Medical Claims Specialist

4 weeks ago


Catonsville, Maryland, United States Quadrant Full time
Medical Biller - Preauthorization Specialist

Catonsville, MD

Requirements:

The Medical Biller - Preauthorization Specialist must have:

  • Minimum High School Diploma or equivalent; Associate's degree in Health Care preferred
  • 4 years of experience in insurance authorization
  • HIPAA Compliance - handling patient information with discretion and integrity
  • Meticulous and timely attention to detail and data entry
  • Well organized, multi-tasker and ability to work efficiently in a fast-paced environment
  • Strong organizational skills, time management, and multi-tasking abilities

Responsibilities:

Maintain accurate, patient demographic information and data collection systems

Answer staff and insurance company questions

Manage all aspects of obtaining pre-authorization prior to patient procedures (in office, hospital procedures, internal imaging)

Contact insurance companies via phone and insurance web-based systems

Verify patient insurance and provide appropriate CPT codes/Diagnosis codes to insurance companies for pre-authorization approval and/or referrals

Act as a liaison between insurance companies, Providers, and patients

CPT and ICD-10 CM coding knowledge preferred

Quadrant is an affirmative action/equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability.



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