Authorization & Billing Specialist (Medical Claims)

Socket.dev; Merrimack (NH); On-site; USD 48,000 - 64,000; Full time

Job summary

Reliable Respiratory, INC is seeking an Authorization Specialist to review active rentals and future claims, ensuring proper documentation, prior authorizations, and patient eligibility for successful claim payments. This role supports patients, payors, providers and the clinic team.

Primary responsibilities include maintaining accurate patient charts, assisting with insurance verifications, and processing billing corrections while collaborating with clinical staff to ensure compliant, timely

Qualifications

• Associate’s degree or 2 years of relevant (authorization, claims, billing) experience.

Responsibilities

• Provide exceptional service to patients, payors, providers and colleagues.
• Manage prior authorizations and insurance documentation.
• Verify eligibility and billing requirements.
• Process payments and adjust billing dates as needed.
• Stay up to date on insurance guidelines and authorization criteria.
• Escalate issues and coordinate with clinical teams as needed.

Skills

Problem solving

Active listening

Decision making

Customer service

Attention to detail

Microsoft Office

Independent work

Team collaboration

Prioritization

Policy compliance

Education

Associate’s degree or 2 years experience

Tools

Microsoft Office Suite

Job description

Reliable Respiratory, INC is seeking an Authorization Specialist to review active rentals and future claims, ensuring proper documentation, prior authorizations, and patient eligibility for successful claim payments. This role supports patients, payors, providers and the clinic team.

Primary responsibilities include maintaining accurate patient charts, assisting with insurance verifications, and processing billing corrections while collaborating with clinical staff to ensure compliant, timely