Healthcare Reimbursement & Prior Authorization Specialist

Hye Class Talent & HR Consulting; Collinsville (CT); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

401K plan

Flexible Spending Account (FSA)

Job summary

Hye Class Talent & HR Consulting is seeking a Provider Verification Specialist in Collinsville, Connecticut to support billing and reimbursement processes in the healthcare industry. This role involves investigating patient medical benefits and interfacing with hospitals and physicians to ensure optimal reimbursement.

Candidates should have a minimum of a High School Diploma, 3+ years of healthcare experience, and knowledge of medical billing codes. A comprehensive benefits package is offered, including health, dental, and retirement plans.

Qualifications

• 3+ years of work experience in the health care industry.
• Solid knowledge of medical billing codes (ICD-10).
• Experience with medical device or biologics preferred.

Responsibilities

• Investigate patient's medical benefits and identify opportunities for prior authorizations.
• Prepare and submit prior authorizations in a timely manner.
• Effectively interface with hospitals and physicians to ensure high reimbursement levels.

Skills

Medical billing codes (ICD-10)

Reimbursement processes

Oral presentation skills

Education

High School Diploma

B.A./B.S. in Health Care Administration, Business, or Economics

Job description

Hye Class Talent & HR Consulting is seeking a Provider Verification Specialist in Collinsville, Connecticut to support billing and reimbursement processes in the healthcare industry. This role involves investigating patient medical benefits and interfacing with hospitals and physicians to ensure optimal reimbursement.

Candidates should have a minimum of a High School Diploma, 3+ years of healthcare experience, and knowledge of medical billing codes. A comprehensive benefits package is offered, including health, dental, and retirement plans.