Prior Authorization Associate I
Core
Lead the Revenue Cycle team to ensure timely and accurate submission of claims, appeals, and cash posting while monitoring performance and coordinating workflows.
Role type
Senior IC revenue cycle lead (medical billing)
Builds
Revenue cycle operations for healthcare clients
Domain
Healthcare / Medical Billing
Required skills
Medical billing principles, ICD-10 coding, CPT coding, Explanation of Benefits (EOB) interpretation, Medicare/Medicaid regulations, billing software proficiency, Microsoft Excel
Preferred skills
Associate degree or certification, 4+ years medical billing experience, process improvement initiative
Technologies
Epic, Microsoft Excel, Microsoft Word
Responsibilities
Oversee daily activities of the Revenue Cycle Team, assist in training and evaluating staff, develop procedures for claims processing and appeals, process billing transactions, perform ad-hoc audits, handle escalations, act as subject matter expert for workflows and guidelines.
Seniority
Senior, hands-on IC