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Medical Billing - Insurance Authorization Specialist
4 days agoWhat's your preference?
Job Description
- Req#: 3716497
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Competitive pay with comprehensive benefits package including health, dental, and vision insurance
- Paid time off, paid holidays, and paid sick time
- Profit-sharing and retirement plan options
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment with no weekends, evenings, or holidays
What to Expect (Job Responsibilities):
- Initiate and track insurance prior authorizations for scheduled procedures and medical services
- Verify insurance eligibility and benefits through payer portals or direct contact with payers
- Accurately document authorization statuses in the electronic medical record (EMR) and Practice Management (PM) system
- Communicate with insurance carriers to gather necessary clinical documentation and follow up on pending requests
- Inform patients of authorization status and potential delays, ensuring they understand what to expect with coverage issues
What is Required (Qualifications):
- High School Diploma or equivalent required
- Minimum 1 year of experience in a medical office, insurance verification, or healthcare billing
- Comprehensive understanding of insurance verification and medical terminology
- Professional verbal and written communication skills
- Excellent organizational skills and attention to detail
How to Stand Out (Preferred Qualifications):
- Associate's degree in healthcare administration, billing, or related field preferred
- Familiarity with payer rules, authorization requirements, and EMR documentation preferred
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