Description

Job DescriptionJob DescriptionPosition Summary:

We are seeking a detail-oriented and compassionate Medical Biller/Prior Authorization Specialist to support our outpatient psychiatric practice. This dual role involves coordinating medication pre-authorizations, and supporting billing and administrative tasks. Ideal for someone experienced in behavioral health settings who thrives in a fast-paced, patient-focused environment.

Key Responsibilities:

Medication Prior Authorizations:

 Coordinate prior authorization requests for psychiatric medications with insurance

companies.

 Follow up with insurance providers to track status and obtain approvals.

 Collaborate with prescribers and pharmacies to ensure timely medication access.

 Maintain accurate records of all authorization processes and outcomes.

Billing:

 Help resolve billing issues and enter charges to patient accounts as needed.

 Provide support with patient billing questions and statements.

Administrative Support:

 Maintain confidentiality and uphold HIPAA regulations at all times.

 Support the billing department and clinicians with ad-hoc tasks as assigned.

Qualifications:

 Experience: Minimum 3 years in medical billing, prior authorizations, or related roles

(psychiatry or behavioral health preferred).

 Knowledge: Familiarity with insurance processes, psychiatric medications, and

electronic medical records (EMRs).

 Skills: Excellent communication, attention to detail, organizational skills, and ability to

work independently.

 Tech: Experience with EMR systems (e.g., Office Ally, Dr Chrono, etc.), Microsoft

Office or GSuite.

Preferred:

 Knowledge of mental health medications and terminology.

 Experience working in a remote or hybrid setting.