What are the responsibilities and job description for the Medical Billing Specialist position at Center for Pain Management?
Job Title: Prior Authorization & Billing Specialist
Location: Sartell, MN | Alexandria, MN | Baxter, MN
Employment Type: Full-Time
Department: Business Office
About Us
Center for Pain Management is a dedicated healthcare provider committed to delivering excellent patient care and efficient operational support. We are seeking a detail-oriented Prior Authorization & Billing Specialist to join our growing team. If you thrive in a fast-paced environment, enjoy problem-solving, and have strong knowledge of insurance processes, we’d love to meet you!
Position Summary
The Prior Authorization & Billing Specialist is responsible for obtaining and tracking insurance authorizations, verifying coverage, submitting claims, and supporting the overall revenue cycle. This role ensures patients receive timely care while maximizing reimbursement for services provided.
Key Responsibilities
- Obtain prior authorizations for procedures
- Run cost estimates for procedures
- Verify insurance benefits and eligibility for new and existing patients
- Submit claims accurately and promptly in accordance with payer guidelines
- Resolve claim denials and discrepancies through payer follow-up
- Communicate with providers, clinical staff, and patients regarding authorization status and requirements
- Maintain detailed and accurate records in the EHR and billing systems
- Monitor authorization expiration dates and process renewals as needed
- Stay current on payer rules, medical necessity criteria, and billing regulations
- Assist with billing inquiries and support the revenue cycle team as needed
Qualifications
- 2 years of experience in prior authorizations, medical billing, or insurance verification
- Knowledge of medical terminology, CPT/ICD-10 codes, and payer requirements
- Strong communication and customer service skills
- Excellent organizational skills and attention to detail
- Proficiency with EHR and billing software
- Ability to work independently, prioritize tasks, and meet deadlines
What We Offer
- Competitive pay based on experience
- Health and dental insurance
- Paid time off
- Holiday pay
- 401(k) matching
Job Type: Full-time
Pay: From $22.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
Experience:
- Medical Billing: 2 years (Preferred)
License/Certification:
- RHIT (Preferred)
Work Location: In person
Salary : $22