CrawlJobs Logo

Medical Records and Authorization Specialist

United States, Houston 49600.00 - 53000.00 USD / Year · Job Posted February 19, 2026

Job offer has expired

Job Link Share

Job Description

As a member of the Baxter Finance team, you have the critical thinking and analytical mindset that allows you to translate data into meaningful, actionable insights that help teams learn and adapt along the way. We guide our internal partners to understand financial opportunities or realities that move Baxter forward and closer to our mission to save and sustain lives. While you often work independently with your cross-functional team, you always have the greater finance organization to lean on for support and career mentoring.

Job Responsibility

  • Perform Medical Records and Authorization Specialist duties including documentation collection and review, prior authorization and reauthorization submissions
  • Communicate directly with client medical records depts, patients, healthcare teams, sales teams, and insurance companies
  • Collaborate cross-functionally with other Cardiology Health teams
  • Ensure coverage and payer requirements
  • Gather clinical documentation to support medical necessity for Cardiology devices
  • Process paper and electronic correspondence, including logging and distribution of payer and patient inquiries
  • Establish and maintain positive partnerships with sales team and healthcare teams
  • Review and assess clinical documentation to ensure all applicable coverage criteria requirements are met
  • Prepare and submit prior authorization initial and renewal requests to all insurance companies
  • Process authorization decisions from payers timely to streamline and drive revenue
  • Identify payer trends and establish payer-specific strategies to overcome reimbursement challenges
  • Provide superior customer experience by leveraging the ability to discuss payer policies, coverage criteria, or any pertinent product information with patients and healthcare teams
  • Understand and adhere to all policies for Baxter and 3rd party payers to ensure the highest standards of quality and compliance
  • Consistently contribute to team goals and understand how they support greater organizational goals
  • Actively seek additional experience and knowledge across all functional areas to gain expertise
  • Provide workload coverage as needed
  • Perform other duties and projects as assigned

Requirements

  • High school diploma or equivalent required
  • Associates degree or higher preferred
  • 3+ years of industry experience in health insurance
  • Knowledge of Federal, State, and Local regulations, guidelines, and standards, including a working knowledge of HIPAA rules and regulations
  • Third party payer experience strongly preferred
  • Experience in reviewing medical records and obtaining third-party payer reimbursement
  • Exceptional written, verbal, and interpersonal communications
  • Strong critical thinking and problem-solving skills
  • Detail orientated and ability to multi-task
  • Ability to work independently as well as in a team environment
  • Possess the ability to manage time and prioritize critical priorities
  • Proficiency in Microsoft Office Software

What we offer

  • Support for Parents
  • Continuing Education/ Professional Development
  • Employee Heath & Well-Being Benefits
  • Paid Time Off
  • 2 Days a Year to Volunteer
  • Medical and dental coverage that start on day one
  • Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
  • Employee Stock Purchase Plan (ESPP)
  • 401(k) Retirement Savings Plan (RSP)
  • Flexible Spending Accounts
  • Educational assistance programs
  • Paid holidays
  • Paid time off ranging from 20 to 35 days based on length of service
  • Family and medical leaves of absence
  • Paid parental leave
  • Commuting benefits
  • Employee Discount Program
  • Employee Assistance Program (EAP)
  • Childcare benefits

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Similar Jobs for

Medical Records and Authorization Specialist

8 matching positions

Authorization And Referral Support Specialist

We are seeking a compassionate, detail-oriented Authorization & Referral Support...
Location
Location
United States , Las Vegas
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Prior experience in referrals, authorizations, or medical administrative support preferred
  • Familiarity with medical terminology or healthcare processes
  • Strong phone etiquette and communication skills
  • Compassionate, patient-focused approach
  • Highly organized with the ability to multitask efficiently
  • Open to early-career candidates (if hold familiarity with medical terminology)
  • Bilingual preferred but not required
Job Responsibility
Job Responsibility
  • Follow up on patient referrals to confirm appointments are scheduled and completed
  • Contact families and providers regarding referral status and next steps
  • Manage inbound voicemails and respond to referral-related emails
  • Assist with clerical and administrative tasks for the authorization/referral team
  • Utilize internal systems to track referral activity and maintain accurate records
  • Support coordination of care by ensuring timely communication between patients, families, and providers
  • Monitor and manage incoming communications to the department
What we offer
What we offer
  • Medical, vision, dental, and life and disability insurance
  • 401(k) plan
  • Free online training
  • Access to top jobs
  • Competitive compensation
Read More
Arrow Right

Insurance Authorization Specialist

We are seeking a detail-oriented Insurance Authorization Specialist to support t...
Location
Location
United States , Indianapolis
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent required
  • associate degree preferred
  • 1+ years of experience in insurance authorization, medical billing, healthcare administration, or a related role preferred
  • Knowledge of commercial insurance, Medicare, Medicaid, and managed care plans
  • Familiarity with prior authorization and eligibility verification processes
  • Experience with electronic health records and insurance portals
  • Strong attention to detail and organizational skills
  • Excellent verbal and written communication skills
  • Ability to manage deadlines and work independently in a high-volume environment
Job Responsibility
Job Responsibility
  • Verify insurance eligibility, benefits, and coverage details
  • Obtain prior authorizations and pre-certifications for services, procedures, and medications
  • Communicate with insurance carriers, providers, patients, and internal teams regarding authorization requirements and status updates
  • Review documentation for completeness and accuracy before submission
  • Track authorization requests, approvals, denials, and expirations
  • Follow up on pending and denied authorizations and escalate issues as needed
  • Maintain accurate records in billing, practice management, or electronic health record systems
  • Ensure compliance with payer guidelines, healthcare regulations, and company policies
  • Assist with appeals and supporting documentation for denied requests
  • Collaborate with clinical, billing, and administrative teams to reduce delays in service and reimbursement
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right

Insurance Authorization Specialist

We are seeking a detail-oriented Insurance Authorization Specialist to support t...
Location
Location
United States , Indianapolis
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent required
  • associate degree preferred
  • 1+ years of experience in insurance authorization, medical billing, healthcare administration, or a related role preferred
  • Knowledge of commercial insurance, Medicare, Medicaid, and managed care plans
  • Familiarity with prior authorization and eligibility verification processes
  • Experience with electronic health records and insurance portals
  • Strong attention to detail and organizational skills
  • Excellent verbal and written communication skills
  • Ability to manage deadlines and work independently in a high-volume environment
Job Responsibility
Job Responsibility
  • Verify insurance eligibility, benefits, and coverage details
  • Obtain prior authorizations and pre-certifications for services, procedures, and medications
  • Communicate with insurance carriers, providers, patients, and internal teams regarding authorization requirements and status updates
  • Review documentation for completeness and accuracy before submission
  • Track authorization requests, approvals, denials, and expirations
  • Follow up on pending and denied authorizations and escalate issues as needed
  • Maintain accurate records in billing, practice management, or electronic health record systems
  • Ensure compliance with payer guidelines, healthcare regulations, and company policies
  • Assist with appeals and supporting documentation for denied requests
  • Collaborate with clinical, billing, and administrative teams to reduce delays in service and reimbursement
What we offer
What we offer
  • Medical
  • Vision
  • Dental
  • Life and disability insurance
  • 401(k) plan
  • Free online training
  • Fulltime
Read More
Arrow Right

Medical Records Clerk

We are looking for a dedicated Medical Records Clerk to join our healthcare team...
Location
Location
United States , Cooperstown
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 1 year of experience in a customer service-oriented role
  • Proficient in Microsoft Word and Outlook for document and email management
  • Familiarity with health information management processes and regulations
  • Strong organizational skills to handle multiple tasks and document queues effectively
  • Ability to operate and manage photocopying, scanning, and printing equipment
  • Excellent verbal and written communication skills for interacting with patients and healthcare professionals
  • Knowledge of release of information models and electronic document management systems
  • Attention to detail for verifying and processing sensitive patient information accurately
Job Responsibility
Job Responsibility
  • Answer inbound calls from patients, attorneys, medical providers and billing departments
  • Ability to multitask answering calls while assisting with release of information requests and records
  • Process requests for patient health records in accordance with privacy and confidentiality regulations
  • Collaborate with a team of specialists to ensure timely completion of release of information requests
  • Utilize electronic document management systems to organize, retrieve, and distribute patient records
  • Provide exceptional customer service to patients, families, and authorized requestors
  • Verify and validate information to ensure accuracy and compliance with healthcare standards
  • Handle copying, scanning, and printing of documents as required for health information management
  • Respond to voicemail messages and inquiries related to release of information processes
  • Manage document queues and prioritize tasks to meet deadlines efficiently
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Prior Authorization Specialist

We are looking for a skilled Prior Authorization Specialist to support healthcar...
Location
Location
United States , Brea
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 1 year of experience in insurance authorization or a related healthcare role
  • Familiarity with payer guidelines and prior authorization processes
  • Strong organizational skills with the ability to manage multiple tasks and deadlines
  • Effective communication skills to interact with insurance providers, healthcare teams, and patients
  • Proficiency in electronic health record systems and documentation
  • Ability to interpret clinical documentation and insurance requirements accurately
  • Knowledge of healthcare terminology and insurance policies
  • Commitment to maintaining patient confidentiality and compliance with regulations
Job Responsibility
Job Responsibility
  • Review clinical documentation, physician orders, and patient charts to identify insurance authorization requirements
  • Submit and track prior authorization requests for treatments, medications, procedures, and diagnostic tests
  • Verify insurance eligibility, benefits, and coverage details to ensure patients receive appropriate care
  • Act as a liaison between insurance providers, healthcare teams, and patients to communicate authorization statuses
  • Follow up on pending authorizations, addressing inquiries or resolving denials as needed
  • Maintain detailed records of approvals, denials, and supporting documentation in electronic health systems
  • Collaborate with clinical and scheduling teams to confirm services are authorized before they are provided
  • Monitor updates to payer policies and guidelines to ensure compliance with insurance requirements
  • Initiate appeals for denied authorization requests when justified
  • Uphold confidentiality standards and organizational compliance in all aspects of patient care
What we offer
What we offer
  • Medical, Dental and Vision Insurance
  • 401K Retirement
  • Sick Time Off
  • Tuition Reimbursement
Read More
Arrow Right

Senior Customer Repair and Intake Specialist

The Senior Customer Repair and Intake Specialist is responsible for documenting ...
Location
Location
United States , Batesville
Salary
Salary:
54400.00 - 74800.00 USD / Year
https://www.baxter.com/ Logo
Baxter
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent required
  • Associate’s degree preferred
  • 1+ years of experience in customer service, complaint handling, or service operations, including documenting customer issues in a case management or CRM system
  • Experience providing customer support via phone and email, preferably in a queue-based environment
  • Experience processing returns, repairs, or service requests (RMA or similar workflows) and maintaining accurate records in a regulated or process-driven environment
  • Ability to manage multiple active cases and meet defined timelines for complaint handling
  • Proficiency using Microsoft Outlook, Excel, and Word or equivalent applications
  • Experience in an FDA-regulated or medical device environment preferred
  • Experience coordinating with repair, service, or operations teams and handling purchase orders or service-related billing preferred
  • Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.
Job Responsibility
Job Responsibility
  • Enter and maintain customer complaints in the approved contact management system in compliance with FDA requirements
  • Provide customer support via phone and email, including managing inbound inquiries through a call queue system
  • Process RMA returns and repair requests, including verification of required data prior to submission
  • Contact customers, distributors, and sales representatives to obtain required complaint and product information
  • Track repair status with the repair depot and update case records accordingly
  • Obtain and document purchase orders for fee-based repair services
  • Review complaint records for completeness, accuracy, and regulatory compliance
  • Update complaint status and documentation as product returns and repairs progress
  • Serve as primary point of contact for intake and documentation of Allen Accessories complaints
What we offer
What we offer
  • Medical and dental coverage that start on day one
  • Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
  • Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
  • 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
  • Flexible Spending Accounts
  • Educational assistance programs
  • Time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave
  • Commuting benefits
  • Employee Discount Program
  • Employee Assistance Program (EAP)
  • Fulltime
Read More
Arrow Right

Medical Billing Specialist

We are looking for a Medical Billing Specialist to support a Contract opportunit...
Location
Location
United States , Aloha
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Previous experience in medical billing is required
  • Working knowledge of Medicare or Medicaid billing practices is strongly preferred
  • Experience handling insurance verification, medical claims, and claim follow-up is required
  • Familiarity with medical collections and payer communications is preferred
  • Proficiency with billing platforms such as Credible and Qualifacts is helpful
  • Ability to review detailed information carefully and maintain accuracy across multiple tasks
  • Strong interpersonal skills with a calm, respectful approach suited to a behavioral health or non-profit setting
  • Ability to manage responsibilities independently while supporting a collaborative team environment
Job Responsibility
Job Responsibility
  • Manage billing activities by preparing, reviewing, and submitting medical claims with a strong focus on accuracy and timeliness
  • Confirm insurance coverage and determine benefit eligibility before services are billed to help reduce denials and payment delays
  • Investigate unpaid or denied claims, communicate with payers as needed, and take corrective action to secure reimbursement
  • Coordinate authorization-related billing support for varying levels of care, including CareOregon-related processes when applicable
  • Maintain complete and organized billing records in designated systems such as Credible and Qualifacts
  • Assist with medical collections follow-up and other billing support duties based on team priorities and workload demands
  • Work collaboratively with internal staff to address claim issues while delivering attentive and empathetic communication
  • Monitor account status and identify discrepancies so billing concerns can be resolved efficiently
  • Contribute to daily revenue cycle activities in alignment with compliance standards and organizational procedures
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
Read More
Arrow Right

Hospital Medical Collections Specialist

A respected hospital in the San Fernando Valley is seeking an experienced and re...
Location
Location
United States , North Hollywood
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 2 years of hospital medical collections or healthcare revenue cycle experience required
  • Strong understanding of hospital billing, insurance follow-up, and denial management processes
  • Experience working with government and commercial payers, including Medicare and Medi-Cal managed care plans
  • Knowledge of inpatient and outpatient claim processing preferred
  • Excellent analytical, problem-solving, and communication skills
  • Ability to work independently in a fast-paced healthcare environment while managing multiple priorities
  • Proficiency in healthcare billing systems and Microsoft Office applications
  • All applicants applying for U.S. job openings must be legally authorized to work in the United States
Job Responsibility
Job Responsibility
  • Perform comprehensive follow-up on outstanding hospital accounts to secure accurate and timely reimbursement from insurance carriers and third-party payers
  • Review inpatient and outpatient claims to identify billing issues, denials, payment delays, and underpayments, and take proactive steps toward resolution
  • Manage collection efforts across multiple payer types, including Medicare Managed Care, Medi-Cal Managed Care, commercial insurance plans, HMOs, and PPOs
  • Prepare and submit appeals, reconsiderations, and supporting documentation for denied or improperly processed claims
  • Research and resolve account discrepancies by reviewing billing records, remittance advice, payer correspondence, and claim history
  • Collaborate with billing, coding, admissions, and clinical departments to correct claim issues and improve reimbursement outcomes
  • Maintain accurate and detailed documentation of collection activity, payer communications, and account status updates
  • Monitor assigned accounts to reduce aging AR and improve overall collection performance
  • Support departmental goals related to cash collections, denial management, and revenue cycle efficiency
What we offer
What we offer
  • Medical, vision, dental, and life and disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right