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Authorization & Billing Specialist
Il y a 2 mois
About the Role
We are seeking a highly skilled Authorization & Billing Specialist to join our team at Snaphunt. As a key member of our financial operations, you will be responsible for ensuring the smooth and efficient processing of medical authorizations and billing.
Key Responsibilities
- Data Accuracy: Collect and review patient demographic and insurance data to ensure accurate authorization and billing.
- Documentation Management: Collect and submit all necessary documentation and diagnoses required for authorizations.
- Follow-Up Expertise: Provide daily updates on the status of authorization requests to ensure optimal service delivery.
- Reimbursement Maximization: Focus on ensuring maximum reimbursement through meticulous billing and coding for all services rendered.
- Claims Specialist: Manage the full claims process, from creation to follow-up, handling insurance inquiries with expertise.
- HIPAA Compliance: Uphold the strictest confidentiality and adhere to all HIPAA regulations.
- Insurance Liaison: Confirm and document patient health insurance details, including effective dates, network status, and coverage requirements.
- Problem Solving: Utilize problem-solving skills to address any issues arising from insurance coverage or prior authorizations.
- Knowledge Maintenance: Stay updated with contract limitations and details for each Managed Care Plan (MCP) and informed about services and programs offered by Snaphunt.
Requirements
- At least 5 years of experience in Authorizations and/or Medical Billing roles within the Healthcare industry.
- Working knowledge of Medical Billing, Revenue Cycle Management (RCM), and Insurance Authorizations, with developed processes in one or all of these areas.
- Strong analytical skills and comfort with numerical data.
- Highly goal-driven and able to work well in fast-paced environments.
- Strong attention to detail and delivery of high-standard work.
- Knowledge of insurance verification, prior-authorization, and office coordination.
