Medical Billing Authorizations Specialist

Dhillon Healthcare Group; Salida (CO); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

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

Job summary

Dhillon Healthcare Group is seeking a dynamic team player for our billing team as a Medical Billing Authorizations Specialist. You will oversee hospice claims, denials, and collections while serving as a backup for home health authorizations and SNF liaison duties.

The role requires experience in healthcare data entry and authorization, with attention to Medicare and commercial payors. We value professional communication with staff, payors, and patients, and offer a supportive, collaborative

Qualifications

• Two years of health care data entry experience, hospice care preferred.
• At least one year of healthcare-related authorization experience, home health billing preferred.
• Ability to operate IBM-compatible systems.

Responsibilities

• 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 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, then submit to accounting.
• Provide insurance education and support to Hospice and Home Health Clinical/Intake Teams.
• Communicate professionally with staff, payors, vendors, and patients.
• Foster a positive, collaborative environment across clinical, intake, billing, and authorization teams.

Skills

Healthcare data entry

Authorization experience

Hospice/home health billing

IBM-compatible systems

Education

High school diploma or equivalent

Two years college preferred

Job description

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 paymentInsurance education and support to the Hospice and Home Health Clinical/Intake TeamsCommunicate 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.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.We offer a variety of benefits:401(k) with Employer MatchingDental InsuranceDisability InsuranceEmployee Assistance ProgramEmployee Referral ProgramFlexible Spending AccountHealth InsuranceHealth Savings AccountLife InsuranceMileage ReimbursementPaid Time OffPet InsuranceSupplemental InsuranceVision insuranceIf this sounds like the opportunity you've been waiting for, apply now!