Pre-Authorization Specialist - Austin, TX at Capitol Pain Institute – Austin, Texas

CPIhealth is a interventional pain practice with a multidisciplinary team dedicated to providing empathetic, compassionate and comprehensive care to individuals experiencing chronic pain. With state-of-the-art facilities, advanced technology, and a collaborative environment, we offer a platform for healthcare providers to excel in their specialties while making a profound difference in the lives of those we serve.

As you consider your next career move, we invite you to join us in redefining pain management through innovation, expertise, and a commitment to improving patient outcomes. Together, we can shape the future of healthcare and positively impact countless lives.

We are seeking a qualified, dependable, and detail-oriented individual to join our team as a full-time Pre-Authorization Specialist in Austin, TX.

Responsibilities:

• Contact insurance carriers to verify patient’s insurance eligibility, benefits, and preauthorization requirements.
• Request, track and obtain pre-authorization from insurance carriers prior to the services being performed.
• Perform utilization review to ensure the patient meets medical necessity.
• Be a liaison between patients, insurance companies, and Ambulatory Surgical Centers.
• Notify scheduling staff of any conflicts with scheduled appointments.
• Communicate any insurance changes or trends to the Billing Manager that may be affecting denials.
• Accept, handle, and process incoming patient telephone inquiries using appropriate customer service skills, clarify and validate patient inquiries, questions or complaints and correct and update patient account information accordingly.
• Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
• Performs all other duties as assigned to support the mission, values, and strategies of CPI Health.

This job description should not be interpreted as an exhaustive list of responsibilities or as an employment agreement between the employer and the employee. The above statements are intended to describe the general nature and level of work performed by employees assigned to this classification and are subject to change as the employer's needs and the job change.

• High School Diploma or equivalent.
• At least one year of experience with insurance authorization process, preferably in an outpatient/clinic setting.
• Experience with medical terminology preferred.
• Working knowledge of Microsoft Office applications.
• Strong organizational, analytical, and problem-solving skills with sound judgment and attention to detail.
• Excellent verbal and written communication skills.
• Proven ability to manage multiple priorities and meet deadlines.
• Demonstrated professionalism and cooperative behavior when interacting with patients, peers, providers, management, and visitors.
• Ability to build and maintain positive relationships with patients, providers, insurance companies, and the general public
• Team-oriented with the ability to work both independently and collaboratively to deliver exceptional customer service.

Comprehensive Benefits plan including:

• Medical, Dental, Vision insurance
• Paid Time Off (accrued)
• Flexible Spending Account for Health & Dependent Care
• Basic Life, Accidental Life, Supplemental Life Insurance
• Short Term & Long-Term Disability
• 401(k) with matching