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SIERRA NEUROSURGERY GROUP

Surgery Prior Authorization Representative

Career Insights for Medical Biller

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Based on Nevada data

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What they do

A Medical Biller handles payments and financial transactions between health care providers and patients. Manages systems for mailing bills and collecting and recording payments. Works in healthcare facilities and hospitals.

$46,876 / year median in Nevada

-2% projected decline

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Job Description

For over 45 years Sierra Neurosurgery Group has been Northern Nevada's leader in providing exceptional spine, brain, and pain management care. We are currently looking for a friendly Prior Authorization Representative to join our dynamic and knowledgeable Neurosurgical team. We are a 2021, 2023, and 2024 "Best Places to Work" winner! By joining our team, you receive competitive medical, dental, and vision benefits along with options for life insurance and retirement savings. We believe in collaboration and working hard, but with some fun thrown in, too! Come join our dedicated and enthusiastic team! What's required? One (1) year experience working in a physician practice. Working knowledge of managed care, commercial insurance, Medicare, Medicaid and Worker's Compensation. Knowledge and understanding of CPT and
ICD-10-CM
coding for specialty with one (1) year experience. Experience in establishing relationships with insurance companies and referring practices. High level of organization and attention to detail with working knowledge of practice management software. Must demonstrate high level of confidentiality, professionalism with the ability to work with patients and make them feel comfortable. Proficient with medical office software and all Microsoft office programs. Strong interpersonal skills with the ability to communicate clearly and in a calm and pleasant manner.
Duties include:
Obtain pre-certification/prior-authorization from insurance companies for all surgeries, tests, consults and other procedures requiring prior-authorization. Communicate with the business office for CPT codes, insurance verification and escalation of insurance issues (denials, pre-determination letter, etc.) Respond to written and telephone inquiries from patient and carriers regarding planned surgery, testing, consults, etc. If you are ready to provide outstanding customer service by helping our patients feel welcomed and cared for while playing an integral role on our team, then we are the place for you! If you feel you meet the qualifications and want to join our successful team, please submit your resume.
Job Type:
Full-time Pay:
$20.00 - $25.00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance
Experience:
CPT coding: 1 year (Preferred) ICD-10 coding: 1 year (Preferred)
Prior Authorization:
1 year (Required)
Work Location:
In person