VerityMD Inc. is seeking an experienced, dependable, and highly organized Medical Biller, Prior Authorization and Revenue Cycle Specialist for its Folsom neurology clinic.
This is a hands-on role supporting the day-to-day revenue cycle operations of a four-provider specialty practice. Responsibilities include insurance verification for new referrals, charge entry, claim submission, payment posting, denial follow-up, accounts receivable, credentialing, and staff training.
The practice uses Tebra for billing and revenue cycle workflows, and the ideal candidate should be comfortable learning new systems and adapting as the organization grows.
The specialist will work closely with providers, front-office staff, the calling team, and the clinical team to help ensure patients are financially cleared before scheduling, charges are entered correctly, claims are submitted promptly, and authorization-related delays are minimized.
Qualifications
- Minimum of three years of medical billing, coding, or revenue cycle experience
- Hands-on experience with Tebra or a comparable medical billing and practice-management platform
- Experience independently processing a high daily volume of referrals and charges
- Strong knowledge of insurance eligibility, benefits, referrals, prior authorizations, claims, payment posting, denials, appeals, and accounts receivable
- Prior authorization experience involving medications, imaging, procedures, infusions, or specialty services
- Knowledge of Medicare, commercial insurance plans, medical groups, and managed-care requirements
- Neurology or specialty-practice experience strongly preferred
- CPC, CCS, CPB, or another recognized billing or coding certification preferred
- Credentialing and payer-enrollment experience preferred
- Payroll, invoice-management, bookkeeping, or practice financial-administration experience is a plus
- Strong attention to detail and ability to manage multiple deadlines
- Excellent written and verbal communication skills
- Ability to work independently, follow tasks through to completion, and proactively identify problems
Work Schedule and Compensation
- Full-time position based primarily at the Folsom clinic
- Expected schedule is approximately 8:00 a.m. to 5:00 p.m., Monday through Friday
- Limited hybrid flexibility may be considered after successful training and consistent performance
- Competitive hourly or salaried compensation based on experience, certification, and qualifications
Why Join VerityMD?
- Join a growing and innovative physician-led neurology practice
- Play an essential role in helping patients receive timely neurological care
- Work directly with a collaborative team in a four-provider practice
- Gain exposure to advanced neurology services, including infusion therapy, dementia care, Botox, EEG, EMG, autonomic testing, and PET imaging
- Help create efficient systems that improve patient access, reduce denials, and strengthen the practice’s financial performance
- Grow professionally as VerityMD expands its clinical programs and locations
Location
California, US
Employment Type
Part-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago