Responsible for functions and activities related to obtaining insurance precertification/authorization for procedures, infusions, and diagnostic services on behalf of the patient and the Practice, including, but not limited to, accurate and complete patient registration in the electronic scheduling and billing system, insurance verification and updates, contacting third party payers via phone, fax and internet to obtain necessary approvals and communicating results to the patient, physician and other staff.
Responsible for denial investigation and working with billing department to correct denials and communicate with providers.
This position requires a working knowledge of Medicare, Medicaid and Commercial insurance plans, medical terminology, billing, and supervisory experience.
It requires strong verbal and written communication, customer service and organizational skills.
QUALIFICATIONS/REQUIREMENTS: * High School diploma is required, Associates Degree preferred.
* Office management, supervisory experience and minimum of 2 years administrative experience is required.
* 1 to 2 years of previous insurance verification, pre-certification/pre-authorization, medical billing, or other related experience in healthcare environment.
* High level of competency with computers, electronic medical records, the Internet, and computer software such as MS Office or equivalent is required.
* Knowledge of medical office operations, coding and billing, medical terminology and third party insurance processes is required.
* Demonstrated ability to prioritize and manage multiple tasks and demands given tight time constraints while ensuring a high degree of accuracy and attention to detail.
Must be able to manage time efficiently with minimal supervision.