PreAuthorization/Medical Insurance Specialist

South Heart Clinic

Weslaco, TX

Job title: Pre-Authorization/Insurance Specialist

Position Summary:

Responsible for insurance verification precertification, preauthorization's.

Duties and Responsibilities include but are not limited to:

Assists with the Verification of insurance benefits, eligibility.
Precertification/preauthorization of indicated studies.
Ensure that all precertification are done in advance, before the patient is

scheduled for the studies indicated.

Submits required notes to insure carriers for authorization purpose
Ensure documents (authorization/data/numbers) are entered into EHR system.
Alerts the physicians for none covered services
Communicates with the physicians and Nursing Supervisor with non-supportive

documentation.

Communicates with all insurance carriers: Medicare, Medicaid, Commercial, PPO,

network benefits, etc.

Seeks advice and guidance from certified coder with regards to coding guidelines.
Performs related work as required.
Practice and adhere to HIPPA regulations.

Qualifications and Specifications:

Education-High School Diploma some college preferred
Knowledge of basic office procedures.
Knowledge of basic office equipment including copier, fax and computer
Ability to speak clearly and concisely.
Skills in dealing with interpersonal issues and patient relations.
Ability to handle multiple priorities at once with minimal supervision.
Knowledge of Medical Terminology.
Ability to maintain confidentiality of patient information.

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the PreAuthorization/Medical Insurance Specialist in Weslaco, TX vacancy

Life Insurance Sales Professional
...and autonomy in planning your work week. You'll engage with small to medium-sized businesses, presenting our top-tier supplemental insurance products. Training includes both classroom sessions and hands-on experience with our top performers, supplemented by self-paced...
Health Insurance
Weekly pay
Work experience placement
Local area
Alleviation Enterprise LLC
Weslaco, TX
1 day ago
Insurance Sales Agent - Bilingual (57619)
...Insurance Sales Agent - Bilingual CAGE BLVD - Pharr, TX 78577 Overview Position Type Full Time Category Sales About A-MAX... ...Commission – Paid Weekly! Comprehensive Benefits Medical, Dental, and Vision Insurance Voluntary Benefits FREE Basic...
Health Insurance
Hourly pay
Weekly pay
Full time
Work at office
Local area
A-Max Insurance Services
Pharr, TX
1 day ago
Patient Care Technician - PCT
...successful completion of the organization dialysis training program and successful completion of CPR certification. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity...
Suggested
Immediate start
Fresenius Medical Care
Weslaco, TX
2 days ago
Remote ROI Medical Records Specialist HIPAA Compliant
...Itlearn360 is seeking an ROI Medical Records Specialist to work remotely from San Juan, TX. This role involves processing release of information requests and ensuring compliance with HIPAA regulations, all while providing top-notch customer service. The ideal candidate...
Suggested
Remote work
Itlearn360
San Juan, TX
3 days ago
PCA I Per Diem-Telemetry
...Employment Type: Per Diem (PD/PRN) Hours: 12HR Location: Knapp Medical Center – Weslaco, TX Here are some of the benefits of... ...Healthcare:  ~ Competitive compensation ~ Medical insurance benefit plan ~401K Join an award-winning team of...
Health Insurance
Daily paid
Relief
Work at office
Local area
Shift work
Night shift
Knapp Medical Center
Weslaco, TX
2 days ago
Life Insurance Agent
$50k - $100k
...Employment Type: Contractor Compensation $50,000 to $100,000 per year (plus commission) If you're reading this and thinking, "Insurance? Really?" I get it. I've thought that too-and I still do. The truth is, I'm not passionate about insurance. I'm passionate about...
Health Insurance
Full time
Part time
For contractors
Remote work
Kimbrell Agency
Pharr, TX
4 days ago
Insurance Sales Agent
...Job Description Job Description Company Overview At Executive Financial Partners, we deliver premium supplemental health insurance solutions to businesses, families, and individualshelping protect what matters most when life takes an unexpected turn. Our team is...
Health Insurance
For contractors
Self employment
Executive Financial Partners LLC
Donna, TX
22 days ago
Insurance Sales Representative
...Financial Partners is growing, and we're looking for professionals who want a career with purpose. We provide supplemental health insurance that helps families, individuals, and businesses prepare for life's unexpected challenges. Our reputation is built on integrity, results...
Health Insurance
For contractors
Self employment
Executive Financial Partners LLC
Mercedes, TX
2 days ago
Licensed Insurance Agent
...Job Description Job Description Insurance Agent - Allstate Agency at Clark Knapp Honda in Pharr, TX If you love to win and are fiercely... ...to work some Saturdays Benefits Benefits include medical and dental insurance, paid time off, education and growth opportunities...
Health Insurance
Full time
Work at office
Local area
Flexible hours
Clark Knapp Honda
Pharr, TX
15 days ago
Hospice Companion Volunteers Needed in Weslaco, TX!
...music, playing games, or simply sitting quietly with patients. Your presence offers comfort and dignity when it's needed most. No medical experience is required - just a caring heart! Flexible schedule and full volunteer training is provided. Requirements:...
Flexible hours
Bristol Hospice Rio Grande Valley
Weslaco, TX
4 days ago
Transportation Assistant Manager - IDEA Weslaco (26-27)
$20.75 per hour
...plan, covering the majority of the employee premium for the base medical plan and subsidizing the majority of costs for a spouse/... ...Other benefits include dental and vision plans, disability, life insurance, parenting benefits, generous vacation time, referral bonuses and...
Hourly pay
Work at office
Local area
Immediate start
Relocation package
Weekend work
IDEA Public Schools
Weslaco, TX
3 days ago
Medical Assistant
...Job Title : Medical Assistant/Technician (Hospital Corpsman) Category / Component : Enlisted • Both Overview Hospital Corpsmen assist healthcare professionals and provide medical and dental care to Sailors, Marines, and their families across clinics, hospitals, ships,...
Health Insurance
Apprenticeship
Shift work
US Navy
Weslaco, TX
1 day ago
Mail Carrier - City - No Experience Required
$23.47 - $38.62 per hour
...with a full benefits package Perks and Benefits Paid Time Off : Vacation and sick leave Health Coverage : Medical, dental, and vision insurance options Retirement Savings : Access to USPS retirement plans Life Insurance : Available coverage options...
Health Insurance
Hourly pay
Postal Jobs Resource
Donna, TX
more than 2 months ago
Speech Language Pathologist Assistant
...Therapy services • Measure performance and report on patient's medical record • Adhere to ethical and legal standards • Ensure... ...Service and Support skills Benefits: ~401k ~ Life Insurance ~ Medical, Vision, and Dental Insurance ~ Paid Time Off ~...
Health Insurance
Total Rehab and Total Rehab Kids
Weslaco, TX
1 day ago
Insurance Sales Professional
...looking for a meaningful career with a local business backed by the strength of a nationally recognized and trusted brand? As an Insurance Sales Professional with Erick Diaz Insurance Agency, you’ll help grow our local Allstate agency by connecting with new prospects,...
Local area
Allstate - Erick Diaz Agency
Donna, TX
10 days ago
Speech Language, Occupational/Physical Therapist.
...tools, resources, and time they need to succeed—while also prioritizing work-life balance. Benefits We Offer ~ Medical, Vision, and Dental Insurance. ~ Employer-Paid Life Insurance. ~401(k) with Company Match. ~ Paid Time Off (PTO) & Paid Holidays. ~...
Health Insurance
Total Rehab and Total Rehab Kids
Weslaco, TX
2 days ago
CDL-A Team Truck Driver Job (Start at $.75 CPM)
$75 per hour
...Performance Bonuses ~ Monthly Performance Bonus Benefits Packages ~401K Match ~ Paid Vacation ~ Free Life Insurance ~ Medical, Dental & Vision Insurance Driver Referral Awards ~ Referral Bonuses - Get paid for bringing great drivers to PTL...
Health Insurance
Weekly pay
Flexible hours
Paschall Truck Lines
Weslaco, TX
3 days ago
Physician - Emergency Medicine
...Types of Case: Emergency Credentialing timeframe: 60 days Job Benefits AMN Healthcare typically arranges medical or dental malpractice insurance for the contractor providers we match to client opportunities. In addition, our locum tenens can receive highly...
Health Insurance
For contractors
Locum
Shift work
AMN Healthcare
Weslaco, TX
10 days ago
Paint Prepper/Polisher
...customers, co-workers and vendors Maintain a clean work area Other duties assigned by management Benefits: ~ Medical, Dental, & Vision Insurance: 100% employer-paid coverage with a variety of plan options to fit your needs, including medical plans featuring a $0...
Health Insurance
Local area
Hacienda Ford
Weslaco, TX
4 days ago
Medical Assistant (UT Health RGV Orthopedics and Sports Medicine)
...skills in Spanish and English. Description of Duties •To intake patients into clinic setting by obtaining vital signs, surgical/medical history, chief complaint, medications, and allergies. Document appropriately in the Electronic Health record. •Report all...
Work experience placement
Work at office
Afternoon shift
University of Texas Rio Grande Valley
Weslaco, TX
2 days ago
AMTEX INSURANCE BILINGUAL CUSTOMER REPRESENTATIVE
...Job Description Job Description Benefits: Dental insurance Health insurance Paid time off Vision insurance Job description At Amtex Insurance , we prioritize providing outstanding experiences for our customers and employees alike. As we continue...
Health Insurance
Amtex Insurance & Constitution General Agency LLC
Weslaco, TX
15 days ago
Connect Pediatrics In-Home Nurse (RN/LVN)
...levels of care Health and Wellness Benefits: ~ Health Insurance (for FT employees) ~ Dental and Vision Insurance ~ Company... ...compliance standards through real-time charting Administer medications, feedings, and treatments according to the plan of care...
Health Insurance
Full time
Part time
Relief
Immediate start
Flexible hours
Shift work
Connect Pediatrics
Weslaco, TX
8 days ago
Staff RN - Medical Surgical Floor
...during the interview process. Overview Registered Nurse - Medical Surgical We are seeking a Medical Surgical Registered... ...working at Prime Healthcare: ~ Health, dental, and vision insurance options ~ Paid vacation, sick time and holidays...
Health Insurance
Full time
Local area
Relocation package
Shift work
Night shift
Knapp Medical Center
Weslaco, TX
3 days ago
Transporters - Transport - Evening
Vehicle Transporter Location: West Texas & New Mexico Job Description: Bergaila is seeking a Logistics & Fleet Runner to support daily fleet operations by transporting trucks and vehicles between remote work sites, mechanic shops, and dealerships in West Texas...
Remote work
Afternoon shift
The Bergaila Companies
Pharr, TX
2 days ago
Manager Retail Account
$21.15 per hour
...wage rate Range Minimum: $21.15 Range Maximum: $21.15 Function: Merchandising Employment Duration: Full-time Benefits Medical, dental and vision insurance Company-paid life insurance, short-term and long-term disability 401k program Generous Paid Time Off (PTO) program...
Health Insurance
Full time
Temporary work
Work experience placement
Work at office
Acosta Sales & Marketing
Weslaco, TX
1 day ago
Residential Youth Caregiver - Relocation to Hershey, PA Required
$44.77k
...Managing household routines and student schedules Administering medications and ensuring student wellness Driving students to activities,... ...and more) Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance...
Health Insurance
Full time
Relocation
Relocation package
Flexible hours
Weekday work
Milton Hershey School
Donna, TX
4 days ago
CDL Driver (Rio Grande Valley Area)
...worth and uniqueness. At Glazer’s Beer & Beverage, we provide a wide range of competitive benefits: ~ Medical, dental and vision insurance ~401k matching ~ Roth Post-Tax Retirement Plan ~ Life Insurance ~ Employer-Paid Disability ~ Flexible spending...
Health Insurance
Work at office
Local area
Flexible hours
Glazer's Beer and Beverage, LLC
Weslaco, TX
2 days ago
Insurance Sales Representative
$75k - $95k
...Job Description Job Description Insurance Sales Representative Company: Compass Business Group Compensation: $75,000$95,000 per year (draw pay, commissions, and bonuses) Schedule: MondayFriday, weekends as needed Location: Remote/Hybrid | Local B2B Sales...
Health Insurance
Weekly pay
Full time
Local area
Immediate start
Remote work
Flexible hours
Weekend work
The Compass Business Group
Edcouch, TX
29 days ago
Entry Level Insurance Agent
...Executive Financial Partners, we help families, individuals, and small businesses protect what matters most with supplemental health insurance solutions. Our work combines service, excellence, and resultsmaking a real difference for our clients and communities every day....
Health Insurance
For contractors
Self employment
Local area
Executive Financial Partners LLC
Pharr, TX
16 days ago
Insurance Sales Agent
...Company Overview Founded in 1997 in Harlingen, Texas, Pronto Insurance is a leading property and casualty (P&C) insurance agency with... ...teach you the insurance industry from scratch. ~ Competitive Medical, Dental, and Vision plans. ~401(k) Retirement Plan, plus Short...
Hourly pay
Full time
Temporary work
Work at office
Local area
Monday to Friday
Shift work
Night shift
PRONTO GENERAL AGENCY, INC.
Weslaco, TX
4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to PreAuthorization/Medical Insurance Specialist. Be the first to apply!