HirefinderRPO
Bilingual Medical Biller/Collections & Pre-Authorization Specialist
HirefinderRPO, Coral Gables, Florida, United States,
Job OverviewWe are seeking an experienced and detail-oriented Medical Biller/collections andpre-authorization specialist to join our medical practice in Miami, Florida. The idealcandidate will have over 5 years of experience in medical billing, collections, pre-authorization with a strong background in Coding and Billing, Pre-Authorization, and Insurance Certification.
Duties• 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 insurancecompanies.• 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.
Requirements• Certification in Coding and Billing is required.•
Insurance Certification and experience with pre-authorization processes arestrongly preferred.• 5+ years of experience in medical billing and collections.• Experience pain management, spine and orthopedics is a plus.• 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.• Software experience in MAC Practice helpful but not required• Experience in billing and collections of workers compensation and auto.• Must be proficient in English, both written and spoken.
Duties• 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 insurancecompanies.• 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.
Requirements• Certification in Coding and Billing is required.•
Insurance Certification and experience with pre-authorization processes arestrongly preferred.• 5+ years of experience in medical billing and collections.• Experience pain management, spine and orthopedics is a plus.• 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.• Software experience in MAC Practice helpful but not required• Experience in billing and collections of workers compensation and auto.• Must be proficient in English, both written and spoken.