58 results for Medical Coder

Medical Coder We are looking for an experienced Medical Coder to join our team on a contract basis in Sacramento, California. In this role, you will play a vital part in ensuring accurate coding of medical records and seamless insurance claim processing. If you have a keen eye for detail and are passionate about maintaining compliance in healthcare documentation, we encourage you to apply. THIS POSITION IS ONSITE - NOT REMOTE Responsibilities:• Review and analyze medical reports to accurately assign numeric and alphanumeric codes.• Translate patient medical histories and diagnostic information into standardized coding formats.• Prepare, submit, and manage insurance claims to ensure timely reimbursement.• Conduct audits and coding reviews to verify accuracy and compliance with regulations.• Collaborate with healthcare professionals to clarify diagnoses and obtain necessary documentation.• Provide training and mentorship to less experienced coding staff as needed.• Stay informed about updates to coding guidelines and billing regulations.• Maintain confidentiality and uphold ethical standards in handling patient information.• Utilize coding software and tools such as 3M, Cerner Technologies, and AHLTA to optimize workflow.

Medical Coder We are offering a contract to permanent employment opportunity in the healthcare industry. Based in a location in Indiana, we are seeking a Medical Coder to join our team. Your main role will be to accurately code medical procedures and diagnoses, liaise with healthcare professionals, and ensure compliance with coding regulations. Responsibilities: • Accurately assign and sequence CPT, ICD-10, and HCPCS codes for all rendered services • Collaborate with healthcare providers and medical staff to ensure clarity of diagnoses and to obtain additional information when necessary • Ensure that all assigned codes meet federal, insurance, and internal company regulations and policies to prevent fraudulent or misleading coding • Keep abreast of all updates and changes in coding principles, procedures, rules, and regulations • Enter data into relevant databases and manage electronic health records with utmost accuracy • Utilize problem-solving abilities to resolve coding issues and improve the accuracy of the coding process • Conduct internal reviews of coding and billing information for accuracy prior to claim submission • Adhere to strict confidentiality protocols to protect sensitive patient information • Document all coded data and related information, and prepare necessary reports as needed • Assist in processing insurance claims and work closely with billing teams, providing them with necessary coded data for claim submission

Medical Coder (CCS or CPC) Are you an experienced Medical Coder passionate about quality and accuracy in the healthcare industry? A renowned healthcare provider is looking to find skilled Medical Coders certified with CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) credentials. If you thrive in a fast-paced environment and are committed to delivering excellence, we want to hear from you! Key Responsibilities:<ul><li>Accurately assign codes for diagnoses, procedures, and services using ICD-10, CPT, and HCPCS coding systems,</li><li>Review clinical documentation to ensure appropriate coding adjustments and compliance with payer requirements.</li><li>Collaborate with healthcare providers to resolve discrepancies in documentation and coding for claim accuracy.</li><li>Monitor industry trends and changes to coding standards and implement updates as needed </li><li>Deliver high-quality coding output to ensure revenue cycle efficiency and minimize denials.</li></ul>

Surgery Medical Coder An Ambulatory Surgery Center in Los Angeles is in the need of a Surgery Medical Coder in the Healthcare industry. The Surgery Medical Coder must have either a CPC or CCS Coding License. The right person for this role must have 2+ years of experience with Surgical ASC coding. Responsibilities: • Ensuring accurate and timely medical coding for surgical and ambulatory procedures.• Managing collections, focusing specifically on denials due to coding issues.• Thoroughly reviewing and resolving patient inquiries related to medical billing.• Maintaining detailed and correct patient records, focusing on their surgical histories.• Processing credit applications for patients with precision and speed.• Routinely monitoring patient accounts and implementing necessary actions.• Investigating and addressing issues at the root of system mapping.• Adjusting rapidly to the dynamic nature of the department structure.• Contributing to the overall organization by taking on additional collection responsibilities as needed.

Medical Coder We are seeking a Medical Coder to join a dynamic team providing expert coding and auditing services. As a Medical Coder, you will be responsible for accurately translating medical documentation into designated numerical codes according to current coding principles. The Medical Coder will also serve as a key liaison to physicians and clinical teams, ensuring best practices in documentation and compliance with company policies. This role is fully on-site near W Holcombe Blvd and Kirby Dr, in Houston, TX. Responsibilities:<ul><li>Provide coding and auditing services based on operative reports in accordance with current NCCI rules and LCD coverage determinations.</li><li>Analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.</li><li>Act as a liaison to physicians and clinical teams, offering feedback on proper documentation and coding practices.</li><li>Meet coding and abstracting deadlines to expedite the billing and charge entry processes.</li><li>Maintain and adhere to established company policies and departmental procedures.</li><li>Ensure cross-coverage proficiency across all relevant coding areas.</li></ul>

Medical Billing Specialist We are looking for an experienced Medical Billing Specialist to join our team in Richmond, Virginia. In this Contract-to-Permanent position, you will play a pivotal role in managing the billing and reimbursement process, ensuring accuracy and timely resolutions. This opportunity is ideal for someone with strong expertise in medical claims, insurance follow-ups, and coding. Responsibilities: • Monitor and follow up on outstanding patient account balances that are 60 days past due, using aged accounts receivable reports. • Submit primary and secondary insurance claims electronically on a daily basis to ensure timely reimbursement. • Investigate and resolve returned claims, denials, and correspondence issues promptly, prioritizing patient satisfaction. • Review claims for accuracy and completeness, making necessary corrections or updates before submission. • Appeal denied claims by composing clear and effective appeal letters to insurance carriers. • Reconcile account discrepancies and rebill claims as needed to achieve maximum reimbursement. • Research and address issues related to insurance carriers, including network problems and workers' compensation claims. • Communicate directly with third-party representatives to resolve outstanding claim processing issues. • Track and report productivity metrics on a weekly basis to maintain performance transparency.

Medical Billing Specialist We are looking for a skilled and meticulous Medical Billing Specialist to join our team in Inkster, Michigan. This is a Contract-to-permanent position within a non-profit organization dedicated to delivering high-quality healthcare services to the community. The ideal candidate will play a key role in ensuring accurate billing processes and maintaining compliance with healthcare regulations. Responsibilities: • Prepare and submit insurance claims accurately to ensure timely reimbursement. • Verify patient insurance details and perform necessary eligibility checks. • Apply appropriate coding for medical procedures and diagnoses to ensure accurate billing. • Resolve discrepancies in claims by collaborating with healthcare providers and insurance companies. • Maintain strict compliance with confidentiality laws and healthcare regulations while handling sensitive medical information. • Address patient inquiries regarding billing and provide clear, thoughtful assistance. • Monitor accounts for overdue payments and recommend follow-up actions to the billing supervisor. • Ensure accurate and timely posting of payments from insurance companies and patients. • Perform administrative duties as needed to support the billing department.

Medical Billing Manager Jenny Bour with Robert Half is seeking an experienced Medical Billing Manager to lead and oversee the medical billing operations for a growing non-profit organization. This Medical Billing Manager role is responsible for managing the revenue cycle, ensuring timely and accurate billing, collections, and reimbursement processes. The ideal Medical Billing Manager candidate will have strong leadership skills and a background in medical or behavioral health billing. This position offers a hybrid schedule for employees that live in or near the Buffalo, NY area. If this sounds like you, we invite you to apply today!! Key Responsibilities<ul><li>Supervise the daily operations of the medical billing team, ensuring workflow efficiency.</li><li>Hire, train, and mentor billing staff to maintain a high-performing team.</li><li>Oversee all aspects of the billing process, including charge entry, payment posting, claims submission, follow-ups, patient statements, and collections.</li><li>Monitor and maintain Key Performance Indicators (KPIs) related to revenue cycle performance.</li><li>Conduct regular training sessions to enhance the billing team’s knowledge and efficiency.</li><li>Identify and implement process improvements to optimize revenue collection.</li><li>Ensure prompt resolution of billing corrections and audit delinquent accounts to maximize collections.</li><li>Review and manage accounts receivable aging reports, making recommendations for bad debt write-offs when necessary.</li><li>Reconcile medical billing transactions and prepare financial reports for month-end and annual audits.</li><li>Facilitate regular meetings to address billing and collection concerns.</li><li>Maintain compliance with HIPAA regulations and all relevant financial and security policies.</li><li>Collaborate with internal teams and external partners to ensure billing operations align with organizational goals.</li></ul>

Medical Billing Specialist We are in search of a Medical Billing Specialist to join our team in the healthcare industry. This role is based in Temperance, Michigan. As a Medical Billing Specialist, you will be tasked with managing medical and behavioral health claims, ensuring accuracy in billing and collections, while maintaining precise records. Responsibilities: • Oversee the processing of fresh medical and behavioral health claims to insurance companies. • Utilize your knowledge of CPT and ICD-10 coding to ensure precise billing. • Handle medical collections and claim denials efficiently. • Maintain meticulous records of all outstanding bills and encounters. • Use your medical billing skills to manage and update customer accounts, ensuring all information is accurate and up-to-date. • Work collaboratively with our team to resolve customer inquiries swiftly and professionally. • Employ your proficient computer skills and EMR experience to enhance efficiency in our billing system. • Ensure the efficient processing of customer credit applications. • Monitor customer accounts and take appropriate action when necessary.

Medical Billing Specialist We are offering a long-term contract employment opportunity in the healthcare industry for a Medical Billing Specialist in Cherry Hill, New Jersey. As a Medical Billing Specialist, you will play a critical role in handling and resolving patient billing issues, maintaining accurate patient billing records, and processing patient billing applications with high precision. Responsibilities: • Accurately and efficiently process medical billing applications for patients. • Maintain precise records of patient billing, ensuring all data is up-to-date and accurate. • Handle patient inquiries related to billing, providing clear and concise responses. • Monitor patient accounts regularly, ensuring all billing data is accurate and up-to-date. • Utilize Microsoft Excel to manage and organize billing data. • Take appropriate action when discrepancies or issues in patient billing accounts are identified. • Ensure compliance with all relevant healthcare and medical billing regulations. • Collaborate with other team members to ensure a smooth and efficient billing process. • Continually seek ways to improve the billing process, increasing efficiency and patient satisfaction.

Medical Billing Specialist We are seeking a dedicated and detail-oriented Medical Billing Specialist to join our team. The ideal candidate will have a strong background in medical billing and collections, with a deep understanding of insurance procedures, claim management, and accounts receivable processes. As a key member of our billing department, you will be responsible for managing the billing cycle, resolving claims issues, and ensuring timely payments for medical services provided. Responsibilities:<ul><li>Billing & Coding: Accurately review and submit medical claims to insurance companies, government programs (e.g., Medicare, Medicaid), and patients based on services provided.</li><li>Accounts Receivable Management: Monitor and follow up on unpaid claims and accounts, ensuring timely resolution and payment collection.</li><li>Claim Denial Management: Investigate and resolve denied or rejected claims, working with insurance providers to rectify issues and ensure proper reimbursement.</li><li>Payment Posting: Post payments, adjustments, and denials to patient accounts accurately.</li><li>Patient Communication: Communicate with patients and insurance companies to resolve billing inquiries, provide payment information, and answer any questions related to their accounts.</li><li>Account Reconciliation: Ensure all accounts are reconciled and balanced, identifying discrepancies and making necessary adjustments.</li><li>Compliance: Maintain up-to-date knowledge of relevant billing codes, insurance policies, and regulations to ensure compliance with industry standards and government regulations.</li><li>Reporting: Generate and review accounts receivable reports, aging reports, and other billing data to ensure financial goals are met and identify areas for improvement.</li><li>Collaboration: Work closely with the clinical and administrative teams to resolve any billing issues, discrepancies, or concerns.</li></ul>

Billing Specialist We are on the hunt for a Billing Specialist to become an integral part of our team. Based in Willow Grove, Pennsylvania, this role is part of the medical industry where the focus is on electronic billing and resolving billing issues. Responsibilities • Handle the accurate and efficient coding of charges for medical procedures. • Spearhead the preparation and completion of the billing process. • Investigate and resolve any billing and posting issues, identifying any refunds, credits, and write-offs. • Manage the collection and processing of payments, including credit card transactions. • Implement payment arrangements on current and back due patient balances. • Conduct weekly dispatch of statements to patients. • Oversee the posting of patient and payer EOB payments. • Follow up on unpaid claims and denials, submitting for reconciliation or appeal if necessary. • Submit claims to insurance companies either electronically or by mail. • Communicate effectively with staff, physicians, and their offices to obtain updated patient demographic information. • Collaborate with staff, physicians, and their offices to gather all necessary information. • Manage incoming calls and provide thorough follow-up on patient accounts to ensure timely and accurate resolution. • Utilize skills in ICD-10, CPT coding, and medical billing systems.

Medical Billing Supervisor - Hospital Are you an experienced medical billing professional with a strong background in hospital settings and a passion for leading a team? The is San Fernando Valley based hospital is seeking a skilled Medical Billing Supervisor to join our dynamic Revenue Cycle department. In this role, you'll lead efforts to ensure accurate and timely billing while resolving insurance denials and appeals, playing a vital part in maintaining our financial health. The Medical Billing Supervisor must be well versed with not only medical billing but also insurance collections for facility claims. Responsibilities:<ul><li>Supervise the medical billing team, providing guidance, training, and ongoing performance evaluation.</li><li>Oversee the preparation and submission of claims, ensuring compliance with regulations and accuracy, including UB04 claims.</li><li>Manage and resolve insurance denials and appeals efficiently, ensuring maximum recovery of revenue.</li><li>Monitor billing processes to identify and address revenue cycle inefficiencies.</li><li>Audit claims for accuracy and completeness, ensuring compliance with hospital policies and payer guidelines.</li><li>Serve as a liaison with insurance companies for escalated issues and disputes.</li><li>Generate reports to monitor billing performance, denial rates, and team productivity.</li><li>Stay updated on hospital billing regulations, payer policies, and coding changes to ensure compliance.</li><li>Collaborate with other departments (e.g., patient accounts, coding, admissions) to resolve billing discrepancies.</li></ul>

Medical Billing Specialist We are seeking a skilled and detail-oriented Medical Billing Specialist to join our team in Weston, Florida. The successful candidate will be responsible for ensuring accurate and timely billing of medical services, processing claims, and coordinating billing activities with healthcare providers and insurance companies. Proficiency in Microsoft Excel, including the ability to effectively use Pivot Tables and VLOOKUP functions for data analysis, is required for this role. Responsibilities:<ul><li>Accurately review, analyze, and process medical billing information</li><li>Work closely with healthcare providers to verify patient information, procedures.</li><li>Apply advanced Microsoft Excel functions, including Pivot Tables and VLOOKUPs, to analyze billing data, reconcile accounts, and identify discrepancies </li><li>Maintain compliance with healthcare billing regulations and the Health Insurance Portability and Accountability Act (HIPAA) standards </li><li>Provide exceptional customer service by responding to patients & providers regarding billing inquiries</li><li>Generate and process invoices with precision, ensuring timely and accurate billing.</li><li>Manage accounts receivable, including payment tracking, collections, and resolving billing inquiries.</li><li>Perform account reconciliations to identify discrepancies and maintain accurate financial records.</li><li>Collaborate with internal teams and external stakeholders to address billing-related matters.</li><li>Conduct audits of financial transactions to ensure compliance with company policies and regulations.</li><li>Utilize software tools, including Zoho and Monday.com, to streamline accounting processes.</li></ul>

Medical Biller Collector - Bilingual Spanish Are you a detail-oriented and bilingual professional with experience in medical billing, insurance collections, and charge entry? A Healthcare Organization in Los Angeles seeking a Medical Biller Collector to join our client’s healthcare team. This role is ideal for someone thrives in Medical Billing and Collections. Spanish-English bilingual ability is essential for seamless communication with a diverse patient population.Key Responsibilities:<ul><li>Process and submit insurance claims accurately and promptly.</li><li>Perform charge entry and ensure documentation of medical billing is precise and follows compliance standards.</li><li>Investigate, follow up, and collect on outstanding insurance claims to ensure timely reimbursements.</li><li>Communicate effectively with patients, insurance companies, and healthcare providers to resolve billing and payment concerns.</li><li>Maintain knowledge of up-to-date healthcare billing regulations, including ICD and CPT coding.</li><li>Utilize Electronic Medical Records (EMR) systems such as Cerner, Epic, or similar platforms.</li></ul>

Medical Accounts Receivable Specialist We are in search of a Medical Accounts Receivable Specialist to join our team located in Farmingdale, New York. As a Medical Accounts Receivable Specialist, you will play a critical role in managing patient accounts, focusing on claim denials and aged receivables, and ensuring accuracy and efficiency in medical billing processes. Main Duties: • Handle and resolve insurance claim denials in a timely manner• Scrutinize and clean up backlog of claims, ensuring they are up-to-date• Follow up on denied claims, investigating and rectifying any discrepancies• Oversee and manage current claim processes for efficiency and accuracy• Engage in medical collections, specifically focusing on old accounts receivable• Maintain and update accurate customer credit records• Process customer credit applications with precision and efficiency• Monitor customer accounts regularly and take necessary actions when required.

DMH Medical Billing Collections Specialist Our organization is looking for a diligent and competent Behavioral Health Medical Biller with DMH (Department of Mental Health) experience. The Behavioral Health Medical Biller will be responsible for helping us deal effectively and efficiently with all billing procedures associated with behavioral health services. The right person for this role must have experience with DMH (Department of Mental Health). Responsibilities: <ul><li>Accurately bill client services to various insurance companies, both electronically and on paper.</li><li>Ensure the timely submission of claims and follow up on unpaid claims.</li><li>Understand and apply behavioral health coding and identify errors.</li><li>Review and monitor unpaid claims.</li><li>Prepare, review, and send patient statements.</li><li>Resolve patient complaints or explain charges to patients' families.</li><li>Ensure compliance with current healthcare regulations, medical laws, and high ethical standards.</li><li>Communicate with clinicians and other healthcare providers on billing issues.</li><li>Evaluate client's financial status and establish budget payment plans.</li></ul>

Medical Biller/Collections Specialist We are in search of a Medical Accounts Receivable Specialist to join our team located in Farmingdale, New York. As a Medical Accounts Receivable Specialist, you will play a critical role in managing patient accounts, focusing on claim denials and aged receivables, and ensuring accuracy and efficiency in medical billing processes. Main Duties: • Handle and resolve insurance claim denials in a timely manner• Scrutinize and clean up backlog of claims, ensuring they are up-to-date• Follow up on denied claims, investigating and rectifying any discrepancies• Oversee and manage current claim processes for efficiency and accuracy• Engage in medical collections, specifically focusing on old accounts receivable• Maintain and update accurate customer credit records• Process customer credit applications with precision and efficiency• Monitor customer accounts regularly and take necessary actions when required.

Business Manager - Medical We are seeking a Business Manager in the Medical industry to join our team in Long Beach, California. In this role, you will play a vital part in overseeing the revenue cycle processes of our organization and will contribute significantly towards maintaining and enhancing our financial health. You will work closely with various stakeholders and departments, ensuring compliance with healthcare regulations and standards, and implementing process improvements to boost efficiency and minimize costs. Responsibilities: • Ensure that our billing practices are in line with healthcare regulations and standards, including monitoring coding, documentation, and charge capture accuracy. • Collaborate with other relevant departments to develop and update fee schedules reflecting our pricing strategy and compliance with regulations. • Maintain data integrity in revenue cycle reporting and analyze financial data to identify discrepancies, trends, and areas for improvement. • Implement best practices and process improvements to enhance efficiency and effectiveness, thereby reducing denials and costs, and speeding up cash flow. • Work closely with various stakeholders such as third-party billing business partners, Clinical Documentation Improvement, Compliance, and Clinical Operations to ensure a seamless revenue cycle process. • Assist Clinical Operations in onboarding newly acquired provider groups to our outsourced revenue cycle vendor and proactively analyze individual providers to identify areas of improvement. • Coordinate ongoing training efforts for providers and staff on revenue integrity topics, including coding, documentation, and charge capture integrity. • Track key performance indicators related to the performance of the revenue cycle to ensure targets are met and identify areas needing attention. This role offers a contract to permanent employment opportunity.

Manager of Revenue We are on the lookout for a proficient Manager of Revenue to become a part of our dynamic team. Located in Bethesda, Maryland, this role revolves around the management of revenue and financial transactions. As a Manager of Revenue, you will be tasked with handling customer credit applications, maintaining financial records, and addressing customer queries. This role also entails monitoring customer accounts and taking necessary actions. Responsibilities:Develops and maintains billing operation performance benchmarks and implements reporting mechanisms to monitor performance against such benchmarks.Develops, maintains and enhances reports for all aspects of Revenue Cycle Management.Assists in implementing and managing quality assurance routines and management reporting to ensure that vendors are performing job duties as expected.Supervise a team of Medical Billers All interested candidates in the Manager of Revenue role and other full-time opportunities across the D.C. area please send your resume to Justin Decker via LinkedIn.

Medical Records Clerk We are offering a short-term contract employment opportunity for a Medical Records Clerk in the Healthcare industry. The role is based in Minneapolis, Minnesota and involves working in a hospital and social assistance setting. Responsibilities: • Ensure efficient processing of patient records• Maintain comprehensive and accurate medical records• Handle inquiries related to patient records effectively• Monitor and manage patient accounts in a timely manner• Leverage knowledge of Electronic Medical Records software to enhance efficiency• Adhere to HIPAA regulations in all activities• Familiarize with medical terminologies to better understand and manage records• Take necessary action based on patient account monitoring results• Update and maintain patient record systems• Possess knowledge in the medical field to better serve and understand patient needs.

Medical Accounts Receivable Specialist We are offering a great opportunity in the Healthcare industry for a Medical Accounts Receivable Specialist or a CPC Coder at our Ocean, New Jersey location. As a Medical Accounts Receivable Specialist, you will be responsible for managing patients' claims that have been submitted to third-party payors, ensuring adherence to quality and quantity standards of the practice and industry regulations. Responsibilities: • Engage in the follow-up of patients’ claims that have not been fully adjudicated or have been denied.• Uphold the quality and quantity standards of the practice as well as industry regulations.• Interpret and comprehend all types of ERAs, EOBs, or any other third-party payor correspondence.• Utilize this information to take necessary actions for the final adjudication of patients’ claims.• Demonstrate a basic understanding of CPT and ICD coding.• Demonstrate knowledge of rudimentary medical terminology.• Exhibit excellent judgment and decision-making skills.• Identify trends and provide immediate feedback to the AR Team Lead or AR Revenue Cycle Manager.• Exhibit problem-solving, prioritization, and organizational skills.• Demonstrate reliability, accuracy, and efficiency when dealing with patients or third-party payors.• Understand current insurance guidelines and policies.• Comprehend the terms of any contract between the facility and its third-party payors when relevant.• Demonstrate excellent verbal and written communication skills.• Exhibit excellent interpersonal skills.

PFS Clinical Trials Building Analyst We are offering a contract to permanent employment opportunity for a PFS Clinical Trials Building Analyst in the healthcare industry. Located in Philadelphia, Pennsylvania, this role will be primarily focused on maintaining and building accurate clinical trials billing records. The Analyst will be a subject matter expert in Epic research billing protocols and will work closely with the research billing staff and study team members. Responsibilities: • Collaborate with study start-up staff to design and build records, ensuring accurate coding of procedures. • Participate in study initiation meetings to verify the completeness of study calendar events, research billing protocol, and RSH records. • Maintain and update research billing protocols through collaboration and analysis of study billing reports. • Document, resolve, and complete identified research billing grid revisions, sharing progress and results with leaders, end users, and stakeholders. • Identify research process deviations and provide support to the Epic Clinical Trials Billing Team and research study teams. • Assist with on-going knowledge transfer and training of Clinical Trials Specialists/Billers. • Maintain Epic’s Research Billing Certification through ongoing testing and review of release notes related to current and new functionality. • Escalate issues, document, and report as necessary.

Medical Scheduler A client of ours in the medical industry is looking to hire a medical scheduler/appointment confirmations coordinator for their radiology clinic to help schedule/confirm patients for their upcoming radiology appointments. This position requires an individual who is able to obtain a complete and accurate medical history from patients or family members. This individual should have good organizational skills and must have the ability to follow directions. Must be able to work independently and with team members in a fast paced environment. Required to use telephone and computer extensively. Engages in consistent, professional customer service skills as a representative for the imaging center. Effective use of proper grammar, spelling, medical terminology, and diagnosis coding when obtaining medical histories from patients or their representatives.

Medical Receptionist Are you a caring and compassionate individual who enjoys helping others? Robert Half is looking for dynamic Medical Receptionists with healthcare specific experience to assist our clients in the area. These important care positions frequently become available and we’re looking for vibrant individuals to grow our talent pool. The ideal Medical Receptionist will have experience working in a community health center and have medical insurance knowledge. The Medical Receptionist will enter and review referrals and prior authorization requests, including researching and obtaining additional information as necessary or returning to sender, per standard policies and procedures. The Patient Access Specialist will also review claims for appropriate billing and correct payment, identify and route claims for advanced or clinical review, and assist in providing coordinated care.

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