Insurance Representative
Ascension
Salary undisclosed
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Description
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Location: Austin, TX
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Facility: Midtown Medical
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Department: Oral & Maxillofacial Surgery
- Schedule: Day Shift l Monday - Friday; Full Time
Responsibilities
- Responsibilities: Confirms insurance coverage via payer portals and determines necessity for pre-authorization.
- Obtains authorization and processes referrals for services ordered by providers. Schedules appointments as appropriate and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement.
- Remains current on referral policies and procedures, payer requirements, managed care matrix, portals and determines financial responsibility for services to be provided.
- Communicates with patients, healthcare providers, and third-party service providers regarding insurance coverage and barriers to care.
- Documents detailed information in the patient medical record and any actions taken regarding authorization status, coverage issues, restrictions and appointment details. Notifies patients and providers of services requested that are not authorized by insurance.
Qualifications
Licensure / Certification / Registration- Required Credential(s):
- None Required.
- Approved Local Exception. For use with unique Union job requirements only. Remove if not for Union.
- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. *Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Equal employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
Fraud prevention notice
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
E-Verify statement
Employer participates in the Electronic Employment Verification Program. Please click here for more information.
About this role
Ascension's Oral & Maxillofacial Surgery department in Austin is seeking an Insurance Representative to manage the authorization and coverage side of patient care. You'll verify insurance eligibility through payer portals, secure pre-authorizations, process referrals, and schedule appointments while ensuring compliance with network and payer requirements. The role involves staying current on managed care policies and communicating with patients, providers, and insurance companies to resolve coverage barriers and document authorization status in patient records.
This is a Monday-through-Friday day shift position in the Midtown Medical facility requiring in-office presence. The job calls for a high school diploma or one year of directly related experience; no specific licensure or certification is required. You'll need strong attention to detail, familiarity with insurance processes and payer systems, and the ability to navigate between multiple stakeholders—patients who need clarity on their coverage, clinical staff who need authorizations processed quickly, and insurance companies with varying requirements.
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Pay for this role
The employer didn't post a pay range for this role. That usually means pay is set in negotiation, which favors whoever arrives with numbers. Check ranges on comparable Insurance Representative postings in Austin, and analyze any offer before you accept it.
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