ReWorks Solutions
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Billing and Authorizations Specialist
Full TimeRemote
Location
United States
Posted
6 days ago
Salary
Not specified
No structured requirement data.
Job Description
Manage all aspects of billing, including preparing and submitting medical claims to insurers for reimbursement.
Request and obtain prior authorizations for services to ensure timely patient care while adhering to payer guidelines.
Follow up on outstanding claims and authorization requests, addressing any discrepancies or issues that arise.
Maintain accurate records of billing, payment, and authorization documentation through electronic health record (EHR) systems.
Communicate regularly with patients, healthcare providers, and insurance representatives to resolve billing and authorization inquiries.
Monitor billing trends and authorization metrics to identify opportunities for process improvement.
Job Requirements
- Associate's degree in Healthcare Administration, Business, or a related field; Bachelor's degree preferred.
- A minimum of 2 years of experience in medical billing and authorizations in a healthcare setting.
- Strong understanding of medical coding (CPT, ICD-10, HCPCS) and payer-specific requirements.
- Excellent attention to detail with strong organizational skills to manage multiple tasks effectively.
- Proficient in EHR systems and billing software along with standard office applications.
- Strong verbal and written communication skills to facilitate working with diverse stakeholders.
- Ability to work independently in a remote setting while demonstrating professionalism and accountability.
- Comfortable working U.S. hours.
