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Ennoble Care logo
Ennoble Care

To Care Is An Honor

Authorization, Billing Coordinator

Billing SpecialistBilling SpecialistFull TimeRemoteSeniorTeam 201-500H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

49 days ago

Salary

$50K / year

Seniority

Senior

3 yrs expEnglish

Job Description

Authorization, Billing Coordinator

Ennoble Care

• The Authorization / Billing Coordinator is responsible for the timely billing and resolution of claims, with a focus on authorizations. • Verify insurance eligibility and benefits for new and current patients including Medicare, Medicaid and private insurance at beginning of each month. • Submit Medicaid documentation for Hospice enrollment and lock-in with all the formal NOE and Physician certification to the state Medicaid agency or its designated Portal. • Track authorization in the electronic medical record (EMR) system ensuring all clinical documentation meets payer requirements. • Act as a liaison between the clinical staff, billing, families, and insurance companies. • Follow up on pending authorizations and appeal denied claims. • Experience in Availity Portal and all commercial insurance portals to streamline eligibility verification, prior authorizations, and complete other secure administrative tasks. • Runs daily reports to identify authorization nearing expiration to proactively initiate extensions and Perform re-authorization and eligibility checks in a timely manner before the expiration of current approved hospice benefit periods.

Job Requirements

  • Minimum 3 years’ experience in claims and/or accounts receivables for physician services
  • Preferred experience with Waystar
  • Detail oriented, organized and able to multitask
  • Represents the organization in a positive and professional manner
  • Comply with all organizational policies regarding ethical business practices
  • Maintain regulatory requirements, including all federal, state, local regulations and accrediting organization standards
  • Understand Medicare, Medicaid and Third-party rules, regulations and billing codes
  • Proficient in all Microsoft Office applications as well as medical office software
  • Strong interpersonal and organizational skills
  • Able to work in a fast-paced environment

Benefits

  • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
  • Paid Time Off
  • Paid Office Holidays

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