Prior Authorization & Medical Billing Specialist

Sports Medicine Associates of San Antonio - SMASA; San Antonio (TX); On-site; USD 34,000 - 44,000; Full time

Job summary

Sports Medicine Associates of San Antonio - SMASA is seeking a Medical Billing/Authorization Clerk to verify insurance benefits and secure pre-authorizations for services. You will communicate with patients, physicians, and insurance carriers, ensuring accurate billing and EMR data entry.

The role requires experience with workers' compensation, medical terminology, and proficiency in MS Office and EMR systems. This on-site position is in the Business Office department.

Qualifications

• High School diploma or GED required.
• Minimum 2 years of workers compensation experience.
• Minimum 1 year experience as a medical biller/coder.
• Experience with electronic scheduling system and electronic medical records (EMR) required.
• Familiar with medical terminology.

Responsibilities

• Verify insurance benefits for patients.
• Notify patients of deductibles and co-insurance due.
• Contact primary care physicians regarding referrals and pre-authorizations.
• Request referrals for services and track appointments.

Skills

Active listening

Patient communication

Education

High School diploma or GED

Tools

Microsoft Office

EMR system

Job description

Sports Medicine Associates of San Antonio - SMASA is seeking a Medical Billing/Authorization Clerk to verify insurance benefits and secure pre-authorizations for services. You will communicate with patients, physicians, and insurance carriers, ensuring accurate billing and EMR data entry.

The role requires experience with workers' compensation, medical terminology, and proficiency in MS Office and EMR systems. This on-site position is in the Business Office department.