Remote Medical Billing & Coding Specialist - Prior Auth

Glacier Hearing Services; Kalispell (MT); Hybrid; USD 52,000 - 68,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Health insurance

Life insurance

Paid time off

Profit sharing

Vision insurance

Job summary

Glacier Ear, Nose & Thyroat, Head & Neck Surgery is seeking a dedicated Certified Billing and Coding Specialist to join our team. The role focuses on medical coding and prior authorization management, with a strong emphasis on accuracy and compliance.

The ideal candidate will understand ICD-10 and CPT coding, and may have certification (CPC) though not required. Hybrid remote/in-office options are available, with on-site training as needed.

Qualifications

• Knowledge of CPT and ICD-10-CM is required.
• A coding certification is preferred but not required.
• Prior experience with medical billing is preferred.

Responsibilities

• Accurately and efficiently complete prior authorizations for services and procedures
• Verify patient eligibility, benefits, and authorization requirements
• Review and assign appropriate medical codes to ensure accurate claim submission
• Scrub claims for coding accuracy and compliance prior to submission to insurance companies
• Collaborate with the billing team to support all aspects of revenue cycle management
• Follow up on unpaid claims and assist with research, corrections, and appeals as needed
• Address past due accounts and work toward timely resolution
• Monitor and help maintain accounts receivable performance goals
• Maintain professional and compassionate communication with patients regarding billing inquiries and concerns
• Assist in implementing process improvements to enhance workflow efficiency and billing accuracy
• Stay current on industry regulations, payer guidelines, and compliance requirements related to coding, billing, and prior authorizations

Skills

CPT ICD-10-CM

Medical billing

Attention to detail

Analytical skills

Job description

Glacier Ear, Nose & Thyroat, Head & Neck Surgery is seeking a dedicated Certified Billing and Coding Specialist to join our team. The role focuses on medical coding and prior authorization management, with a strong emphasis on accuracy and compliance.

The ideal candidate will understand ICD-10 and CPT coding, and may have certification (CPC) though not required. Hybrid remote/in-office options are available, with on-site training as needed.