Medical Billing & Authorization Specialist

Children's Rehabilitation Institute TeletonUSA; San Antonio (TX); On-site; USD 25,000 - 39,000; Full time

Job summary

Children's Rehabilitation Institute TeletonUSA is seeking a Billing Authorization Specialist to manage daily authorization and referral submissions. You will verify insurance benefits, communicate with patients about coverage and costs, and maintain compliant reports.

This role supports the Patient Services and Billing Office and collaborates with clinicians to coordinate services. Responsibilities include monitoring authorization status, obtaining necessary documentation, and addressing denial

Qualifications

• High school diploma or GED required.
• Minimum 1 year of experience in medical billing, insurance verification or prior authorization preferred.
• Certified Medical Billing and Coding Specialist (CMBS, CPC, or equivalent) is a plus.
• Valid Texas Driver License and background check may be required.

Responsibilities

• Verifies insurance benefits and coverage for patients, ensuring all required documentation is in place.
• Communicates with patients regarding their insurance coverage, co-pays, and out-of-pocket costs.
• Prepares and maintains reports in compliance with state and federal regulations.
• Monitors status of authorization requests to ensure receipt within established timelines.
• Secures needed medical documentation requested by third party insurance carriers.

Skills

Medical terminology

HIPAA regulations

Communication with patients

Billing inquiries

MS Office

EHR/EMR systems

Spanish bilingual

Education

High School Diploma or GED

Certified Medical Billing and Coding Specialist (CMBS, CPC, or equivalent)

Tools

MS Office Programs

EHR/EMR Systems

Job description

Children's Rehabilitation Institute TeletonUSA is seeking a Billing Authorization Specialist to manage daily authorization and referral submissions. You will verify insurance benefits, communicate with patients about coverage and costs, and maintain compliant reports.

This role supports the Patient Services and Billing Office and collaborates with clinicians to coordinate services. Responsibilities include monitoring authorization status, obtaining necessary documentation, and addressing denial