Senior Patient Affairs Specialist

Summary

Verifies coverage, benefits and obtains insurance prior authorization requirements for surgeries, procedures and radiology services. Provides great customer service during interaction with patients, providers, Baylor staff, insurance companies and anyone else while performing all job duties. Acts as a financial counselor and primary point of contact for concierge clinic patients in regards to membership coverage and insurance verification inquiries.

The ideal candidate must be able to prioritize workload in order to meet productivity standards and understands high level mult-specialty services.

This position is located at our Greenway Plaza location.

Job Duties

• Financially clears patients for upcoming services.
• Verifies coverage and benefits for upcoming services.
• Contacts and follows up with non-Baylor PCP offices to obtain insurance referral approvals.
• Obtains insurance referral approvals on behalf of Baylor PCP's.
• Educates the patient on concierge membership coverage.
• Creates estimates and collects patient out of pocket prior to services being rendered.
• Answers Insurance Verification Helpline and resolves insurance inquiries from patients, physicians, and departments.
• Investigates patient insurance coverage and demographic issues.
• Performs authorization follow up.
• Accurately documents all work efforts in patient's chart.
• Responds to specific account inquiries by management.
• Assists with STAT verification requests in a timely matter.
• Performs other job-related duties as assigned.

Minimum Qualifications

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

Preferred Qualifications

• Epic experience.
• Authorization submission and follow up experience.