Medical Biller

The BMMSA Pulmonary department is looking for an experienced Medical Biller to join their growing team. This is a part-time position that will work 2-3 days per week. The ideal candidate will be experienced in precertifications, billing, and prior authorization. This person will be responsible for all office related precertifications.

Responsibilities:

• Reviewing chart documentation to ensure patient meets medical policy guidelines
• Prioritizing incoming authorization requests according to urgency
• Obtaining authorization via payer website or by phone and following up regularly on pending cases
• Maintaining individual payer files to include up to date requirements needed to successfully obtain authorizations
• Initiating appeals for denied authorizations
• Confirming the accuracy of CPT and ICD-10
• Coordinating and confirming insurance coverage and payments on prescriptions, procedures, and other services

Qualifications:

• Precertification experience
• Prior authorization experience
• Insurance verification experience
• Experience working with multiple health insurances
• High School Diploma or equivalent

Job Type: Part-time

Pay: $17.00 - $19.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

For questions, please call 484-272-3270 ext. 3026. or email agorsonmarrow@bmmsa.com