The Medical Billing Specialist (Authorizations) is responsible for planning, organizing, and coordinating daily operations to ensure quality patient financial services and streamlined access to service for all patients. Responsibilities include providing administrative, and clerical services, coding, billing, collection of payments, and input into process improvement.
Qualifications and Requirements
- Document all prior authorization information, including approval dates, billing units, procedure codes, and prior authorization number in the patient profile.
- Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.
- Receive requests for prior authorization and ensure that they are properly and closely monitored within company-set standards.
- Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed.
- Collaborate with other departments to assist in obtaining prior authorization /appeals.
- Proactively work on prior authorizations that are due to be expired.
- Insurance verification for new and current patients, review of incoming authorizations, and accurate input into electronic medical records system (“EMR”).
- Responsible for determining patient financial responsibility as determined by the insurance company.
- Research and verify patient demographic information through online verification systems.
- Verify insurance eligibility; get authorization and ability to identify different kinds of insurance coverage and limitation.
- Excellent verbal and written communication skills to communicate with diverse populations including physicians, employees, patients, and families.
- Analytical skills to evaluate patients’ financial responsibility across all departments based on the guidelines provided.
- Work effectively with others. Collaborate with other staff in the department and other departments to ensure continuity and quality of care.
- Ability to multi-task, work independently and problem solve.
- Demonstrate a high level of professionalism and accountability.
- A high school diploma required
- Billing Certification required
- Excellent computer skills and EMR knowledge
Experience
- Minimum of 1 experience in the health care industry required including Medicare/Medical and HMO electronic claims submission.
- Must be familiar with the medical authorization process for all types medical insurance including accessing portals of various health plans.
- Exposure in an Oncology and/or Imaging setting is highly preferred.
Beverly Hills Cancer Center in Beverly Hills, California vigorously strives to be among the world’s best health centers in our pursuit of total health and wellness by delivering leading-edge medicine in a truly compassionate manner. By combining breakthrough research with advanced diagnostic technologies and a variety of treatment modalities, our dedicated medical professionals provide uniquely comprehensive care to those with cancer and other life-threatening diseases. Our spacious, modern facility offers state-of-the-art medicine in an aesthetic, comfortable environment. If you are looking for an amazing opportunity at a top health center to provide optimal patient care, please apply today.
Benefits
We offer competitive salaries and a diverse blend of benefits and incentives. Benefits include:
- Health, dental, and vision insurance
- 401k
- Company-sponsored life insurance
- Voluntary supplemental life insurance
- Voluntary short-term / long-term disability options
- Flex PTO & paid holidays
- Employee recognition programs
- Team building events & employee appreciation lunches
- Referral bonus programs
- FSA
- Job training, professional development, & continued education
Beverly Hills Cancer Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.