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Prior Authorization/ Billing specialist
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Job Description
- Req#: B6447C1A2B
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $19.75
- Opportunity to contribute significantly to the efficiency of healthcare operations
- Work in a professional environment dedicated to accuracy and compliance
- Chance to collaborate with healthcare providers and insurance companies
- Engage in continuous learning by staying updated on medical coding regulations and insurance policies
- Support a vital role in the financial health of the practice
What to Expect (Job Responsibilities):
- Prepare and submit accurate insurance claims using DRG, CPT coding, ICD-9, ICD-10, and ICD coding standards
- Review and verify medical records for completeness and accuracy prior to billing
- Manage accounts receivable by following up on unpaid claims and patient balances
- Utilize EMR and EHR systems to document billing information and update patient records
- Reconcile billing discrepancies and resolve claim denials promptly to ensure timely reimbursement
What is Required (Qualifications):
- Proven experience in medical billing, medical office administration, or related roles
- Strong knowledge of DRG, CPT coding, ICD-9, ICD-10, and medical terminology
- Familiarity with EMR and EHR systems used in healthcare settings
- Excellent organizational skills with attention to detail to ensure error-free billing processes
- Effective communication skills for collaborating with healthcare providers, insurance companies, and patients
How to Stand Out (Preferred Qualifications):
- Prior experience working with medical coding standards and insurance claim submissions is highly desirable
#HealthcareServices #MedicalBilling #CareerOpportunity #AttentionToDetail #ProfessionalEnvironment
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