Medical Authorization & Billing 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

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.