Authorization & Referral Specialist - Payer Advocate

Berkshire Health Systems; Pittsfield (MA); On-site; USD 42,000 - 55,000; Full time

Job summary

Berkshire Health Systems in Pittsfield, MA seeks a detail oriented billing professional to manage scheduled/registered accounts and ensure timely reimbursement. You will secure authorizations, review accounts for accuracy, and respond to inquiries throughout the billing cycle.

Experience with Meditech or AllScripts, remote communication with payers and patients, and strong confidentiality are essential to success in this role.

Qualifications

• Three years experience in hospital admitting/billing required.
• Expert knowledge of Medicare, Medicaid, and Blue Cross.
• Two years of college in business/health related field or equivalent work experience.

Responsibilities

• Responsible for selected fiscal aspects of scheduled/registered accounts to prepare for billing.
• Obtain authorizations to avoid insurance denials and assure timely third party reimbursement.
• Handle inquiries during appeals process and from patients, families, and providers.

Skills

Hospital billing

Third party payers

Customer service

Education

Two years college

Tools

Meditech

AllScripts

Job description

Berkshire Health Systems in Pittsfield, MA seeks a detail oriented billing professional to manage scheduled/registered accounts and ensure timely reimbursement. You will secure authorizations, review accounts for accuracy, and respond to inquiries throughout the billing cycle.

Experience with Meditech or AllScripts, remote communication with payers and patients, and strong confidentiality are essential to success in this role.