Billing Specialist II - Referral Coordinator
Billing Specialist II - Referral Coordinator
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Job Description
Billing Specialist II - Referral Coordinator
Job Description: Billing Specialist II - Referral Coordinator
Reports to:Senior Revenue Cycle Manager
Job Purpose:
We are a pediatricnon-profit organization seeking a billing specialist to join our professional billing specialist will manage all matters and communications relative toinsurance claims on behalf of Texas Hearing Institute.
Position Information:
Hours Weekly: 40
Monday Friday: 8:00 am 5:00 pm
Starting Salary: Determined by experience.
FLSA Status: Non-exempt
Benefits:
- Health & Dental Insurance
- Life Insurance
- Long Term Disability Insurance
- 403 (b) Retirement Plan
- 12 Paid Holidays
- 21 Paid Time Off Days
KeyResponsibilities:
Scheduling & Coordination:
- Schedule patient appointments procedures and follow-up visits while optimizing provider availability.
- Confirm appointments with patients and provide necessary pre-visit instructions.
- Maintain accurate and up-to-date patient records in the scheduling system.
- Coordinate rescheduling or cancellations as needed ensuring minimal disruptions to patient care.
Prior Authorizations & EligibilityVerification:
- Submit and track prior authorization requests for medical services procedures and medications.
- Communicate with insurance companies to obtain approvals and resolve authorization-related issues.
- Verify patient insurance eligibility and benefits before scheduling services.
- Document authorization approvals denials and required follow-ups in the patient record system.
- Work closely with providers billing and clinical staff to ensure seamless authorization processes.
Administrative & Customer Service:
- Serve as a point of contact for patients regarding scheduling insurance coverage and authorization status.
- Address patient inquiries and escalate complex issues to the appropriate department.
- Maintain confidentiality and compliance with HIPAA regulations.
- Assist with other administrative duties as needed to support clinic operations.
Qualifications:
- High school diploma or equivalent required; associates degree or certification in medical administration preferred.
- Three-plus years previous experience in medical scheduling prior authorizations or insurance verification.
- Familiarity with electronic health records (EHR) and medical scheduling software.
- Strong knowledge of insurance policies prior authorization procedures and medical terminology.
- Excellent communication and customer service skills.
- Ability to multitask prioritize and work in a fast-paced environment.
Preferred Qualifications:
- Experience with IMS and insurance portals.
- Knowledge of Medicare Medicaid and commercial insurance requirements.
- Bilingual skills are a plus.
Tools:
Desktopcomputers
Laptopcomputers
iPad
Scanner
Faxmachine
CopyMachine
PostageMeter
Technology:
- Internet
- Microsoft Word and Excel
- IMS (program software) onsite training
Please visit our careers page to see more job opportunities.
Required Experience:
IC
Employment Type
Full-Time
