Authorization Pre-Billing Specialist

Job Summary

To support healthcare operations, the remote Authorization Pre-Billing Specialist will review patient accounts prior to billing, validate insurance coverage, and collaborate with various teams to ensure compliance and accuracy in the billing process.

Key responsibilities:

• Review inpatient and outpatient accounts for accuracy before billing
• Verify insurance coverage and confirm authorizations and medical necessity requirements
• Collaborate with multiple departments to resolve discrepancies and maintain compliance standards

Required qualifications:

• High School Diploma or GED
• 2+ years of hospital revenue cycle experience
• 2+ years of experience in Patient Access, Financial Clearance, or related fields
• 2+ years of experience with hospital patient accounting systems and claim editing
• Basic proficiency with Microsoft Office products