Medical Authorization & Billing Specialist

Virginia, Inc.; Richmond (VA); On-site; USD 25,000 - 30,000; Full time

Benefits offered by this job

401(k)

Employee assistance program

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 (PAR) in Richmond, VA is seeking a full-time Authorization Specialist to manage medical billing authorizations, process procedures for the Biologic department, and support claims management.

The role requires knowledge of CPT/ICD-10-CM, EMR documentation, and experience with payer policies. You will follow up on claim statuses, resolve denials, and assist the Billing Director as needed. On-site environment with a collaborative team.

Qualifications

• High School Diploma or equivalent.
• One year of medical billing office 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.

Responsibilities

• Revenue Cycle Process.
• Authorization Processing.
• Apply Private Payer Policies.
• Apply Government Payer Policies.
• Follow up on Claim Statuses.
• Resolve Claim Denials.
• Daily Analysis and Resolution of outstanding insurance accounts receivable.
• Complete daily tasks: responding to insurance representatives.
• Assist Billing Director with daily workload as time permits.
• Cross trained to improve the revenue cycle.

Skills

Medical billing

Customer service

Attention to detail

Education

High School Diploma or equivalent

Tools

Allscripts PM

EMR

Office equipment

Job description

Pulmonary Associates of Richmond (PAR) in Richmond, VA is seeking a full-time Authorization Specialist to manage medical billing authorizations, process procedures for the Biologic department, and support claims management.

The role requires knowledge of CPT/ICD-10-CM, EMR documentation, and experience with payer policies. You will follow up on claim statuses, resolve denials, and assist the Billing Director as needed. On-site environment with a collaborative team.