Under the direction of the Revenue Integration Manager, this role is responsible for obtaining preauthorization for inpatient admissions, outpatient surgeries, and advanced imaging procedures, as well as processing charges through various methods to support the billing process.
Key responsibilities include:
- Tracking authorization requests using the Managed Care Worklist
- Prioritizing requests and obtaining approvals before scheduled dates of service
- Communicating with medical office staff and co-workers in a professional manner
- Maintaining the Preauthorization Insurance Matrix and staying current on payer requirements
- Assisting medical offices with questions related to managed care and authorization
- Analyzing worklist data to recommend process improvements
- Providing feedback to Practice Managers on requests that could not be processed
- Supporting the overall billing process and continued operational efficiency
Requirements & Qualifications
Education and experience
- High school diploma or equivalent required
- Medical billing or insurance experience preferred
- Minimum 1 year of customer service experience
Knowledge, skills, and abilities
- Ability to prioritize and manage multiple tasks
- Strong customer service, interpersonal, verbal, and written communication skills
- Strong attention to detail and basic math skills
- Good organizational skills and ability to adapt to frequent changes
- Ability to work collaboratively with staff at all levels
- Computer proficiency, including PC Windows and MS Office
- Ability to learn new applications quickly
- Strong critical thinking and analytical skills
- Understanding of the charge cycle, insurance billing, collections, and self-pay processes
- Commitment to protecting confidential information
- Proficiency with PPP, Horizon System, Microsoft Excel, and Word
- Ability to communicate effectively with individuals from diverse socioeconomic backgrounds
Location
Florida, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago
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