Texas Regional Physicians
Medical Billing/Verifications Specialist
Texas Regional Physicians, Houston, Texas, United States, 77246
Medical Billing/Verifications Specialist
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Medical Billing/Verifications Specialist
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Texas Regional Physicians Overview
This person is responsible for insurance verification, obtaining prior authorizations, bill insurance claims and follow-up. Responsibilities
Obtain authorizations, referrals, GAP exceptions, and Single Case Agreements Manage and prioritize required approvals with consistent follow-up while constantly communicating with the team Provide clinical documentation to insurance companies to ensure timely authorization Initiate appeals for upfront denied authorizations and follow through until completion Check eligibility and benefits Electronic claims building and submission Chart and coding review Call patients when necessary to verify insurance information Read and analyze EOBs and ERAs Work claims rejects/denials, send corrected claims, submit appeals Stay up to date on CPT, ICD, and LCD guidelines Provide excellent customer service and professionalism to patients Requirements
High school diploma or GED 2 years prior experience insurance verification or medical billing required 2 years prior experience in a medical related field required Ability to multi-task and remain focused while managing a high volume, time-sensitive workload Demonstrate excellent communication and customer service skills Detailed-oriented with strong organizational skills Understanding of payer medical policies and guidelines to manage authorizations effectively Familiarity with governmental and commercial insurance plans Knowledge of medical terminology related to multispecialty surgical procedures Excellent computer skills including Excel, Word and Internet use Reliable to work scheduled shifts with limited unplanned absences Note: This position is not remote and requires employees to travel to the work location. Seniority level
Entry level Employment type
Full-time Job function
Health Care Provider Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Texas Regional Physicians. We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Join to apply for the
Medical Billing/Verifications Specialist
role at
Texas Regional Physicians Overview
This person is responsible for insurance verification, obtaining prior authorizations, bill insurance claims and follow-up. Responsibilities
Obtain authorizations, referrals, GAP exceptions, and Single Case Agreements Manage and prioritize required approvals with consistent follow-up while constantly communicating with the team Provide clinical documentation to insurance companies to ensure timely authorization Initiate appeals for upfront denied authorizations and follow through until completion Check eligibility and benefits Electronic claims building and submission Chart and coding review Call patients when necessary to verify insurance information Read and analyze EOBs and ERAs Work claims rejects/denials, send corrected claims, submit appeals Stay up to date on CPT, ICD, and LCD guidelines Provide excellent customer service and professionalism to patients Requirements
High school diploma or GED 2 years prior experience insurance verification or medical billing required 2 years prior experience in a medical related field required Ability to multi-task and remain focused while managing a high volume, time-sensitive workload Demonstrate excellent communication and customer service skills Detailed-oriented with strong organizational skills Understanding of payer medical policies and guidelines to manage authorizations effectively Familiarity with governmental and commercial insurance plans Knowledge of medical terminology related to multispecialty surgical procedures Excellent computer skills including Excel, Word and Internet use Reliable to work scheduled shifts with limited unplanned absences Note: This position is not remote and requires employees to travel to the work location. Seniority level
Entry level Employment type
Full-time Job function
Health Care Provider Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Texas Regional Physicians. We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr