Authorization and Billing Expert
il y a 3 semaines
Medical Authorization & Billing Role
Snaphunt is seeking a highly skilled Authorization and Billing Expert to join our team. This individual will be responsible for ensuring efficient and smooth billing processes within our EHR system.
Key Responsibilities:
- Data Collection: Gather and review patient demographic and insurance data for authorization purposes.
- Documentation Management: Collect and submit necessary documentation and diagnoses for authorizations.
- Follow-Up Expertise: Provide daily updates on authorization request status to ensure optimal service delivery.
- Reimbursement Maximization: Focus on maximizing reimbursement through accurate billing and coding for all services rendered.
- Claims Management: Manage the full claims process in our EHR, from creation to follow-up, handling insurance inquiries with expertise.
- HIPAA Compliance: Uphold the highest level of 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 issues arising from insurance coverage or prior authorizations.
- Knowledge Maintenance: Stay updated on 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 within the Healthcare industry.
- Working knowledge of Medical Billing, Revenue Cycle Management (RCM), and Insurance Authorizations, with experience in developing efficient processes.
- Strong analytical skills and comfort with numerical data.
- Highly goal-driven and able to work effectively in fast-paced environments.
- Attention to detail and delivery of high-quality work.
- Knowledge of insurance verification, prior-authorization, and office coordination.
About Snaphunt
Snaphunt is a compassionate and innovative organization dedicated to aiding those experiencing homelessness, recovering from hospital stays, or facing housing challenges. Our mission is to guide individuals through the journey of finding and securing safe, stable homes. We provide essential services, including financial assistance for initial housing costs and ongoing support to maintain stable living situations.
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