Prior Authorization/Billing Specialist

Job Description: • Prepare and submit accurate insurance claims using DRG, CPT coding, ICD-9, ICD-10, and ICD coding standards. • Review and verify medical records for completeness and accuracy prior to billing. • Manage accounts receivable by following up on unpaid claims and patient balances through medical collection processes. • Utilize EMR and EHR systems to document billing information and update patient records efficiently. • Collaborate with medical staff to ensure proper documentation of services rendered with appropriate medical terminology. • Reconcile billing discrepancies and resolve claim denials promptly to ensure timely reimbursement. • Maintain organized records of all billing transactions, claims, and correspondence for audit purposes. • Stay updated on changes in medical coding regulations and insurance policies to ensure compliance. Requirements: • Proven experience in medical billing, medical office administration, or related roles. • Strong knowledge of DRG, CPT coding, ICD-9, ICD-10, ICD coding, and medical terminology. • Familiarity with EMR and EHR systems used in healthcare settings. • Experience with medical records management and medical collection procedures. • Ability to interpret complex medical documentation accurately for coding purposes. • Excellent organizational skills with attention to detail to ensure error-free billing processes. • Effective communication skills for collaborating with healthcare providers, insurance companies, and patients. • Prior experience working with medical coding standards and insurance claim submissions is highly desirable. Benefits: $18.96-$19.75 Apply tot his job