Prior Authorization/Billing Specialist

Prior Authorization/Billing Specialist | Tulsa, OK

Pay: $17-$20/HR

Hours: M-F 7am-5pm, Occasional Weekend Mornings Needed as well

We are seeking a motivated and detail-oriented individual to join our team as a Prior Authorization/Billing Specialist. The successful candidate will be responsible for managing insurance authorizations for various medical procedures, handling billing tasks, and ensuring accurate processing of payments. This role requires strong communication skills, attention to detail, and the ability to work efficiently in a fast-paced healthcare environment.

Key Responsibilities:

1. Initiate and follow up on insurance authorizations for surgeries, IVF, outpatient procedures, and office visits primarily.
2. Post charges, claims, anesthesia fees, initial IVF charges, and other medical procedures accurately into the billing system.
3. Record all forms of payments including cash, checks, and Payjunction transactions.
4. Verify insurance benefits for surgeries and coordinate with patients via phone for prepayment arrangements.
5. Facilitate communication between patients and coders by faxing operative notes and pathology reports for surgical procedures.
6. Manage aging claims and take necessary steps for resolution.
7. Contact patients regarding overdue balances and facilitate payment arrangements.
8. Serve as backup for front desk duties including check-in, check-out, and collecting payments when needed.
9. Demonstrate flexibility to participate in weekend rotation schedules, particularly on weekend mornings as required.

Qualifications:

• High school diploma or equivalent; additional education in healthcare administration or related field preferred.
• Prior experience in medical billing, authorization, or insurance verification strongly preferred.
• Familiarity with medical billing software and electronic health records systems.
• Strong attention to detail and accuracy in data entry and record-keeping.
• Excellent communication skills, both written and verbal, with the ability to interact professionally with patients, colleagues, and insurance providers.
• Ability to multitask and prioritize workload effectively in a dynamic healthcare setting.
• Willingness to adapt to changing procedures and responsibilities as needed.

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Qualifications

• HS Diploma or Equivalent
• Prior experience in medical billing, authorization, or insurance verification strongly preferred.