What are the responsibilities and job description for the Medical Billing/Prior Authorization Specialist position at Troy Gastroenterology P.C?
To aid in our rapid growth and continue to differentiate our patient experience, we’re hiring a Prior Authorization Specialist.
Specialists are responsible for tasks related to ensure the organizations has a way to obtain authorization for medical procedures and select therapy medications.
This role reports to the Manager of Revenue Cycle
Some of the Responsibilities
- Obtain prior authorization for specialty procedures such as EM, EGD Botox, Barrx, CT/US Guided biopsies, Paracentesis and Capsule Endoscopies.
- Schedule, review and mail instructions and medications needed for specialty procedures.
- Prepare orders for CT/US Guided Biopsies, Paracentesis, Pelvic Floor Therapy, Speech Therapy, Therapeutic Phlebotomy, Blood Transfusion and fax to facility.
- Arrange and perform teachings for fecal transplant patients.
- Arrange and seek prior-authorization for Home Care.
What we are looking for
- Strong knowledge of medical terminology
- Demonstrated computer skills for documenting patient care in an electronic medical record
- Ability to communicate effectively in person, on the telephone, and in writing
- Ability to work independently and as a team
- Ability to read and comprehend patient medical charts, medical terminology, prescription medications, and physician messages
Qualifications
- High School Diploma/GED.
- Graduate of a Medical Billing training program.
- 2 years or recent experience in high volume medical billing with relevant experience in AR-follow-up.
- Knowledge of ICD-10 and CPT coding.
- Demonstrate computer skills as evidenced by proficiency and/or training with applicable software.
- Problem solving, time management and exceptional interpersonal skills.
- Good written and verbal communication skills.
- Must successfully pass a background check and drug screen.
What we can offer you:
- A professional learning experience that offers meaningful, practical work related to your field of study or career interest.
- We are a proud Equal Employment Opportunity Employer.
Pinnacle GI Partners participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Apply today to learn more about Pinnacle GI! Let's be partners in success