Authorization Specialist

Pulmonary Associates of Richmond; Richmond (VA); On-site; USD 25,000 - 30,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Employee assistance program

Employee discount

Flexible spending account

Employee referral bonus

Health insurance

Employer Paid Life insurance and LTD.

Paid time off

Vision insurance

Job summary

Pulmonary Associates of Richmond is hiring an Authorization Specialist to handle the Biologic department procedure authorizations and related medical billing tasks. This full-time role emphasizes accuracy in CPT/ICD-10-CM coding and payer policy application.

The candidate will work in a physician practice focused on pulmonary medicine, sleep disorders, and research. Experience with EMR systems and revenue cycle activities is preferred, with competitive benefits and paid time off.

Qualifications

• Minimum one year of medical billing office experience preferred.
• Knowledge of CPT, ICD-10-CM.
• Knowledge of medical authorization lifecycle and EMR.
• Proficient with Windows-based software and basic office equipment.

Responsibilities

• Revenue Cycle Process.
• Authorization Processing.
• Apply Private Payer Policies.
• Apply Government Payer Policies.
• Follow up on Claim Statuses.
• Resolve Claim Denials.
• Submit Appeals.
• Daily Analysis and Resolution of outstanding insurance accounts receivable.
• Knowledge of CPT, ICD-10-CM, and HCPCS Level II Coding Guidelines.
• Complete daily tasks: responding to insurance representatives.
• Assist Billing Director with daily workload as time permits.
• Perform other duties to improve the revenue cycle.

Skills

Medical billing

Customer service

Education

High School Diploma or equivalent

Tools

Allscripts PM

EMR

Job description

Authorization Specialist

Pay: $18.50-$22.00 an hour based on experience

The Company:

Pulmonary Associates of Richmond (PAR) has been around since 1974. That's 50 years of serving the greater Richmond community. We specialize in pulmonary medicine, sleep disorders and research. Our staff cares about our patients and delivers the utmost excellence in quality care and customer service.

The Position :

PAR is seeking a highly motivated and enthusiastic full-time Authorization Specialist to perform all aspects of authorizing Biologic department procedure, and other tasks related to medical billing claims for the practice.

Benefits

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Employee referral bonus
• Health insurance
• Employer Paid Life insurance and LTD.
• Paid time off
• Vision insurance

Job Responsibilities for the Authorization Specialist

• Revenue Cycle Process.
• Authorization Processing.
• Apply Private Payer Policies.
• Apply Government Payer Policies.
• Follow up on Claim Statuses.
• Resolve Claim Denials.
• Submit Appeals.
• Daily Analysis and Resolution of outstanding insurance accounts receivable.
• Knowledge of CPT, ICD-10-CM, and HCPCS Level II Coding Guidelines
• Complete daily tasks: responding to insurance representatives.
• Assist Billing Director with daily workload as time permits.
• Perform other duties as assigned by provider, supervisor, or member of Administration - for example, cross trained to improve the revenue cycle.

Qualifications for the Authorization Specialist

• High School Diploma or equivalent. One year of medical billing office experience in medical practice or one year of customer service experience is preferred.
• Knowledge of CPT, ICD-10-CM
• Knowledge of a medical authorization life cycle.
• Knowledge of EMR documentation.
• Knowledge of effective claim follow up.
• Computer software skills in a Windows environment
• Skill in using Allscripts PM and EMR
• Skill in using office equipment, including multi line phone, copier, and fax machine.

Physical / Mental Demands

• Sitting for long periods of time as well as occasional standing and walking.
• Manual dexterity for using a computer keyboard and office machines.
• Ability to view computer screens for long periods.

Pulmonary Associates of Richmond is an equal opportunity employer.