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Medical Biller / Referral & Authorization Specialist

UNITED FAMILY MEDICAL CENTER

Medical Biller / Referral & Authorization Specialist

Newburyport, MA
Full Time
Paid
  • Responsibilities

    Benefits:

    401(k)

    Company parties

    Competitive salary

    Health insurance

    Paid time off

    About Us We are a growing Primary Care Physician (PCP) office committed to providing high-quality patient care. We are seeking a reliable and detail-oriented Medical Biller / Referral & Authorization Specialist to join our team.

    Job Responsibilities

    Submit and follow up on insurance referrals for specialist visits

    Process prior authorizations for imaging studies (CT, MRI, Ultrasound, etc.)

    Verify patient insurance eligibility and benefits

    Work with insurance companies to obtain approvals

    Coordinate with providers and staff regarding referral requirements

    Maintain accurate documentation in the EMR

    Communicate with patients regarding authorization status

    Assist with medical billing tasks as needed

    Qualifications

    Experience in medical billing or referral coordination preferred

    Knowledge of insurance authorization processes

    Familiarity with PCP office workflows

    Experience with EMR systems

    Strong organizational and communication skills

    Ability to multitask in a fast-paced environment

    Preferred Experience

    Prior experience with imaging authorizations

    Understanding of Medicare, Medicaid, and commercial insurance

    Experience in a primary care office

    Benefits

    Competitive salary

    Paid time off

    Supportive team environment

    Opportunities for growth