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Eligibility Specialist

VirtualVocations
Saint Louis, Missouri, United States
Full-time

A company is looking for an Eligibility and Prior Authorization Specialist.Key Responsibilities : Serve as a source of knowledge for the revenue cycle functionDevelop appropriate workflows and tracking for the revenue cycle functionLead weekly meetings to review metrics, workflows, and performance improvement opportunitiesRequired Qualifications : At least 3 years of experience in medical billing and insurance collectionsAt least 3 years of experience with Eligibility and Prior Authorization requirementsBachelor's Degree in a healthcare-related field or equivalent experienceKnowledge of CPT / HCPCS, ICD-10, modifier selection, and UB revenue codesExperience with payer utilization management policies and appeals

26 days ago
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