Benefits and Authorization Specialist

Benefits and Authorization Specialist

Location: AUSTIN, TX

Hiring Department: Dell Medical School

Job Posting Title: Benefits and Authorization Specialist

Position Open To: All Applicants

Weekly Scheduled Hours: 40

FLSA Status: To Be Determined at Offer

Earliest Start Date: Ongoing

Position Duration: Expected to Continue

Job Summary

The Benefits and Authorization Specialist is responsible for verifying patient insurance coverage, obtaining pre‑authorizations, and providing financial assistance support to ensure patients receive necessary medical services. This role involves coordinating with insurance companies, healthcare providers, and patients to manage benefits and authorizations efficiently.

Responsibilities

• Verify patient insurance coverage and benefits for medical services.
• Communicate with insurance companies to confirm patient eligibility and coverage details.
• Provide patients with clear and accurate information regarding their benefits and financial responsibilities.
• Obtain prior authorizations for medical procedures and services as required by insurance providers.
• Track and follow up on pending authorizations to ensure timely approval.
• Maintain accurate records of authorization requests and approvals.
• Serve as a point of contact for patients regarding their insurance benefits and authorization status.
• Address patient inquiries and concerns with empathy and professionalism.
• Educate patients on their insurance plans and assist them in understanding their coverage.
• Work closely with healthcare providers to gather necessary documentation for authorization requests.
• Coordinate with medical staff to ensure all required information is submitted to insurance companies.
• Facilitate communication between providers and insurance companies to resolve any issues.
• Maintain detailed and accurate records of all patient interactions, benefits verifications, and authorization requests.
• Ensure compliance with all regulatory and organizational policies regarding patient information and documentation.
• Regularly update patient records in the electronic health record (EHR) system.

Required Qualifications

• High School Diploma/GED
• At least 2 years of experience in a healthcare setting, preferably in patient benefits, insurance verification, or authorization roles.

Preferred Qualifications

• Associate’s Degree in healthcare administration, business, or a related field.
• At least 3 years of experience in medical billing or insurance authorization.
• Certification in medical billing and coding (e.g., CPC, CPB).
• Prior Authorization Certified Specialist (PACS) certification.

Salary Range

$45,000 + depending on qualifications

Working Environment & Equipment

• Standard office environment.
• Repetitive use of a keyboard.

Required Materials

• Resume/CV
• 3 work references with their contact information; at least one reference should be from a supervisor
• Letter of interest

Equal Opportunity Statement

The University of Texas at Austin, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.