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Form of work
SalaryResponsibilities:
1. Obtain authorizations for office visits and physician administered medications. Pre-approve medication and procedures scheduled.
2. Approve same day drug approvals from phone calls from clinic staff and insurance companies.
3. Coordinates with all sources of payments received insurance and patient; electronically, paper, lockbox in order to balance with administration for the total deposit each day.
4. Reviews and interprets explanation of benefits (EOB) from insurance carriers to post appropriate payment and denial codes to reconcile patient accounts.
5. Apply patient for funding if needed.
6. Completes tasks accurately while maintaining quality and production standards according to SVA policies.
7. Demonstrates knowledge of insurance payer guidelines and internal collection guidelines to manage accounts in accordance and compliance with rules.
8. Identifies balances due after primary payment from a secondary payer and takes the appropriate action to ensure they are sent to secondary carriers.
9. Runs and analyzes balancing report to ensure accurate posting while supporting SVA cash control policies and procedures. Responsible for balancing payment batch, for all applicable systems, as listed on the cash log for each cash date.
10. Identifies incomplete information necessary to post remittance and works with Lead Payment Poster to resolve questions and issues to complete the work.
11. Meets monthly closing deadlines required by SVA management to meet financial reporting requirements.
12. Assists with payment and adjustment questions providing information to complete the posting of all payments and adjustments.
13. Maintains and respects the confidentiality of patient information in accordance with posting guidelines, company policy & procedure, and HIPAA guidelines.
14. Attends seminars and training as required by practice. Travel may be required.
15. Performs other duties as assigned by Business Office Manager, Administrator or physician/provider.
EDUCATION AND EXPERIENCE:
- High School diploma or equivalent.
- Well organized and detail oriented.
- Previous NextGen Experience Preferred.
- Working knowledge/experience with medical billing software.
- Understanding of private insurance rules and regulations.
This position offers a competitive salary based on experience level. Benefits package includes health insurance, dental insurance, retirement plan options, paid time off, and life insurance.
If you are a detail-oriented individual with strong organizational skills and a passion for ensuring patients receive the necessary care, we encourage you to apply. Please submit your resume highlighting your relevant experience in Prior Authorizations.
Job Type: Full-time
Pay: $16.00 - $18.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
- Monday to Friday
Work Location: In person
