Specialty Billing & Insurance Verification Specialist

midatlanticretina; Mount Carmel Township (PA); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Hiring incentive

Job summary

Mid Atlantic Retina in Mount Carmel Township, PA seeks a Specialty Billing Specialist to verify benefits for specialty drug injections, determine patient responsibility, and secure pre-authorizations. You will liaise with insurers and AR to obtain payments and maintain up-to-date billing knowledge.

The role requires medical billing experience, familiarity with CPT and ICD-10, and proficiency with Microsoft Office.

Qualifications

• Medical billing experience preferred.
• Knowledge of benefit investigation including obtaining eligibility information, authorizations, and referrals.
• Experience with CPT codes and ICD-10. Microsoft Office Suite required.

Responsibilities

• Verifies all benefits for scheduled injection appointments.
• Evaluates patient responsibility and notes accurate collection amounts.
• Obtains pre-authorizations or pre-determinations for each patient treatment.
• Monitors schedules for add-ons and changes.
• Assists in general billing AR including claims follow up and insurance calls to obtain payment for specialty drugs.
• Identifies and resolves inconsistencies in accounts and system files.
• Acts as customer service representative for patient questions about accounts.
• Maintains up-to-date billing knowledge of insurance carriers and policies.
• Travels to other MAR locations as needed.
• Performs other duties as assigned.

Skills

Medical billing

Benefit investigation

CPT/ICD-10

Microsoft Office

Tools

Microsoft Office

Job description

Mid Atlantic Retina in Mount Carmel Township, PA seeks a Specialty Billing Specialist to verify benefits for specialty drug injections, determine patient responsibility, and secure pre-authorizations. You will liaise with insurers and AR to obtain payments and maintain up-to-date billing knowledge.

The role requires medical billing experience, familiarity with CPT and ICD-10, and proficiency with Microsoft Office.