Medical Claims Coordinator

5 days ago


Sarasota, Florida, United States Florida Digestive Health Specialists LLP Full time
Job Summary:

As a Medical Claims Coordinator with Florida Digestive Health Specialists LLP, you will play a vital role in ensuring timely and accurate authorization of medical procedures, treatments, and services.

Responsibilities:
  • Prior Authorization Specialist
  • Verify coverage details and obtain prior authorizations for medical procedures, treatments, and services by contacting insurance companies.
  • Accurately enter and update authorization information in the electronic medical record (EMR) system.
  • Monitor authorization status and follow up with insurance companies as needed to ensure timely approvals.
  • Inform patients of authorization status, coverage details, and any potential out-of-pocket expenses.
  • Collaborate with physicians, nurses, and other healthcare providers to gather necessary documentation for authorization requests.
  • Work closely with the Central Billing Office (CBO) to ensure accurate and complete submission of claims.
  • Assist the billing department with preparation of billing data and medical claim submission to insurance companies.
  • Address and resolve any issues or discrepancies related to insurance authorizations.
  • Audit denied authorizations by preparing and submitting appropriate documentation.
Requirements:
  • Bachelor's degree in a relevant field or equivalent experience.
  • Minimum of 2 years' experience in medical billing, insurance verification, or authorization processes.
  • Knowledge of healthcare insurance plans, medical terminology, HIPAA regulations, and medical recordkeeping best practices.
  • Proficiency in EMR software and basic computer applications.
  • Strong organizational skills and attention to detail.
  • Excellent communication and interpersonal skills.
What We Offer:
  • $65,000 - $85,000 per year based on experience.
  • Comprehensive benefits package including health insurance, retirement plan, paid time off, and paid holidays.
  • Professional development opportunities.
  • A positive and collaborative work environment.
About Us:

Florida Digestive Health Specialists LLP is a premier team striving to deliver unparalleled, personalized care while treating patients like family. Our patients are at the heart of everything we do, and we are committed to making a difference in their lives.



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