Prior Authorization/Billing Specialist

🌍 Remote, USA 🚀 Full-time 🕐 Posted Recently

Job Description

    Job Description:
  • 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 through medical collection processes.
  • Utilize EMR and EHR systems to document billing information and update patient records efficiently.
  • Collaborate with medical staff to ensure proper documentation of services rendered with appropriate medical terminology.
  • Reconcile billing discrepancies and resolve claim denials promptly to ensure timely reimbursement.
  • Maintain organized records of all billing transactions, claims, and correspondence for audit purposes.
  • Stay updated on changes in medical coding regulations and insurance policies to ensure compliance.
    Requirements:
  • Proven experience in medical billing, medical office administration, or related roles.
  • Strong knowledge of DRG, CPT coding, ICD-9, ICD-10, ICD coding, and medical terminology.
  • Familiarity with EMR and EHR systems used in healthcare settings.
  • Experience with medical records management and medical collection procedures.
  • Ability to interpret complex medical documentation accurately for coding purposes.
  • 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.
  • Prior experience working with medical coding standards and insurance claim submissions is highly desirable.

Benefits:

$18.96-$19.75

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