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HirefinderRPO

Bilingual Medical Biller/Collections & Pre-Authorization Specialist

HirefinderRPO, Coral Gables, Florida, United States


Job Overview 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, 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 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. Requirements • Certification in Coding and Billing is required. • Insurance Certification and experience with pre-authorization processes are strongly 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.