
Healthcare Professional
5 hours ago
We are seeking a skilled and detail-oriented Medical Biller to join our administrative team.
- Responsibilities:
- Verify patient insurance eligibility and coverage for specific services and procedures.
- Gather and organize necessary medical documentation to support prior authorization requests.
- Submit prior authorization requests electronically or through insurance portals.
- Follow up on pending authorizations and address any issues that arise.
- Analyze trends in prior authorization denials and identify opportunities for improvement.
- Develop and implement strategies to improve the prior authorization process.
- Maintain accurate and up-to-date records of all prior authorization requests and responses.
- Liaise with healthcare providers, insurance companies, and other stakeholders.
- Participate in ongoing training to stay current on healthcare regulations and billing practices.
- Stay updated on the latest technology and software used in the prior authorization process.
Requirements:
- Minimum 2 years of experience in a prior authorization or medical billing role.
- Excellent knowledge of medical terminology and billing codes.
- Strong understanding of healthcare insurance plans and prior authorization requirements.
- Proficient in Microsoft Office Suite and relevant software.
- Excellent communication and interpersonal skills.
- Strong attention to detail and task prioritization skills.
- Ability to work independently and as part of a team.
- Excellent problem-solving and analytical skills.
- Strong organizational and time management skills.
- Bachelor's degree in Healthcare Administration or related field (preferred).
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