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Medical Office Biller & Surgical Authorizations Coordinator

Medical Office Biller & Surgical Authorizations Coordinator

University Physicians' AssociationKnoxville, TN, US
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Job Description

Job Description

Description : Job Summary :

The Medical Office Biller & Surgical Authorizations Coordinator is responsible for managing the billing process and securing pre-authorizations for thoracic surgical procedures. The position serves as a liaison between the clinical team, patients, and insurance companies to facilitate smooth surgical scheduling and financial clearance.

Key Responsibilities :

Billing & Coding Duties :

  • Review medical records and operative reports to assign appropriate ICD-10, CPT, and HCPCS codes.
  • Coordinates with CBO on billing issues and denied claims
  • Work with patients on billing inquiries, payment plans, and insurance issues.

Surgical Authorizations & Scheduling Support :

  • Obtain prior authorizations for all thoracic surgeries, diagnostic imaging (e.g., CT, PET scans), and procedures (e.g., bronchoscopy, biopsy).
  • Communicate with insurance companies to verify patient benefits and coverage.
  • Coordinate with the surgical scheduler and clinical staff to ensure authorization requirements are met before surgery dates.
  • Track and document authorization status, follow up on pending requests, and escalate issues when needed.
  • Ensure documentation meets payer requirements to minimize risk of denial.
  • Maintain accurate and organized records of all authorizations and related correspondence.

    • Requirements :

    Required Qualifications :

  • High school diploma or equivalent; associate degree or certification in medical billing / coding preferred.
  • Minimum 2 years of experience in medical billing and surgical authorization, preferably in a specialty practice (thoracic, cardiothoracic, oncology, or surgical practice ideal).
  • Certified Professional Coder (CPC) or Certified Coding Associate (CCA) is a plus.
  • Working knowledge of CPT, ICD-10, and insurance billing guidelines.
  • Experience with prior authorization portals and payer-specific processes.
  • Proficient in EMR and practice management systems – Cerner, Intergy, and Medaptus
  • Strong understanding of Medicare, Medicaid, and commercial insurance requirements.

    • Skills and Competencies :

  • Attention to detail and accuracy in coding and data entry.
  • Excellent communication and problem-solving skills.
  • Ability to manage multiple tasks and meet deadlines.
  • Knowledge of HIPAA and patient confidentiality regulations.
  • Ability to work independently and as part of a multidisciplinary team.
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    Medical Biller • Knoxville, TN, US