Authorization Specialist: Medical Billing & Payer Verification

Crossroads; Greenville (SC); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Mileage reimbursement

Community events participation

Daily impact on patients' lives

Excellent training for new employees

Job summary

A healthcare organization based in South Carolina is seeking an Authorization Specialist to manage prior authorization requests for patient services. The ideal candidate will have over four years of experience in electronic insurance verification and billing. This role involves coordinating with payers, ensuring compliance with regulations, and maintaining patient accounts. The position offers a supportive environment with opportunities for professional development and community involvement.

Qualifications

• At least 4 years of experience in insurance verification or billing in a healthcare setting.
• General knowledge of relevant coding and medical terminology.
• Ability to navigate multiple payer requirements.

Responsibilities

• Process prior authorization requests for various payers.
• Research eligibility requests and verify authorizations.
• Coordinate with internal departments on payer billing guidelines.
• Track and organize authorization status and input into EMR.
• Ensure compliance with state and federal regulations.

Skills

Electronic insurance verification

Billing experience

Knowledge of HCPCS, CPT-4, ICD9-10 coding

Familiarity with payer requirements

Job description

A healthcare organization based in South Carolina is seeking an Authorization Specialist to manage prior authorization requests for patient services. The ideal candidate will have over four years of experience in electronic insurance verification and billing. This role involves coordinating with payers, ensuring compliance with regulations, and maintaining patient accounts. The position offers a supportive environment with opportunities for professional development and community involvement.