Medical Billing Specialist - Pre-Auth & Claims

RXinsider LTD.; Lenexa (KS); On-site; USD 42,000 - 65,000; Full time

Job summary

Eurofins Transplant Genomics, LLC is seeking a Billing Specialist to verify patients’ insurance, determine financial responsibilities, and obtain prior authorizations. The role involves communicating with patients, payors, and the sales team, submitting urgent authorizations, and ensuring accurate documentation and claims submissions.

The successful candidate will manage payor websites, stay current with policy changes, and protect PHI while meeting daily and monthly production targets.

Qualifications

• Bachelor's degree or equivalent required/preferred.
• Experience verifying patients' insurance and benefits.
• Experience with prior authorization and payor websites.
• Familiarity with PHI handling and data privacy.

Responsibilities

• Verify patients’ insurance and benefits.
• Communicate patients’ responsibilities to the patient and sales team.
• Submit prior authorization requests to payor websites, fax, or phone.
• Obtain medical records or LMNs requested by insurance.
• Submit claims to insurance carriers.
• Coordinate with clients and providers to resolve issues.

Skills

Communication skills

Prioritization

Research

Attention to detail

Education

Bachelor's degree

Tools

Accounting software

Job description

Eurofins Transplant Genomics, LLC is seeking a Billing Specialist to verify patients’ insurance, determine financial responsibilities, and obtain prior authorizations. The role involves communicating with patients, payors, and the sales team, submitting urgent authorizations, and ensuring accurate documentation and claims submissions.

The successful candidate will manage payor websites, stay current with policy changes, and protect PHI while meeting daily and monthly production targets.