Medical Utilization & Pre-Billing Specialist

Pafford Medical Services; Ridgeland (MS); On-site; USD 28,000 - 42,000; Full time

Job summary

Pafford EMS in Ridgeland, MS is seeking a detail-oriented Pre-Bill Specialist to support medical billing processes and ensure timely reimbursement. You will verify insurance, assemble documentation, and coordinate pre-authorizations with the Medical Utilization Officer while maintaining professional communication with payers and customers.

Ideal candidates have strong computer skills, enjoy multitasking in a fast-paced environment, and uphold high standards of privacy and ethics.

Qualifications

• Able to work independently.
• High level computer skills.
• Excellent interpersonal skills.
• Service oriented.

Responsibilities

• Pre-Billing inclusive of but not limited to Charts, Insurance Verification, and collection of needed documentation.
• Work with Medical Utilization Officer on repetitive patient accounts. This will include maintaining current PCS forms and documents needed for billing to obtain prior authorization.
• Daily review of fax/scanned medical necessity forms, and attachment of those forms to patient records in CAD.
• Work with field management staff to obtain patient assessments when needed.
• Communicate with customers in a professional manner.
• Interact with payers to secure timely payment information and/or pre-authorization.
• Verify payor coverage through resources available.
• Maintain knowledge of payor regulations including need for pre-authorizations.
• Represent the organization professionally and appropriately.
• Ability to work in and participate in a team environment
• Perform other duties as assigned.

Skills

EMS dispatch

Interpersonal skills

Computer skills

Education

High school diploma or GED

Job description

Pafford EMS in Ridgeland, MS is seeking a detail-oriented Pre-Bill Specialist to support medical billing processes and ensure timely reimbursement. You will verify insurance, assemble documentation, and coordinate pre-authorizations with the Medical Utilization Officer while maintaining professional communication with payers and customers.

Ideal candidates have strong computer skills, enjoy multitasking in a fast-paced environment, and uphold high standards of privacy and ethics.