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Medical Billing
3 months ago
The Medical Billing Specialist (Authorizations) is responsible for planning, organizing, and coordinating daily operations to ensure quality patient financial services and streamlined access to service for all patients. Responsibilities include providing administrative, and clerical services, coding, billing, collection of payments, and input into process improvement.
Qualifications and Requirements
- Document all prior authorization information, including approval dates, billing units, procedure codes, and prior authorization number in the patient profile.
- Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.
- Receive requests for prior authorization and ensure that they are properly and closely monitored within company-set standards.
- Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed.
- Collaborate with other departments to assist in obtaining prior authorization /appeals.
- Proactively work on prior authorizations that are due to be expired.
- Insurance verification for new and current patients, review of incoming authorizations, and accurate input into electronic medical records system (“EMR”).
- Responsible for determining patient financial responsibility as determined by the insurance company.
- Research and verify patient demographic information through online verification systems.
- Verify insurance eligibility; get authorization and ability to identify different kinds of insurance coverage and limitation.
- Excellent verbal and written communication skills to communicate with diverse populations including physicians, employees, patients, and families.
- Analytical skills to evaluate patients’ financial responsibility across all departments based on the guidelines provided.
- Work effectively with others. Collaborate with other staff in the department and other departments to ensure continuity and quality of care.
- Ability to multi-task, work independently and problem solve.
- Demonstrate a high level of professionalism and accountability.
- A high school diploma required
- Billing Certification required
- Excellent computer skills and EMR knowledge
Experience
- Minimum of 1 experience in the health care industry required including Medicare/Medical and HMO electronic claims submission.
- Must be familiar with the medical authorization process for all types medical insurance including accessing portals of various health plans.
- Exposure in an Oncology and/or Imaging setting is highly preferred.
Benefits
We offer competitive salaries and a diverse blend of benefits and incentives. Benefits include:
- Health, dental, and vision insurance
- 401k
- Company-sponsored life insurance
- Voluntary supplemental life insurance
- Voluntary short-term / long-term disability options
- Flex PTO & paid holidays
- Employee recognition programs
- Team building events & employee appreciation lunches
- Referral bonus programs
- FSA
- Job training, professional development, & continued education
About the Practice and Mission
At the Beverly Hills Cancer Center, our primary goal is to cure every patient's cancer. Since we know that in many cases advanced-stage cancers cannot be cured, our next goal is to make cancer a chronic disease, with which our patients can live and lead relatively normal lives. We accomplish our goals daily in our Los Angeles facility, which provides state-of-the-art, cutting-edge medical treatment, and caring attention to the mind, body and soul of each and every patient. With this fusion of science and caring, we aim to provide our patients with the best possible healing, and pride ourselves for being one of the best cancer treatment centers internationally.
As a private, comprehensive facility, Beverly Hills Cancer Center provides state-of-the-art cancer treatment under one roof. Our facilities include an innovative radiation oncology center, a soothing and spacious infusion center, a full-service diagnostic imaging center (with MRI, CT, PET/CT, and Bone Scan technology), and a complete, award-winning diagnostic laboratory. We also conduct some of the world’s leading clinical trials for cancer treatment right here in our facility — making ours one of the top cancer centers in Los Angeles and worldwide.
Driven by our unique model and goal to provide exceptional and personalized care, we have become the only private comprehensive cancer treatment facility in Southern California. By combining advanced treatment modalities and technologies, in a soothing environment with caring physicians and staff, we are able to provide maximum peace of mind for patients. While such things may seem like a luxury to some, here at the Beverly Hills Cancer Center we understand that a tranquil, stress-free environment is integral to the healing process.
Beverly Hills Cancer Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience (including specific industry), education, specialty and training. This pay scale is not a promise of a particular wage.