Prior Authorization Specialist Cardiovascular

About MD Billing

We are MD Billing, a quickly growing medical billing company based out of Lubbock, Texas. Currently, we service facilities and providers in over 14 states, consisting of multiple specialties including Cardiovascular, Wound Care and Family Medicine.  As a company we pride ourselves in being able offer elite coding and billing services to our customers and we are in search of the talent that will help us continue to separate ourselves in the services we offer.

We are looking for an Authorization Specialist who is committed to our principles of accuracy, versatility, knowledge and relationships.  We are looking for those with a passion in their craft and understand that education never stops.  Here at MD Billing we offer competitive pay, full benefits, continuing education and pathways for advancement.  We deeply believe in not only growing our company, but in growing our employees as well.

Come help us continue to raise the bar in medical coding and billing!

JOB DESCRIPTION

The Pre-Authorization Specialist will acquire referrals and authorizations, when required, for visits and procedures requested by the clinics

KEY RESPONSIBILITES:

• Knowledge of payer policy and authorization requirements
• Understanding of payer portals and proper steps to acquire insurance authorization
• Understand and utilize EMR software to gain approval for procedures that require authorization.
• Respond to “Actions” from the clinic in a timely manner to check and acquire  referrals/authorizations as needed
• Initiate and follow through with authorizations and referral requests to completion
• Communicate and update clinic personnel to status of pending authorization requests
• All other duties as assigned

• REQUIREMENTS:

• Punctual and consistent attendance
• Demonstrates effective communication and problem-solving skills
• Exceptional time management skills
• Good organizational skills with the ability to prioritize tasks
• Basic knowledge of Microsoft Office applications (i.e. Word, Excel, Power Point, Access)
• Knowledge of Health Insurance processes- i.e. referrals/authorizations
• Knowledge of payer portals and proper steps to obtain insurance authorizations/referrals
• Knowledge of Anatomy and physiology
• Knowledge of CPT and ICD 10 codes
• Ability to read medical records
• Critical thinking skills
• Customer Service oriented
• Exhibits ethical and professional behavior

QUALIFICATIONS:

• High School Diploma or GED required
• Experience with insurance authorization
• Bilingual English/Spanish preferred