Medical Billing/Prior Authorization Specialist

Pinnacle GI Partners • Shelby Charter Township, MI

11d

About The Position

To aid in our rapid growth and continue to differentiate our patient experience,
we’re hiring a Prior Authorization Specialist.

Specialists are responsible for tasks related to ensure the organizations has a
way to obtain authorization for medical procedures and select therapy
medications.
This role reports to the Manager of Revenue Cycle

Requirements

• Strong knowledge of medical terminology
• Demonstrated computer skills for documenting patient care in an electronic medical record
• Ability to communicate effectively in person, on the telephone, and in writing
• Ability to work independently and as a team
• Ability to read and comprehend patient medical charts, medical terminology, prescription medications, and physician messages
• High School Diploma/GED.
• Graduate of a Medical Billing training program.
• 2+ years or recent experience in high volume medical billing with relevant experience in AR-follow-up.
• Knowledge of ICD-10 and CPT coding.
• Demonstrate computer skills as evidenced by proficiency and/or training with applicable software.
• Problem solving, time management and exceptional interpersonal skills.
• Good written and verbal communication skills.
• Must successfully pass a background check and drug screen.

Responsibilities

• Obtain prior authorization for specialty procedures such as EM, EGD Botox, Barrx, CT/US Guided biopsies, Paracentesis and Capsule Endoscopies.
• Schedule, review and mail instructions and medications needed for specialty procedures.
• Prepare orders for CT/US Guided Biopsies, Paracentesis, Pelvic Floor Therapy, Speech Therapy, Therapeutic Phlebotomy, Blood Transfusion and fax to facility.
• Arrange and perform teachings for fecal transplant patients.
• Arrange and seek prior-authorization for Home Care.

Benefits

• A professional learning experience that offers meaningful, practical work related to your field of study or career interest.
• We are a proud Equal Employment Opportunity Employer.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees