Billing Specialist II - Referral Coordinator
Texas Hearing Institute - Houston, Texas, United States, 77246
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Billing Specialist II - Referral Coordinator
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Texas Hearing Institute Billing Specialist II - Referral Coordinator
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Billing Specialist II - Referral Coordinator
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Texas Hearing Institute Get AI-powered advice on this job and more exclusive features. Job Description:
Billing Specialist II - Referral Coordinator
Reports to:
Senior Revenue Cycle Manager
Job Purpose:
We are a pediatric non-profit organization seeking a billing specialist to join our professional team. The billing specialist will manage all matters and communications relative to insurance claims on behalf of Texas Hearing Institute.
Position Information:
Hours Weekly: 40
Monday – Friday: 8:00 am – 5:00 pm
Starting Salary: Determined by experience.
FLSA Status: Non-exempt
Benefits:
Health & Dental Insurance Life Insurance Long Term Disability Insurance 403 (b) Retirement Plan 12 Paid Holidays 21 Paid Time Off Days
Key Responsibilities:
Scheduling & Coordination:
Schedule patient appointments, procedures, and follow-up visits while optimizing provider availability. Confirm appointments with patients and provide necessary pre-visit instructions. Maintain accurate and up-to-date patient records in the scheduling system. Coordinate rescheduling or cancellations as needed, ensuring minimal disruptions to patient care.
Prior Authorizations & Eligibility Verification:
Submit and track prior authorization requests for medical services, procedures, and medications. Communicate with insurance companies to obtain approvals and resolve authorization-related issues. Verify patient insurance eligibility and benefits before scheduling services. Document authorization approvals, denials, and required follow-ups in the patient record system. Work closely with providers, billing, and clinical staff to ensure seamless authorization processes.
Administrative & Customer Service:
Serve as a point of contact for patients regarding scheduling, insurance coverage, and authorization status. Address patient inquiries and escalate complex issues to the appropriate department. Maintain confidentiality and compliance with HIPAA regulations. Assist with other administrative duties as needed to support clinic operations.
Qualifications:
High school diploma or equivalent required; associate’s degree or certification in medical administration preferred. Three-plus years previous experience in medical scheduling, prior authorizations, or insurance verification. Familiarity with electronic health records (EHR) and medical scheduling software. Strong knowledge of insurance policies, prior authorization procedures, and medical terminology. Excellent communication and customer service skills. Ability to multitask, prioritize, and work in a fast-paced environment.
Preferred Qualifications:
Experience with IMS and insurance portals. Knowledge of Medicare, Medicaid, and commercial insurance requirements. Bilingual skills are a plus.
Tools:
Desktop computers Laptop computers iPad Scanner Fax machine Copy Machine Postage Meter
Technology:
Internet Microsoft Word and Excel IMS (program software) – onsite training
Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
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