Hybrid Authorization and Billing Coordinator at BAMF Health

Join BAMF Health, where you're not just part of a team; you're at the forefront of a revolution in Theranostics, changing lives for the better. As a member of our global team, you'll contribute to pioneering technology and deliver top-tier patient care.

Located in the heart of downtown Grand Rapids, our cutting-edge global headquarters resides within the state-of-the-art Doug Meijer Medical Innovation Building. Step into our modern and spacious facilities, where innovation thrives and collaboration knows no bounds.

Join us in our mission to make Theranostics accessible and affordable for all, and be part of something truly remarkable at BAMF Health.

The Authorization and Billing Coordinator is responsible for obtaining and verifying insurance and benefit information, including pre-authorizations, referrals, and pre-certifications, in coordination with referring providers. This role reviews scheduled services against payer medical policies to ensure medical necessity and appropriate documentation. Serves as a key resource for patients regarding financial responsibilities, providing cost estimates, collecting payments, establishing payment plans, and referring to assistance programs as needed. Manages an assigned segment of patient balances, addresses front-end payer denials, and collaborates with patients, providers, and payers to ensure timely and accurate processing of authorizations and billing.

• Verification: Confirm insurance coverage and benefits, including pre-authorization requirements. Review patient accounts for outstanding balances and provide required forms (e.g., ABN, GFR) per policy.

• Authorization Requests: Process authorization requests, ensuring all documentation is complete and accurate. Review CPT and ICD-10 codes for medical necessity based on payer policies.

• Financial Counseling: Answer patient billing questions and provide information on available financial or community assistance resources.

• Patient Balances: Manage assigned patient balances, including handling phone calls, setting up payment plans, and addressing account inquiries.

• Communication: Communicate effectively with patients, providers, and payers via phone, in person, or electronically, delivering excellent customer service.

• Documentation: Accurately document account activities, including authorizations, payment plans, denials, approvals, and related communications.

• Compliance: Follow all company policies, payer guidelines, and regulatory requirements. Maintain HIPAA compliance and uphold patient privacy and confidentiality.

• Appeals: Assist with preparing and submitting appeals for denied authorizations, including supporting documentation and follow-up. Request retro-authorizations when applicable.

• Customer Service: Demonstrate active listening and empathy in resolving or escalating concerns. Serve as a liaison between patients, clinical teams, and billing staff to ensure clear and accurate communication.

Basic Qualifications:

• High School Diploma or GED required

• 2 years working in a health care setting required

• 1 year acquired prior authorization, registration, or professional billing required

Preferred Qualifications:

• Associate or bachelor’s degree in a related field preferred

• Patient Access, billing and/or medical coding prior training preferred

• 3 years working in prior authorization, registration, or professional billing preferred

• Radiology scheduling & authorization experience preferred

• Certification in billing and/or coding preferred

Schedule Details:

• Employment Status: Full time (1.0 FTE)

• Weekly Scheduled Hours: 40

• Hours of work: 8:00 a.m. and 4:30 p.m.

• Days worked: Monday - Friday (Remote position, with occasional onsite meetings and training required)

At BAMF Health, our top priority is patient care. To ensure we are able to drive a Bold Advance Medical Future, we offer a well-rounded benefit package to care for our team members and their families. Highlights include:

• Employer paid High Deductible Health Plan with employer HSA contribution

• Flexible Vacation Time

• 401(k) Retirement Plan with generous employer match

• Several benefit options including, but not limited to; dental, vision, disability, life, supplemental coverages, legal and identity protection

Disclaimer

BAMF Health provides equal opportunities to all employees for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

BAMF Health will reasonably accommodate qualified individuals with a disability so that they can perform the essential functions of a job unless doing so causes a direct threat to these individuals or others in the workplace and the threat cannot be eliminated by reasonable accommodation or if the accommodation creates an undue hardship to BAMF Health.

BAMF Health is an Equal Opportunity Employer and will not accept or tolerate discrimination or harassment against any applicant, employee, intern, or volunteer based upon the following characteristics: race, color, religion, creed, national origin, ancestry, sex, age, qualified mental or physical disability or handicap, sexual orientation, gender identity/expression, transgender status, genetic information, pregnancy or pregnancy-related status, marital status, veteran status, military service, any application for any military service, or any other category or class protected by applicable federal, state, or local laws.