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Lead Centralized Verification Of Benefits and Authorization SpecialistSeeking a Skilled Lead CVOB Specialist to join our team!Work location: Remote (there are quarterly site meetings)- 9250 Amberton Pkwy Dallas, TX 75243. Must be local to DFWWork hours: Full Time (40 Hours); Monday through Friday 8:00am- 4:30pmAt Texas Health Physicians Group we take seriously our mission to improve the health of those in our community. THPG includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe care at more than 240 offices located throughout the DFW Metroplex.THPG members are active in group governance and serve on multiple committees and councils. Ongoing Texas Health initiatives, like the Diversity Action Council and Living the Promise, have helped to create an inclusive, supportive, people-first, excellence-driven culture and workplace, making THPG a great place to work.As part of the Texas Health family, we employ over 24,000 employees and are among the areas top five largest employers. Come be a part of our exceptional team as we continue to provide outstanding care and deliver award winning results. You belong here.Department highlights:
Opportunity to work from home majority of the time
You will have an opportunity to join a diverse team where all ideas are welcomed and encouraged
Growth and development opportunities available within
Team members have immediate access to leadership and other resources
All levels of Department leadership communicates openly with all members of the team
Here’s What You Need
High School diploma or equivalent is required
1 Year Administrative and/or supervisor experience in a health care environment. is required
3 years of experience in Surgery/Procedure authorizations is strongly preferred.
What You Will Do
Executes accurate and timely completion of estimates, patient insurance verification, benefit package review (including patient liability, in/out of network coverage, and subsequent insurance coverage), patient liability documentation, and next steps/actions in account notes.
Updates patient account with coverage, guarantor, benefit, and demographic information accurately and consistently in EMR system. Resolves any issues with coverage and escalates complicated issues to manager.
Contacts patients to confirm outstanding demographic, guarantor, or coverage information in order to secure all required data on patient accounts (if needed).
Exhibits excellent customer service, courteous phone manner, and knowledgeable rapport when managing communication to/from patients (if needed).
Reviews patient procedural information in order to obtain and/or verify timely completion of pre-authorization codes documented on patient accounts.
Utilizes available tools to expedite and automate critical functions of patient account work including but not limited to: RTE eligibility software, payor websites, third party verification websites, payor phone lines, and auto-authorization tools.
Maintains and/or owns account volumes within EMR work queues; demonstrates organization and priority awareness when completing or deferring account work.
Manages appropriate communication (including account escalations) to and from outside departments including but not limited to: THPG clinics, scheduling departments, and referring departments.
Sustains consistent levels of account productivity and quality based on department and role needs; escalates quality or productivity barriers to supervisor(s) in timely manner.
Maintains full compliance with all organizational policies, procedures, and compliance regulations regarding operational processes, patient information privacy, and technical security.
Participates in and completes all required employee trainings, including recurring and ad-hoc education sessions.
Assist leadership in conducting follow-up on identified discrepancy and root cause analysis to prevent systematic recurrence of financial clearance, documentation, and quality issues.
Serves as an operational and technical subject matter expert, providing direction to less experienced staff.
Assists with training, auditing of work, and provides feedback to Team Supervisors on opportunities for improvement. Supports leadership in ensuring productivity goals, metric benchmarks, and quality standards are consistently met by all team members.
Helps resolve more complex and/or escalated patient eligibility, benefit coverage, liability payment, and authorization inquiries and problems, handling follow-up questions from patients, and resolving user discrepancies or errors.
Acts as a liaison to Team Supervisor to obtain necessary information and resolve process discrepancies or inefficiencies.
Additional perks of being a Texas Health employee
Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.
Strong Unit Based Council (UBC).
A supportive, team environment with outstanding opportunities for growth.
Explore our Texas Health careers site for info like Benefits , Job Listings by Category , recent Awards we’ve won and more.
Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org .
#LI-TJ1Employment opportunities are only reflective of wholly owned Texas Health Resources entities.We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Vacancy expired!