Authorization & Billing Support Specialist, Senior

SUMMARY

Aid the Medical Coding Manager with coding unit operations. Provide administrative and clinical office support. Liaise with patients and physicians regarding insurance policies and procedures.

Job Responsibilities

• Validate patient insurance.
• Appeal denials, write appeal letters, provide medical records, and manage Task Manager.
• Administer insurance websites, oversee passwords, collect referrals, and obtain prior authorizations.
• Authorize and manage Neuro Psychiatric Testing.
• Ensure approvals in EMR and CERNER systems.
• Promote department goals by training team members.
• Stay updated on insurance guidelines.
• Train staff and providers on insurance policies.
• Resolve coding-related issues based on industry best practices.
• Analyze, code, and abstract information for appropriate diagnosis and procedure codes.
• Document trends of denials and provide in-services for continuous improvement.
• Provide data to CPMP Patient Accounts.
• Initiate Source Document to add new CPT Codes to Patient Keeper and CERNER.
• Identify and implement process improvements.

Required Education & Qualifications

• Associate’s degree or 2 years of experience in a physician practice or healthcare environment.
• 3 years of full-time experience in a physician practice or healthcare environment.
• Knowledge of insurance verification, update, scheduling, and referral process.
• Strong organizational and communication skills.
• Excellent attention to detail.
• Exceptional telephone etiquette.
• Proficiency in Microsoft Office.

Preferred Qualifications

• Bachelor’s Degree.
• EMR experience - Cerner/IDX.
• Experience with patient scheduling.

Physical Demands

The position is largely sedentary and requires the employee to remain stationary for a majority of the day. Additional physical demands will be outlined and provided by management.

Pay

Our compensation philosophy aims to provide marketable compensation programs and compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job reviews and promotional opportunities. Salaries vary depending on experience, education, and current market for the position. Human Resources determines the external and internal equitable salary for each employee.

Schedule

Full time, Monday - Friday; 8:30 AM - 5:00 PM.