What are the responsibilities and job description for the Medical Billing Specialist, Prior Auth, Insurance Verification position at Rehab Medicine of the Carolinas?
Job Responsibilities
- Prior Authorizations:
- Submit and track prior authorization requests for medical treatments, procedures, and medications.
- Communicate with insurance providers to ensure timely approvals.
- Follow up on pending or denied authorizations and appeal as necessary.
- Insurance Verification:
- Verify patient insurance eligibility and benefits before appointments.
- Confirm coverage for specific treatments and services.
- Update patient records with insurance details and communicate coverage information.
- Billing & Claims Processing:
- Prepare, submit, and track medical claims to insurance companies.
- Identify and resolve denied or rejected claims in a timely manner.
- Ensure compliance with insurance regulations and coding guidelines.
- Patient Communication & Support:
- Inform patients about their coverage, copays, and out-of-pocket costs.
- Assist in resolving patient billing inquiries and disputes.
- Provide financial counseling when needed.
Qualifications & Skills
- Experience: 2 years in medical billing, insurance verification, or prior authorization.
- Knowledge:
- Understanding of insurance plans (commercial, Medicare, Medicaid, etc.).
- Familiarity with CPT, ICD-10, and HCPCS codes.
- Compliance with HIPAA and medical billing regulations.
- Soft Skills:
- Excellent communication and problem-solving skills.
- Strong attention to detail and ability to work independently.
Job Type: Part-time
Pay: $18.00 - $23.00 per hour
Expected hours: No less than 20 per week
Benefits:
- Flexible schedule
- Paid time off
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- No weekends
Work Location: In person
Salary : $18 - $23