Insurance Authorization Specialist

Job Locations US-TX-San Antonio
Posted Date 2 months ago(1/16/2018 3:36 PM)
Job ID
# of Openings
Hidden (18083)

Role Description

The Insurance Authorization Specialist will ensure that insurance benefits are verified, patient responsibility amounts are calculated, and authorizations are obtained on all tests, injections, and procedures prior to the procedure.


Other Responsibilities:

  • Provide excellent customer service to internal and external customers through prompt response and courteous communication within 24 hours of the request.
  • Verify all insurance benefits and eligibility as necessary to ensure accurate financial estimates are provided to the patient and re-verify monthly benefits if the visits spans a new month.
  • Assist patients with questions or concerns regarding their authorization, paperwork or payments as needed.
  • Obtain authorization on all necessary visits and/or surgical procedures prior to the surgery and/or procedure.
  • Ensure all tasking is worked daily and completely to ensure appropriate follow up is timely.
  • Interface with physicians and medical staff to ensure all necessary documentation is valid and complete in a timely manner in order to obtain authorizations.
  • Respond to and resolve difficult/sensitive inquiries and complaints; evaluate problems and take appropriate action to resolve issues and concerns.
  • Immediately alert scheduling and/or Physician/MA team regarding any denial of services.
  • Document accurately and timely in the EPM system all authorizations or interactions surrounding the insurance on every patient.
  • Responsible for all recertifications


What we’re looking for

  • High School Diploma or GED.
  • LVN preferred
  • 2 Years of authorization experience in a medical office or hospital a plus
  • Responsible for all recertification’s
  • Experience as an LVN or MDS Coordinator preferred.

Our Mission: Transform Lives

Mainstreet Health is a division of Mainstreet, the nation’s premier developer of transitional care properties. Mainstreet properties have won the Senior Housing News’ Architecture & Design Award in the skilled nursing category in 2013, 2014 and 2015.


Mainstreet Health uses a disruptive care model that’s based around building an incredible health care environment and providing care that focuses on the patient as a person. When you work with Mainstreet Health, you’re a part of something innovative, something different, and something that’s making a difference in this world — all while being in a place where you love to work.




Our Core Values -

  • Leading boldly with excellence
  • Disrupting and innovating
  • Inspiring others


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