Authorization Specialist

Pulmonary Associates of Richmond, Inc.•Richmond, VA

24d•$19 - $22

About The Position

Pulmonary Associates of Richmond (PAR), serving the greater Richmond community since 1974, specializes in pulmonary medicine, sleep disorders, and research. The company is seeking a highly motivated and enthusiastic full-time Authorization Specialist to perform authorization work for Biologic department procedures and other tasks related to medical billing claims for the practice.

Requirements

High school diploma or equivalent.
Knowledge of CPT and ICD-10-CM.
Knowledge of the 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 a multiline phone, copier, and fax machine.
Ability to sit for long periods, with occasional standing and walking.
Manual dexterity to use a computer keyboard and office machines.
Ability to view computer screens for long periods.

Nice To Haves

One year of medical billing office experience in a medical practice or one year of customer service experience is preferred.

Responsibilities

Perform revenue cycle processes.
Process authorizations.
Apply private payer policies.
Apply government payer policies.
Follow up on claim statuses.
Resolve claim denials.
Submit appeals.
Analyze and resolve outstanding insurance accounts receivable daily.
Apply knowledge of CPT, ICD-10-CM, and HCPCS Level II coding guidelines.
Complete daily tasks, including responding to insurance representatives.
Assist the Billing Director with daily workload as time permits.
Perform other duties as assigned by a provider, supervisor, or member of Administration, including cross-training to improve the revenue cycle.