Medical Insurance Authorization and Billing Specialist

Description

In this role, you will manage prior authorizations (PAs) and conduct insurance verification to ensure seamless patient care. Effective communication with patients, healthcare providers, and insurance payers through phone and email will be essential. You will verify patients’ insurance coverage to assist in treatment planning and financial arrangements, and handle claims, denials, appeals, and related processes to resolve billing issues.

Additionally, you will perform billing and coding tasks accurately to ensure proper reimbursement and respond to inbound and outbound calls from patients and insurance providers, addressing inquiries and concerns with care.

Requirements

• A minimum of one year of recent experience in medical insurance, particularly in prior authorization.
• Familiarity with Medicare and Medicaid program administration is preferred.
• Experience with insurance verification and claims adjudication or medical billing is essential.
• Knowledge of ICD-10, HCPCS, or CPT coding is a significant advantage.
• A strong attendance record is required, reflecting reliability and commitment.
  
  

Employment Type: Full-Time