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Specialist III - Insurance Referral Specialist at Sam Houston State University in Huntsville, Texas

Sam Houston State University

Last Updated: 11/25/22

Job Description

Requisition 202200036S

Position Title Specialist III - Insurance Referral Specialist

FLSA status Non-Exempt

Hiring Salary This position is a pay grade 11. Please see Pay Grade Table at: https://pa-hrsuite-production.s3.amazonaws.com/116/docs/550174.pdf

Occupational Category Technical/Para-Professional

Department College of Osteopathic Medicine

Division
Division of Academic Affairs

Educational Requirements for the Position

Associates degree required in a related field. Bachelor’s degree preferred. Three years of experience in health care, customer service, or a related field. A combination of education, experience, and training that would produce the required knowledge and abilities could be considered.

Nature & Purpose of Position

Performs specialist duties to evaluate referrals against payer requirements and comply with reimbursement for services in compliance with company policies and goals. Serves as a liaison between the practice, the referral sources, patients and the insurance payers.

Primary Responsibilities

Obtains and maintains authorizations and referrals for services as needed. Processes all required paperwork according to established procedures. Ensures all needed documentation is collected for patients. Responds to phone calls and email inquiries in a timely and professional manner. Provides direct, professional and knowledgeable interactions with patients, physicians, referral sources and the treatment team as a whole. Interacts with payers to ensure the reimbursement of services is timely and efficient. Educates patients on billing process and healthcare benefits. Performs other related duties as assigned.

Other Specifications

Requires a high level of customer service in all interactions with internal and external customers. Strong problem solving abilities are needed for success. Must address concerns of patients. Must maintain patient and staff confidentiality in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and the Family Educational Rights and Privacy Act (FERPA) regulations.

This position is located at the College of Osteopathic Medicine facility in Conroe, Texas.

Full Time

To apply please visit https://shsu.peopleadmin.com/postings/30350

EEO Statement

Sam Houston State University is an Equal Employment Opportunity/Affirmative Action Employer and Smoke/Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, creed, ancestry, marital status, citizenship, color, religion, sex, national origin, age, veteran status, disability status, sexual orientation, pregnancy, or gender identity or expression. Sam Houston State University is an “at will” employer. Employees with a contract will have additional terms and conditions. Security sensitive positions at SHSU require background checks in accordance with Education Code § 51.215.



Company Details

Huntsville, Texas, United States
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