Why Work With Us?

  • Competitive salary with performance-based increases

  • Full-time, long-term remote opportunity

  • Paid training and bonus opportunities

  • Holiday pay, night differential, and overtime compensation

  • Paid time off and health benefits after probation

  • Supportive work culture with room to grow your career

Job Responsibilities

Pre-Authorization Specialist Duties

  • Submit authorization requests for procedures and referrals to insurance providers

  • Track and follow up on pending approvals

  • Coordinate with healthcare providers and insurers to collect required documentation

  • Maintain up-to-date authorization records and ensure compliance with guidelines

  • Accurately prepare and submit claims to insurance companies

  • Verify insurance coverage and apply correct CPT and ICD-10 codes

  • Follow up on unpaid or denied claims; file appeals when necessary

  • Resolve billing discrepancies by liaising with providers and insurers

Key Skills & Responsibilities

  • Excellent written and verbal communication skills

  • Strong grasp of medical terminology and US insurance processes

  • Organized, detail-oriented, and proactive

  • Experience with EMR/EHR systems and insurance portals

  • Able to work independently and as part of a team

  • Maintain confidentiality and uphold data security standards

Qualifications

Education:

  • High school diploma (required)

  • Preferred: Degree or certification in medical billing/coding or health information management

Certifications (Preferred but not mandatory):

  • CPC (Certified Professional Coder – AAPC)

  • CCS (Certified Coding Specialist – AHIMA)

  • CMRS (Certified Medical Reimbursement Specialist – AMBA)

Experience:

  • Minimum 1 year in US-based medical billing/coding

  • Hands-on with EHR systems and billing software

  • Knowledge of CPT, ICD-10, and HCPCS coding

  • Familiarity with US healthcare billing and insurance claims

Soft Skills:

  • Sharp attention to detail and analytical thinking

  • Strong time management and organizational skills

  • Effective communicator with a positive attitude

  • Ethical handling of patient information and data

System Requirements

  • Desktop or Laptop (Intel Core i5 or higher)

  • At least 4GB RAM (8GB+ preferred)

  • Stable internet with backup connection

  • Dedicated, noise-free home workspace

  • USB headset with noise cancellation

  • Power backup (UPS/generator or alternative work location)

工作详细内容

全部职位:
10 发布
工作时间:
Work from Home
工作类型:
性别:
没有偏好
最低学历:
学士
职位等级:
入门级
电话预约已成功,我们的专家会在短时间内与你联系:
1年
在之前申请:
May 09, 2025
发布日期:
Apr 09, 2025

TeamFicient SMC Private Limited

· 11-50 员工 - 费萨拉巴德, 伊斯兰堡, 卡拉奇, 拉合尔

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