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)

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 is seeking a full-time Authorization Specialist to handle all aspects of medical billing authorization for our Biologic department and related claims. The role requires knowledge of CPT/ICD-10-CM, payer policies, and EMR systems.

Attention to detail and customer service are essential to maintain our high standards of patient care and revenue cycle performance. The position offers on-site work in Richmond, VA with benefits including health insurance and a 401(k).

Qualifications

• High School Diploma or equivalent required.
• One year of medical billing office experience preferred.
• Knowledge of CPT, ICD-10-CM and HCPCS Level II coding.
• Familiarity with medical authorization life cycle.
• Experience with EMR documentation and Windows software.
• Proficient in Allscripts PM and general office equipment.

Responsibilities

• Oversee revenue cycle processes and authorization processing.
• Apply private payer and government payer policies.
• Follow up on claim statuses and resolve denials.
• Daily analysis and resolution of outstanding accounts receivable.
• Maintain CPT/ICD-10-CM coding accuracy and documentation.
• Respond to insurance representatives and manage daily workload.
• Assist Billing Director with tasks and cross-train as needed.

Skills

Medical billing

Customer service

Authorization life cycle

CPT/ICD-10-CM knowledge

EMR knowledge

Windows skills

Allscripts PM

Education

High school diploma or equivalent

Tools

Allscripts PM

EMR

Job description

Pulmonary Associates of Richmond is seeking a full-time Authorization Specialist to handle all aspects of medical billing authorization for our Biologic department and related claims. The role requires knowledge of CPT/ICD-10-CM, payer policies, and EMR systems.

Attention to detail and customer service are essential to maintain our high standards of patient care and revenue cycle performance. The position offers on-site work in Richmond, VA with benefits including health insurance and a 401(k).