Medical Billing / Verifications Specialist

Job Description

Job Description

Description :

This person is responsible for insurance verification, obtaining prior authorizations, bill insurance claims and follow-up.

• Obtain authorizations, referrals, GAP exceptions, and Single Case Agreements
• Manage and prioritize required approvals with consistent follow-up while constantly communicating with the team
• Provide clinical documentation to insurance companies to ensure timely authorization.
• Initiate appeals for upfront denied authorizations and follow through until completion
• Check eligibility and benefits
• Electronic claims building and submission
• Chart and coding review
• Call patients when necessary to verify insurance information
• Read and analyze EOBs and ERAs
• Work claims rejects / denials, send corrected claims, submit appeals
• Stay up to date on CPT, ICD, and LCD guidelines
• Provide excellent customer service and professionalism to patients

Requirements :

Skills, Minimum Qualifications

Please note that this position is not remote and requires employees to travel to work location.