Description
Are you detail-oriented, organized, and passionate about healthcare support services? Virtual Staffing Solutions is currently expanding and is looking for Authorizations Management Representatives to deliver high-quality, back-office that ensures timely care for patients.
Key Responsibilities
- Confirm that patient demographics, guarantor, and insurance information is correct
- Obtaining pre-authorizations as required for procedures
- Verify insurance eligibility for all patient accounts
- Respond to inquiries from insurance companies, patients, and all third parties
- Updating spreadsheets on all pending authorizations
- Ability to assign ICD-10 diagnosis codes and CPT code charges to patient charts with accuracy and attention to detail, a plus
- Call insurance companies to resolve authorization issues
- Identifying and reporting any potential compliance risks and reimbursement opportunities
Skills, Knowledge & Expertise
- Must have at least 1 year BPO experience in US Medical Billing or a relevant field of work, with direct experience in handling the authorization process.
- Has a strong working knowledge of US billing, collection, coding, health care practices, laws, and regulations related to claims processing and collections.
- Ability to assign ICD-10 diagnosis codes and CPT code charges to patient charts with accuracy and attention to detail is a huge plus.
- Must be willing to work on-site.
About Virtual Staffing Solutions
We specialize in delivering innovative solutions and exceptional services to meet the diverse needs of our clients. With a strong commitment to quality and customer satisfaction, we strive to exceed expectations and drive success in every project we undertake.
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