Medical Billing / Coding / Prior Authorization Specialist

Exponent; United States; Remote; USD 99,000 - 136,000; Full time

Benefits offered by this job

100% remote

Self-scheduled hours

Contract opportunity

Approximately 10 hours per active week

Job summary

Exponent is seeking a healthcare revenue-cycle specialist to apply hands-on medical billing, coding, and prior-authorization expertise to evaluate workflows. You will perform eligibility verification, review authorizations, claim generation, scrubbing, remittances, charge entry, and coding, while documenting workflow findings on a remote contract project with self-scheduled hours.

This position offers a fully remote setup in the United States with flexible hours and approximately 10 hours per

Qualifications

• Five or more years of revenue-cycle experience.
• Medical billing or coding experience.
• Prior authorization experience.
• CPT knowledge.
• ICD-10 knowledge.
• HCPCS knowledge.
• Healthcare software experience.
• Relevant certification preferred.

Responsibilities

• Perform eligibility verification workflows.
• Review authorization submissions.
• Review claim generation.
• Perform claim scrubbing.
• Review remittances.
• Perform charge entry.
• Review medical coding.
• Document workflow findings.

Skills

Revenue cycle

Medical billing

Prior authorization

CPT knowledge

ICD-10

HCPCS

Healthcare software

Certification preferred

Job description

Apply hands-on medical billing, coding and prior-authorization expertise to evaluate healthcare revenue-cycle workflows.

About Exponent

Exponent recruits experienced domain professionals for specialized technology and workflow evaluation projects.

What you'll do

• Perform eligibility verification workflows
• Review authorization submissions
• Review claim generation
• Perform claim scrubbing
• Review remittances
• Perform charge entry
• Review medical coding
• Document workflow findings

What we're looking for

• Five or more years of revenue-cycle experience
• Medical billing or coding experience
• Prior authorization experience
• CPT knowledge
• ICD-10 knowledge
• HCPCS knowledge
• Healthcare software experience
• Relevant certification preferred

Benefits

• USD 72-$99 per hour
• 100% remote
• Self-scheduled hours
• Approximately 10 hours per active week
• Contract opportunity
• Specialist project experience