Intake SpecialistHead Medical Billing
Intake SpecialistHead Medical Billing
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Job Description
Job Description Intake Specialist/Head (Medical Billing)
Position: Intake Specialist/Head
Department: Medical Billing / Revenue Cycle Management
Location: Work from Office
Reports To: RCM Manager
Job Summary:
The Intake Specialist/Head in Medical Billing is responsible for managing patient referrals verifying insurance eligibility obtaining prior authorizations/LOA and ensuring all necessary documentation is collected for seamless billing and claims processing. This role requires excellent communication skills attention to detail and a deep understanding of medical billing procedures.
Key Responsibilities:
Referral & Intake Processing:
- Receive and review patient referrals from providers or healthcare facilities.
- Verify patient demographics and insurance details in the system.
- Ensure all required documentation (insurance cards physician orders prescriptions etc. is obtained.
Insurance Verification & Authorization:
- Verify patient eligibility and benefits with primary and secondary insurance.
- Obtain prior authorizations/LOA and approvals as required by the insurance provider.
- Track authorization status and follow up on pending requests.
- Communicate authorization approvals or denials to the relevant teams.
Data Entry & Documentation:
- Accurately enter patient and insurance information into the billing system.
- Maintain uptodate records of all referrals authorizations and eligibility checks.
- Ensure compliance with HIPAA and company policies regarding patient data security.
Coordination & Communication:
- Act as a liaison between the billing team providers and insurance companies.
- Communicate with patients regarding insurance coverage copays and outofpocket costs when necessary.
- Collaborate with the RCM team to resolve issues related to eligibility benefits and authorizations.
Qualifications :
Requirements & Qualifications:
- Education: Bachelors or Masters degree.
- Experience: Minimum of 10 years of experience in medical billing intake insurance verification and authorizations.
- Skills:
- Strong knowledge of medical billing processes insurance verification and authorizations.
- Familiarity with healthcare payers including Medicare Medicaid and commercial insurance.
- Proficiency in medical billing software and electronic health record (EHR) systems.
- Excellent communication and customer service skills.
- Attention to detail and ability to multitask in a fastpaced environment.
Preferred Qualifications:
- Experience working with insurance payers and prior authorization processes.
- Knowledge of ICD10 and CPT coding.
- Valid U.S. visa.
Additional Information :
All Care Therapies is an equal opportunity employer. All aspects of employment including the decision to hire promote discipline or discharge will be based on merit competence performance and business needs. We do not discriminate based on race color religion marital status age national origin ancestry physical or mental disability medical condition pregnancy genetic information gender sexual orientation gender identity or expression veteran status or any other status protected under federal state or local law.
Remote Work :
No
Employment Type :
Fulltime
Employment Type
Full-time
