Authorization Specialist

Pulmonary Associates of Richmond, Inc.•Richmond, VA
•$19 - $22•Onsite

About The Position

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

Requirements

  • High School Diploma or equivalent.
  • One year of medical billing office experience in medical practice or one year of customer service experience is preferred.
  • Knowledge of CPT, ICD-10-CM
  • Knowledge of a medical authorization life cycle.
  • Knowledge of EMR documentation.
  • Knowledge of effective claim follow up.
  • Computer software skills in a Windows environment
  • Skill in using Allscripts PM and EMR
  • Skill in using office equipment, including multi line phone, copier, and fax machine.

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
  • Complete daily tasks: responding to insurance representatives.
  • Assist Billing Director with daily workload as time permits.
  • Perform other duties as assigned by provider, supervisor, or member of Administration – for example, cross trained to improve the revenue cycle.

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
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