Sr. Medical Billing Specialist - Onsite

The Senior Medical Billing Specialist is responsible for conducting insurance verifications and obtaining prior authorizations for a diverse range of therapy services, including Physical Therapy, Occupational Therapy, Speech Therapy, Autism Therapy, and Outpatient Behavioral Health. This role requires a knowledgeable, organized, and professional individual with excellent communication skills to ensure timely processing and compliance with insurance requirements.

Job Description

• Verify patient eligibility and benefits via portal and/or phone call, including collecting referral and authorization requirements, across multiple payers, states, insurance products, and specialties within customer SLAs.
• Work closely with providers to collect accurate patient and medical records and communicate authorization decisions.
• Expediently complete prior authorizations using insurance portals or calling insurers directly.
• Ensure authorization i...