Medical Billing & Authorization Specialist

Daybreak Inc.; Dayton (OH); On-site; USD 45,000 - 65,000; Full time

Job summary

Daybreak Inc. in Dayton, OH is seeking a Medical Billing Specialist to manage claims processing, payer follow-up, and authorization coordination.

You will support timely reimbursement and maintain compliant revenue cycle operations. This role requires meticulous attention to detail, experience with electronic health records and billing software, and ability to coordinate multiple claims and deadlines with internal teams.

Qualifications

• At least five years of experience in medical billing, claims processing, prior authorizations, or revenue cycle operations.
• Familiarity with payer authorization requirements and medical billing practices.
• Experience with electronic health records and billing software.
• Strong attention to detail and ability to manage multiple claims and authorization deadlines.

Responsibilities

• Review and submit accurate medical claims within required timelines.
• Verify client information, insurance coverage, and billing details.
• Monitor claim status and follow up on unpaid, denied, or rejected claims.
• Investigate billing discrepancies and resolve issues with payers and internal teams.
• Post payments, adjustments, and denials in the billing system.
• Obtain and track required prior authorizations for services, treatments, or procedures.
• Verify authorization requirements, submit supporting documentation, and follow up with payers on pending requests.
• Communicate authorization approvals, denials, and expiration dates to relevant staff and clients, as appropriate.
• Support account reconciliation and maintain accurate billing and payment records.
• Assist with billing reports and identify opportunities to improve billing processes and revenue cycle operations.
• Respond to client billing questions professionally and promptly.
• Maintain accurate records and protect confidential client information in accordance with applicable privacy requirements.
• Stay current with payer requirements, medical billing guidelines, and applicable regulations.
• Follow established billing procedures and support continuous improvement in billing accuracy and efficiency.

Skills

Experience in medical billing

Attention to detail

Deadline management

Multi-claim handling

Tools

Electronic health records

Billing software

Job description

Daybreak Inc. in Dayton, OH is seeking a Medical Billing Specialist to manage claims processing, payer follow-up, and authorization coordination.

You will support timely reimbursement and maintain compliant revenue cycle operations. This role requires meticulous attention to detail, experience with electronic health records and billing software, and ability to coordinate multiple claims and deadlines with internal teams.