Authorization Specialist

Company

Pulmonary Associates of Richmond (PAR) has been around since 1974, marking 50 years of service to the greater Richmond community. The practice specializes in pulmonary medicine, sleep disorders, and research. Staff members are dedicated to delivering excellence in quality care and customer service.

Pay

$18.50‑$22.00 an hour based on experience

Position

PAR is seeking a highly motivated and enthusiastic full‑time Authorization Specialist to perform all aspects of authorizing Biologic department procedures and other tasks related to medical billing claims for the practice.

Responsibilities

• Revenue Cycle Process
• Authorization Processing
• Apply Private Payer Policies
• Apply Government Payer Policies
• Follow up on claim statuses
• Resolve claim denials
• Submit appeals
• Daily analysis and resolution of outstanding insurance accounts receivable
• Knowledge of CPT, ICD‑10‑CM, and HCPCS Level II coding guidelines
• Respond to insurance representatives
• Assist Billing Director with daily workload as time permits
• Perform other duties as assigned by provider, supervisor, or administration (e.g., cross‑training to improve the revenue cycle)

Qualifications

• High School Diploma or equivalent
• One year of medical billing office experience in a medical practice or one year of customer service experience (preferred)
• Knowledge of CPT and ICD‑10‑CM coding
• Understanding of the medical authorization life cycle
• Familiarity with EMR documentation
• Effective claim follow‑up skills
• Computer software proficiency in a Windows environment
• Experience using Allscripts PM and EMR
• Ability to operate office equipment (multi‑line phone, copier, fax machine)

Benefits

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Employee referral bonus
• Health insurance
• Employer‑paid life insurance and LTD
• Paid time off
• Vision insurance

Physical / Mental Demands

• Sitting for long periods, with occasional standing and walking
• Manual dexterity for using a computer keyboard and office machines
• Ability to view computer screens for extended periods