Job Overview
We are seeking an experienced and detail-oriented Medical Biller/collections and pre-authorization specialist to join a medical practice in Miami, Florida. The ideal candidate will have over 5 years of experience in medical billing, collections, preauthorization with a strong background in Coding and Billing, Pre-Authorization, and Insurance Certification.
Duties
• Accurately process and submit claims to insurance companies.
• Follow up on unpaid claims and handle denials or rejections.
• Manage pre-authorization processes to ensure timely approval of services.• Ensure timely collection of outstanding balances from patients and insurance
companies.
• Maintain detailed records of billing activities and collections.
• Collaborate with healthcare providers to resolve billing discrepancies.
• Stay updated with the latest healthcare billing regulations and practices.
Experience
• Certification in Coding and Billing is required.
• Insurance Certification and experience with pre-authorization processes strongly preferred.
• 5+ years of experience in medical billing and collections.
• Experience pain management, spine and orthopedics is a plus.
•Strong understanding of medical terminology and coding (ICD-10, CPT).
• Proficiency in billing software and electronic health records (EHR).
• Excellent communication and organizational skills.
• Ability to work independently and as part of a team.
• Software experience in MAC Practice helpful but not required
• Experience in billing and collections of workers compensation and auto.
• Must be proficient in English, both written and spoken.
