Medical Billing/Authorization Specialist

Muskegon Surgical Associates, a busy multi-specialty surgical practice, is seeking an individual to join our team as a full time (40 hours per pay week) Revenue & Authorization Specialist.

Muskegon Surgical Associates, PC has been providing surgical care to West Michigan since 1972. We are an independently owned multi-specialty practice consisting of 13 surgeons and approximately 120 employees.

MSA is seeking a professional, flexible, enthusiastic, detail-oriented, self-motivated, service-driven individual who can communicate effectively with physicians, staff, patients, and outside stakeholders. The candidate must be able to multi-task, be organized, and keep records accurately. Personable customer service is a top priority with this position. We believe our success is determined by the types of relationships we develop, and the care we provide to our neighbors and community members.

The Revenue & Authorization Specialist will be responsible for the management of activities relative to third party payer billing, timely and accurate filing of claims, performing accounts receivable management, following up on authorization and insurance verification denials, non-payments, and contacting payors.

Payment Posting: Accurately enter payment into the respective patient accounts, against the particular claim to reconcile them by EOB (explanation of benefits) or ERA (electronic remittance advice).

Generate Charges and Claims: Perform accurate charge entry using procedure and diagnosis codes. Batched claims will be closed daily and sent to clearing house.

Processing Rejected Claims: Review, investigate, correct, reconcile rejected/held claims 60-90 days, and submit for processing. Comply with MSA facility standards for medical records. Report missing or incomplete information. Receive and make telephone calls according to MSA best practice model and customer service standards of professionalism, friendliness, and courtesy.

Claims Accuracy: Manage and ensure claim logs are submitted on time. Perform ongoing analysis of medical record charts for the appropriate coding compliance and to ensure quality control.

Documentation Accuracy: Document complete and accurate information utilizing established medical record forms/automated systems and best documentation practices. Promote quality, integrity, and enhance communication across the continuum of care by utilizing the correct document types for accurate and comprehensive health record keeping within the electronic record.

Education and Experience Requirements

• Associate of Applied Science preferred.
• Minimum of 5 years’ experience preferred in a medical office required
• Minimum 3 years of medical billing/accounts receivable experience and authorizations required

Visit our website at www.msapc.com for more information on the services we provide