*Biller and Prior Authorization Specialist*
What you'll do:
* Ensure patient information is accurate and complete
* Request any missing patient information
* Confirm patient benefits and insurance
* Must be proficient in all aspects of the prior auth process.
* Able to solve complex prior authorization questions and issues.
* Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO
* Recent experience with Medi-Cal and Medicare billing a MUST
* Transfer insurance claims and billing data to billing software
* Develop and maintain a tracking system of incoming and late payments
* Monitor and date late payments
* Initiate late payment notices to relevant parties
* Respond to questions and complaints from patients or insurance companies
* Follow-up on late or missed payment notices
* Monitor and resolve financial discrepancies
* Arrange payment plans and timelines for payments
* File and maintain organized documentation of all billing and record
* Follow set billing processes and procedures
* Update and review all accounts to keep records of payments up-to-date
* Work with personal information and maintain patient confidentiality
Job Requirements
What we're looking for:
* High school diploma or equivalent; Bachelor’s degree in accounting, health care administration, finance, business, or related field preferred
* Two (2) years’ previous experience as a medical biller or in a related healthcare administrative position, Cardiology is a big plus
* Able to multitask, prioritize, and manage time efficiently
* Self-motivated and self-directed; able to work without supervision
* Excellent verbal and written communication skills
* Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software a plus
* Strong customer service skills and comfortable answering both patient and insurance company questions
* Able to analyze problems and strategize for better solutions
* Assist other biller, staff and support the team approach.
Job Types: Full-time, Part-time
Pay: $23.
00 - $26.
00 per hour
Expected hours: 30 – 40 per week
Benefits:
* Paid time off
Schedule:
* Monday to Friday
Experience:
* ICD-10: 1 year (Required)
* Cardiology Billing: 1 year (Required)
Language:
* Spanish Fluently (Preferred)
License/Certification:
* Medical Billing Certification (Preferred)
Work Location: In person
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