Medical Billing Authorizations Specialist

Dhillon Healthcare Group; Modesto (CA); Presencial; USD 30 000 - 42 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

401(k) with Employer Matching

Dental Insurance

Disability Insurance

Employee Assistance Program

Employee Referral Program

Flexible Spending Account

Health Insurance

Health Savings Account

Life Insurance

Mileage Reimbursement

Paid Time Off

Pet Insurance

Supplemental Insurance

Vision insurance

Resumo da oferta

Dhillon Healthcare Group in Salida, CA, is seeking a dynamic Medical Billing Authorizations Specialist to join our billing team. You will ensure precise and timely submission of medical claims and authorizations for Hospice and Home Health services, supporting denial management and payer communications.

The role requires experience in healthcare data entry and authorization processes, strong attention to detail, and professional communication with staff, payors, and patients; we offer

Qualificações

• At least two years of experience in health care data entry, preferably in hospice care systems.
• At least one year of previous healthcare-related authorization experience, preferably in home healthcare billing.
• Ability to operate IBM-compatible systems and equipment.
• High school graduate or equivalent; two years college preferred.

Responsabilidades

• Oversees claims, denials, and collections for Hospice agencies, providing backup support for Home Health agencies.
• Verify hospice eligibility and serve as backup for authorizations for Home Health.
• Act as the SNF Liaison for Seva Hospice, verifying all SNF claims and patient information.
• Maintain an updated manual with processing eligibility and authorization requirements for each payor/portal.
• Obtain acceptance of financial responsibility for external provider claims and reprice to Medicare rates.
• Submit to accounting for payment and provide insurance education and support to Hospice and Home Health teams.
• Communicate professionally and timely with staff, payors, vendors, and patients.
• Foster a positive and collaborative working environment with internal teams.

Conhecimentos

Healthcare data entry

Healthcare authorization

IBM-compatible systems

Formação académica

High school diploma or equivalent

Two years college preferred

Ferramentas

IBM-compatible equipment

Descrição da oferta de emprego

Job Details

Job Location: DHILLON HEALTHCARE GROUP - SALIDA, CA, Position Type: Full Time, Salary Range: $26.00 - $26.00Hourly, Job Shift: Day

Dhillon Healthcare Group is looking for a dynamic team player to join our amazing billing team! The Medical Billing Authorizations Specialist is responsible for ensuring precise and punctual submission of medical claims and bills to various payers and patients. This role significantly contributes to the delivery of high-quality patient care and successful treatment outcomes. Some of the job responsibilities include, but not limited to:

• Oversees claims, denials, and collections for Hospice agencies, providing backup support for Home Health agencies.
• Verify hospice eligibility and serve as backup for authorizations for Home Health.
• Act as the Skilled Nursing Facility Liaison for Seva Hospice, verifying all SNF claims and validating patient information, claim amount, share of cost, etc.
• Maintain an updated manual with processing eligibility and authorization requirements for each commercial payor/portal, including the login for any portals needing access.
• Obtain acceptance of financial responsibility for external provider claims and invoices reprice claims to Medicare rates, and submit to accounting for payment
• Insurance education and support to the Hospice and Home Health Clinical/Intake Teams
• Communicate professionally, courteously, and in a timely manner with all verbal and written contacts with staff, payors, vendors, and patients.
• Foster a positive and collaborative working environment with all internal clinical, intake, billing, and authorization teams.

Qualifications

The position qualifications are as follows:

• At least two (2)years of experience in health care data entry, preferably in hospice care systems.
• At least one (1)year of previous healthcare-related authorization experience, preferably in home healthcare billing.
• Ability to operate IBM-compatible systems and equipment.
• Is a high school graduate or equivalent, two (2)years college preferred.

Benefits

We offer a variety of benefits:

• 401(k) with Employer Matching
• Dental Insurance
• Disability Insurance
• Employee Assistance Program
• Employee Referral Program
• Flexible Spending Account
• Health Insurance
• Health Savings Account
• Life Insurance
• Mileage Reimbursement
• Paid Time Off
• Pet Insurance
• Supplemental Insurance
• Vision insurance