Medical Billing Authorizations Specialist
Required skills
- Medical Billing
- Authorizations
- Hospice
- Home Health
- claims
- denials
- collections
- eligibility verification
- payer portals
- SNF claims
Nice to have
- 2 years college
Role summary
Dhillon Healthcare Group is seeking a Medical Billing Authorizations Specialist to ensure precise and punctual submission of medical claims and bills. This role involves overseeing claims, denials, and collections for Hospice agencies, verifying eligibility, and serving as a liaison for Skilled Nursing Facilities. Responsibilities include maintaining payer requirements, obtaining financial responsibility acceptance, repricing claims, and providing insurance education. The specialist will communicate professionally and foster a collaborative environment within the billing and authorization teams. Requires at least two years of experience in healthcare data entry (preferably hospice) and one year in healthcare authorization (preferably home healthcare).
Job Details: Job Location: DHILLON HEALTHCARE GROUP - SALIDA, CA, Position Type: Full Time, Salary Range: $26.00 - $26.00Hourly, Job Shift: Day, Qualifications: Dhillon Healthcare Group is looking for a dynamic team player to join our amazing billing team! The Medical Billing Authorizations Specialist is responsible for ensuring precise and punctual submission of medical claims and bills to various payers and patients. This role significantly contributes to the delivery of high-quality patient care and successful treatment outcomes. Some of the job responsibilities include, but not limited to: Oversees claims, denials, and collections for Hospice agencies, providing backup support for Home Health agencies. Verify hospice eligibility and serve as backup for authorizations for Home Health. Act as the Skilled Nursing Facility Liaison for Seva Hospice, verifying all SNF claims and validating patient information, claim amount, share of cost, etc. Maintain an updated manual with processing eligibility and authorization requirements for each commercial payor/portal, including the login for any portals needing access. Obtain acceptance of financial responsibility for external provider claims and invoices reprice claims to Medicare rates, and submit to accounting for payment Insurance education and support to the Hospice and Home Health Clinical/Intake Teams Communicate professionally, courteously, and in a timely manner with all verbal and written contacts with staff, payors, vendors, and patients. Foster a positive and collaborative working environment with all internal clinical, intake, billing, and authorization teams. The position qualifications are as follows: At least two (2) years of experience in health care data entry, preferably in hospice care systems. At least one (1) year of previous healthcare-related authorization experience, preferably in home healthcare billing. Ability to operate IBM-compatible systems and equipment. Is a high school graduate or equivalent, two (2) years college preferred. We offer a variety of benefits: 401(k) with Employer Matching Dental Insurance Disability Insurance Employee Assistance Program Employee Referral Program Flexible Spending Account Health Insurance Health Savings Account Life Insurance Mileage Reimbursement Paid Time Off Pet Insurance Supplemental Insurance Vision insurance If this sounds like the opportunity you've been waiting for, apply now!
