Hybrid Medical Office Biller & Surgical Authorizations Coordinator na University Physicians' Association
University Physicians' Association · Knoxville, Estados Unidos Da América · Hybrid
- Professional
- Escritório em Knoxville
Description
Job Summary:
The Medical Office Biller & Surgical Authorizations Coordinator is responsible for managing the billing process and securing pre-authorizations for thoracic surgical procedures. The position serves as a liaison between the clinical team, patients, and insurance companies to facilitate smooth surgical scheduling and financial clearance.
Key Responsibilities:
Billing & Coding Duties:
- Review medical records and operative reports to assign appropriate ICD-10, CPT, and HCPCS codes.
- Coordinates with CBO on billing issues and denied claims
- Work with patients on billing inquiries, payment plans, and insurance issues.
Surgical Authorizations & Scheduling Support:
- Obtain prior authorizations for all thoracic surgeries, diagnostic imaging (e.g., CT, PET scans), and procedures (e.g., bronchoscopy, biopsy).
- Communicate with insurance companies to verify patient benefits and coverage.
- Coordinate with the surgical scheduler and clinical staff to ensure authorization requirements are met before surgery dates.
- Track and document authorization status, follow up on pending requests, and escalate issues when needed.
- Ensure documentation meets payer requirements to minimize risk of denial.
- Maintain accurate and organized records of all authorizations and related correspondence.
Requirements
Required Qualifications:
- High school diploma or equivalent; associate degree or certification in medical billing/coding preferred.
- Minimum 2 years of experience in medical billing and surgical authorization, preferably in a specialty practice (thoracic, cardiothoracic, oncology, or surgical practice ideal).
- Certified Professional Coder (CPC) or Certified Coding Associate (CCA) is a plus.
- Working knowledge of CPT, ICD-10, and insurance billing guidelines.
- Experience with prior authorization portals and payer-specific processes.
- Proficient in EMR and practice management systems – Cerner, Intergy, and Medaptus
- Strong understanding of Medicare, Medicaid, and commercial insurance requirements.
Skills and Competencies:
- Attention to detail and accuracy in coding and data entry.
- Excellent communication and problem-solving skills.
- Ability to manage multiple tasks and meet deadlines.
- Knowledge of HIPAA and patient confidentiality regulations.
- Ability to work independently and as part of a multidisciplinary team.