Patient Accounts & Insurance Authorization Specialist

EVMS Medical Group; Norfolk (VA); On-site; USD 42,000 - 54,000; Full time

Job summary

EVMS Medical Group seeks a Billing Specialist to manage patient accounts, verify insurance, obtain authorizations, and follow up on denials to support timely reimbursement. The role collaborates with clinical and scheduling staff to address authorization requirements, document billing activities, and communicate with patients about estimated financial responsibility before procedures.

Experience in revenue cycle and knowledge of payer requirements is preferred.

Qualifications

• At least 1 year of patient billing, insurance verification, authorization, patient accounts, or revenue cycle experience preferred.
• Experience with medical billing and insurance processes preferred.
• Knowledge of commercial insurance, Medicare, Medicaid, Tricare, and other payer requirements preferred.
• Experience researching and resolving insurance denials and claim-related issues preferred.

Responsibilities

• Determine whether insurance authorization or referral requirements apply to scheduled services.
• Obtain, initiate, or facilitate insurance authorizations when appropriate.
• Identify incorrect authorization information and coordinate with payers and offices to correct discrepancies.
• Follow up on pending authorizations and referrals to avoid delays in scheduling and care.
• Follow up with insurance carriers and self-pay accounts to resolve issues.
• Maintain accurate and timely documentation of billing and insurance follow-up activities.
• Assist patients with questions regarding insurance coverage, balances, deductibles, and coinsurance.
• Communicate estimated financial responsibility to patients prior to service dates.
• Provide patients with estimated out-of-pocket costs for elective procedures when available.
• Coordinate with scheduling and clinical staff to ensure financial clearance for elective cases.

Skills

Insurance verification

Authorization management

Billing & collections

Patient communication

Job description

EVMS Medical Group seeks a Billing Specialist to manage patient accounts, verify insurance, obtain authorizations, and follow up on denials to support timely reimbursement. The role collaborates with clinical and scheduling staff to address authorization requirements, document billing activities, and communicate with patients about estimated financial responsibility before procedures.

Experience in revenue cycle and knowledge of payer requirements is preferred.