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.
Procedure Denial & Authorization Follow‑Up Specialist (Part‑Time) Pain Zero
LLC - 1.0
Grove City, OH Job Details Part-time $18.50 - $20.00 an hour 22 hours ago Benefits Paid time off Qualifications Health insurance authorizations Teamwork Health insurance information Clinic experience Attention to detail Medical denial root cause analysis (RCA) Medical billing Cross-functional collaboration Medical claim denial management Medical terminology Documentation review Full Job Description Position Overview We are seeking a detail‑oriented, insurance‑savvy team member to support our clinical operations through proactive follow‑up on procedure denials, authorization requirements, and medical‑necessity documentation. This role ensures that all procedure and injection requests are fully supported, compliant, and properly communicated across providers, schedulers, and billing partners. Key Responsibilities Denial Follow‑
Up & Resolution:
Investigate procedure denials, identify root causes, and complete corrective actions to secure approval or determine next steps.
Insurance Coordination & COB Review:
Interpret payer rules, coordination of benefits (COB), coverage criteria, and authorization requirements.
Medical Necessity Verification:
Review provider notes, imaging, diagnostics, and clinical documentation to confirm medical necessity and ensure all required elements are present.
Authorization Support:
Communicate with providers to obtain missing documentation, clarify clinical rationale, and secure imaging or records needed for insurance approval. Cross‑
Functional Collaboration:
Work closely with the procedure scheduler, third‑party billing company, and administrative manager to ensure timely submission and smooth workflow.
Qualifications Required:
Prior billing experience Strong understanding of insurance processes and terminology Ability to review clinical documentation for medical necessity
Preferred:
Authorization experience Familiarity with imaging requirements for interventional procedures Experience in a medical practice or outpatient procedural setting Schedule & Compensation 20 hours per week Monday-Thursday Flexible start/end times within clinic hours (8 AM-5 PM) $18.50-$20.00 per hour , based on experience Ideal Candidate Someone organized, communicative, comfortable navigating insurance rules, and confident engaging with providers to gather required documentation. This is a collaborative, fast‑paced clinical environment where accuracy and follow‑through matter.
Pay:
$18.50 - $20.00 per hour
Benefits:
Paid time off Application Question(s): How many years of Medical Procedure Billing experience do you have?
Experience:
Medical Claim Denials:
2 years (Preferred) Medical billing: 2 years (Preferred) Ability to
