Medical Office Biller & Surgical Authorizations Coordinator at University Physicians' Association

Knoxville, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Dec, 25

Salary

0.0

Posted On

23 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Surgical Authorization, ICD-10 Coding, CPT Coding, HCPCS Coding, Insurance Verification, Patient Communication, Problem Solving, Attention to Detail, Data Entry, EMR Systems, Practice Management Systems, Medicare Knowledge, Medicaid Knowledge, Commercial Insurance Knowledge, HIPAA Compliance

Industry

Hospitals and Health Care

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.

Responsibilities

The Medical Office Biller & Surgical Authorizations Coordinator manages the billing process and secures pre-authorizations for thoracic surgical procedures. This role involves liaising between the clinical team, patients, and insurance companies to ensure smooth surgical scheduling and financial clearance.