PREAUTH COORD/CODING/INSURANCE BILLER/PCT - CARDIOLOGY

cardiovascular institute of the south; Jonesboro (AR); On-site; USD 32,000 - 42,000; Full time

Job summary

ST BERNARDS MEDICAL CENTER in Jonesboro seeks a Preauth Coord/Coding/Insurance Biller to manage pre-authorization and coding for cardiology services.

You will interact with insurers, physicians, and office staff, verify coverage, code charges, file claims, and follow up on payments while maintaining accuracy and deadlines.

Qualifications

• Must have high school diploma; associate degree or college prep in accounting/business preferred.
• Pre-Authorization experience required and two years in registration/scheduling/business office.
• Two years in ICD-9-CM coding; healthcare billing/follow-up experience preferred.

Responsibilities

• Collect pre-authorization information and verify insurance coverage.
• Communicate with insurers/review agencies to obtain needed details.
• Code hospital charges daily and ensure data accuracy.
• File electronic claims and monitor insurance reports every morning.
• Call insurers to follow up on payments or denials and assist patients with information.

Skills

Pre-Authorization experience

ICD-9-CM coding

Communication with payers

Deadline management

Education

High school graduate

2 years of college prep or vocational training in accounting or business

Medical terminology and ICD-9-CM coding classes

Tools

Billing software

Electronic claims submission

Job description

PREAUTH COORD/CODING/INSURANCE BILLER/PCT - CARDIOLOGY

Clinics

ST BERNARDS MEDICAL CENTER

JBORO CARDIOLOGY & VASCULAR

Full Time , Day Shift , M-F 8-5

Minimum Age Requirement: 18 years of age or older

JOB REQUIREMENTS

Education

Must be a high school graduate. Preferably 2 years of college prep or equivalent Vocational School training with an emphasis on accounting or business. Completion of medical terminology and coding classes in ICD-9-CM.

Experience

Pre-Authorization experience required. Two years in registration, scheduling, or business office required. Requires minimum of two years in ICD-9-CM coding experience. Previous healthcare billing and follow-up experience preferred. Able to work under deadline pressure. Ability to interact well with physicians, physician offices, business office personnel, etc. to obtain appropriate information needed to assign codes as well as communicating with the public and insurance carriers.

Physical

Normal hospital environment. Close eye work. Hearing within normal range. Operates, computer, telephone, copier, general office equipment. Continuous sitting. Occasional walking and bending within the work area. Lifting, carrying, pushing and pulling charts and office supplies up to 20 lbs.

JOB SUMMARY

• The Pre-Authorization Educator is responsible for collecting appropriate pre-authorization information and verifying coverage of patients admitted under group or private insurance plans. Must be able to converse with insurance company and review agency representatives and possess communication skills to provide needed information in a clear and concise manner. Is responsible for providing information from insurance companies and/or review agencies to appropriate medical center departments in an orderly and timely manner. Pre-Authorization Educator will work closely with Business Office, Medical Records, Scheduling, Registration, and Administration to assure insurance process, pre-authorization, and utilization review flows smoothly. Is responsible for educating the Admissions department and Pre Authorization Reviewers on insurance requirements, system processes, and new process implementation. Maintain good relations with clinics and clinical staff in a positive, professional manner. The employee is responsible for preparing and accurately coding the hospital charge sheets daily, as well as making sure all charge sheets are accounted for. The daily input of charges and verify accuracy of the entered data. Filing of electronic claims and working of the insurance reports every morning. Calling insurances to follow up on payment status or appeals due to denials or incorrect payments. Calling patients for insurance information and arrange payment plan if one is needed. This position requires timely response to inquiries from both the payer and the patient. This position has high contact with patients, employees, physicians, and other members of the community. Occasional stress related to workload and deadline time frames. Attendance is an essential function of this job.