Position Summary
We are seeking an experienced and detail-oriented Medical Biller/collections and pre-authorization specialist to join our medical practice in Miami, Florida. The ideal candidate will have over 5 years of experience in medical billing, collections, preauthorization with a strong background in Coding and Billing, Pre-Authorization, and Insurance Certification.
Essential Duties and Responsibilities
- Accurately process and submit claims to insurance companies.
- Follow up on unpaid claims and handle denials or rejections.
- Manage pre-authorization processes to ensure timely approval of services.
- Ensure timely collection of outstanding balances from patients and insurance companies.
- Maintain detailed records of billing activities and collections.
- Collaborate with healthcare providers to resolve billing discrepancies.
- Stay updated with the latest healthcare billing regulations and practices.
Knowledge, Skills, and Abilities
- Strong understanding of medical terminology and coding (ICD-10, CPT).
- Proficiency in billing software and electronic health records (EHR).
- Excellent communication and organizational skills.
- Ability to work independently and as part of a team
- Experience in billing and collections of workers compensation and auto
Education & Experience
- Certification in Coding and Billing is required.
- Insurance Certification and experience with pre-authorization processes required
- 5+ years of experience in medical billing and collections.
- Experience pain management, spine and orthopedics is a plus
- Must be proficient in English, both written and spoken.
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