Authorization Specialist Job in Vascular Management Consultants LLC

Authorization Specialist
Who We Are
Mobile Vascular Physicians, MVP, is an industry-leader in vascular care. We provide concierge vascular and interventional services to long-term care facilities throughout New York, New Jersey and Pennsylvania. MVP focuses on prevention and healing lower extremity wounds and ensuring each patient’s vascular disease is managed properly so they can maintain or improve their overall health and avoid hospitalization and irreversible disease. Our highly skilled clinicians are widely recognized in their field for their endovascular expertise. They provide compassionate and evidence-based care to long-term care residents as well as outpatients. When necessary, our out-patient care facilities are equipped to handle invasive procedures and treatments.
Providing the highest quality compassionate care to our patients is our mission. If you career interests align with our mission and you thrive in a work culture that embraces teamwork, honesty, a positive attitude, and the desire to make a difference in the lives of patients, then we encourage you to read the qualifications needed to join our growing team!
What You Will Do
Process all front office insurance billing, insurance verification and pre-authorization
Accurately verify coding according to payer guidelines to ensure completeness with a goal of submitting clean claims to all payers
Accurately and efficiently review and import all charges submitted so they are successfully transmitted and received by various payers
Verify all charges are billed according to Current Procedural Terminology (CPT) guidelines and payer guidelines
Review medical records and correct all procedure codes, if necessary, in EHR
Adequately assist offices with account-specific inquiries
Review insurance pending claims in order to decrease accounts receivable
Correctly verify quantities and prices for procedures billed
Verify that the services and products are correctly authorized and that required documentation is on file prior to billing
Ensure that invoices are submitted for services and products that are properly ordered and confirmed as provided
Verify in and/or out of network benefits for patients with insurance company
Investigate insurance/payer ID discrepancies
Confirm completeness of claims in EHR system and subsequently release claims for billing
Verifies insurance eligibility and benefits and updates the patient’s insurance information as necessary.
Completes referrals and prior authorizations in a timely manner according to department guidelines and workflows.
Communicates clearly and effectively with patients, physicians, office staff, and managers to resolve issues that may result in a denied or delayed authorization request.
Provides the supervisor and manager with immediate feedback on issues affecting workflow, reimbursement, and customer service.
What We Need in You
HS Diploma or HS Equivalency required
Bachelors Degree preferred
2+ years of billing & authorization experience mandatory
5+ years of insurance billing experience preferred
Knowledge of CPT and ICD9/ICD10 coding
Knowledge of Vascular Medicine: Arterial and Venous Procedures required
Knowledge of medical terminology and insurance requirements
Must have knowledge of third-party billing requirements
Prior knowledge of insurance procedures and requirements for Medicare, Medicaid, Blue Shield, Emblem, HMO and PPO plans
Claim denial follow up with insurance companies
Ability to work in a fast-paced high-volume environment
Be able to prioritize and balance same day needs vs long term needs
Strong organizational skills
Customer service experience
Why Join Our Team
We offer the following benefits to our team members:
Comprehensive Medical, Dental and Vision benefits, after 60 days of employment
401(k) savings plan
Paid Time Off
Paid Holidays
Disability Insurance
Life insurance and supplemental Life Insurance
Employee Assistance Program
Pet Insurance
Job Type: Full-time
Pay: From $24.00 per hour
Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Vision insurance
8 hour shift
Day shift
Monday to Friday
Application Question(s):
How many years of Medical Authorization experience do you have?
How many years of Medical Billing experience do you have?
How many years of Medical Coding experience do you have?
How many years of CPT, ICD9/ICD10 Coding experience do you have?
How many years of Vascular experience do you have?
Please list 2-3 dates and time ranges that you could do an interview.
Work Location: One location