Medical Claims Coordinator
5 days ago
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.
- 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.
- $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.
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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