Senior Patient Affairs Specialist - Patient Business Services (90002121)

Baylor College of Medicine

Houston, TX

ID: 7077861 (Ref.No. 6798-en_US)
Posted: May 3, 2021
Application Deadline: Open Until Filled

Job Description

Summary

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

Job Duties

  • Responds to and assists 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 appropriate area in Epic for all services.
  • Contacts patient to collect out of pocket expenses.
  • Contacts departments regarding missing clinical information if required by insurance company.
  • Contacts 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.
  • Researches claims denied for no authorization and performs retro authorizations.
  • Answers phones and provides information to patients or takes detailed messages and routes them to the appropriate party.

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

 

 

 

 

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

 6798

CA 



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.



 

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