Certified Medical Biller Payment Posting

Job Description

Job Description

Primary responsibilities for Pre Cert Department:

• Review chart documentation to ensure patient meets medical policy guidelines for authorization
• Prioritize incoming authorization requests according to urgency
• Obtain authorization via a payer website or by phone and follow up regularly on pending cases
• Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations

Secondary responsibilities for Billing Office:

• Verification of Eligibility and practice participation with payers
• Ability to work front desk on days patients are seen in office

Must have:

• Proficient use of CPT and ICD-10 codes
• Excellent computer skills including Excel, Word, and Internet use
• Detail oriented with above average organizational skills, ability to meet deadlines
• Excellent customer service skills; communicate clearly and effectively
• Ability to multitask and remain focused while managing a high-volume, time-sensitive workload

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)