems is required.
Full job description
Our Authorization Specialist will be responsible for providing a great patient experience by checking patient eligibility and initiating prior authorizations. This includes utilizing online resources, reviewing medical records, calling insurance companies, and completing authorization forms in our Electronic Medical Record system.
What this role entails:
Check patient eligibility and insurance plan benefits via online payer portals and confirming with insurance companies
Scan complete authorization form in EMR system
Review medical records
Initiate authorizations using online resources, insurance specific forms, and making outgoing calls to insurance companies
Follow department procedures to ensure timely completion of benefit investigations
Communicate with internal patient financial services department, clinical staff and external practice managers when inaccurate demographic information is supplied
Review and update authorization information in the EMR system
Support and actively participate in initiatives designed to improve individual and organizational performance.
Coordinate with clinical staff to set up peer to peer meetings for physicians and insurance medical directors.
Assist patients with insurance denials and appeals
Performs other duties/special projects and tasks as assigned
What you offer:
Able to read, interpret, and implement specified records.
Knowlege of Medical and Diagnosis codes (CPT/DX)
Demonstrated knowledge of medical terminology and office procedures.
Demonstrated knowledge of third-party and insurance company operating procedures, regulations and billing requirements.
Experience with Microsoft Office suite and Electronic Medical Record (EMR) system.
Ability to effectively establish and maintain cooperative and effective working relationships
Effectively prioritize competing responsibilities, with a sensitivity toward matters which are time sensitive.
Exercise a high level of discretion and sensitivity to patient privacy.
Ability to recognize, evaluate, solve problems and correct errors.
Ability to use telephone, keyboard, computer, office equipment and software programs.
Education and Experience:
High School diploma or equivalent required
1-3 years’ work experience in a healthcare environment required
Why You'll Love Working Here – Our Amazing Benefits:
Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee-only healthcare coverage option is also available.
Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family.
Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most.
Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose!
Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years.
Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being.
Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck.
Rewards for Connections: Earn extra money with our Employee Referral Program—your network is invaluable!
Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development.
Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness.
Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them.
Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.
Aspire Fertility is shifting the paradigm of fertility treatment by raising the standard of care, streamlining care into an integrated system, and enhancing the overall patient experience. As part of the Prelude Network, Aspire Fertility Austin brings together the top medical and scientific minds in the industry with the goal of providing the very best outcomes possible for their patients. Your family matters here, and we want your tomorrow to be extraordinary. Visit Aspire Fertility in Austin, TX.
Offices: 911 W 38th St, #402, Austin, Texas 78705, US
How many Customer Service & Support jobs are open in Houston, TX right now?
There are currently 6,846 open customer service & support positions in Houston, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Customer Service & Support roles in Houston, TX?
Companies currently hiring include Domino's, AutoZone, Starbucks, Dollar Tree Stores, Allied Universal, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Customer Service & Support jobs in Houston, TX?
Yes — 454 of the 6846 open customer service & support positions offer remote or hybrid work (214 remote, 240 hybrid).
How do I apply for Customer Service & Support jobs in Houston, TX?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.