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Job Description
- Req#: Req15945
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Full-time remote work flexibility
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package
- Supportive and collaborative work environment
- Chance to make a meaningful impact in patient care
What to Expect (Job Responsibilities):
- Obtain prior authorizations for facility and professional charges following departmental protocols
- Submit CPT and HCPCS codes and medical records to insurers to expedite authorizations
- Verify patient demographics and medical details, ensuring HIPAA compliance
- Review and confirm all supporting documents and collaborate with necessary stakeholders
- Track all actions and update patient accounts accurately
What is Required (Qualifications):
- Minimum of two (2) years' experience in a hospital, specialty clinic, or medical billing setting focused on pre-certifications or prior authorizations
- Knowledge of commercial and government insurance requirements, ICD-9/CPT codes, medical terminology, and HIPAA regulations
- Familiarity with Microsoft Office and willingness to learn new software
- Strong English communication skills, both written and verbal
- Excellent organizational skills and attention to detail
How to Stand Out (Preferred Qualifications):
- Associate or Bachelor's degree
- Experience with Meditech
- Knowledge of managed care coverage, medical coding, and reimbursement procedures
- Ability to work independently and as part of a team
- Excellent interpersonal skills to handle confidential information professionally
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