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Insurance Authorizations and Billing Specialist Lexington

Insurance Authorizations and Billing Specialist

Full Time • Lexington
Benefits:
  • 401(k)
  • Dental insurance
  • Employee discounts
  • Health insurance
  • Paid time off
  • Vision insurance
Wellward is seeking the perfect professional for our Insurance Authorizations and Billing Specialist position!

Wellward Medical is seeking a full time Insurance Authorizations and Billing specialist (preferably with experience using eClinicalWorks EMR).  The Authorizations and Billing Specialist will be responsible for all benefit and prior approval for interventional procedures, diagnostic testing, and surgeries ordered by the clinicians at Wellward. This individual must be able to work independently and in a non-supervised environment. The position will advise providers on procedure guidelines and other day-to-day clinic needs. Even though this is an independent position, Wellward is a team oriented environment and the candidate must be able to work with the team when needed. At Wellward our work values are Greatness, Resilience, Innovation and Teamwork.

While we always prefer to have our team members on site, the right candidate may be considered for working remotely.

Insurance Authorizations and Billing Job Responsibilities:

  • Obtain insurance authorizations for all in-office services, outside diagnostic testing, durable medical equipment and surgeries
  • Maintain current knowledge of payer specific requirements for authorization submission, authorization appeals, and authorization resolution
  • Making appropriate/ consistent documentation on all accounts worked
  • Track trends for authorization denials - develop and communicate strategies to avoid repeated denials to clinicians and the management team
  • Address patient concerns and questions in a professional and courteous manner
  • Maintain strict confidentiality; adhere to all HIPAA guidelines/regulations. Training is provided!
  • Provide support to other team members as needed for general billing support, account collections, and other tasks as they are identified
Insurance Authorizations and Billing Job Qualifications/ Skills:

  • 2+ years of experience with obtaining insurance authorizations for medical services
  • The ideal candidate is a self-motivated individual who can work efficiently and effectively without 'micro-management'
  • Experience with eClinical Works is ideal but not required
  • Detail Oriented
  • Professionalism
  • Collaborator
  • Exceptional Customer Service and Interpersonal Skills
Job Type: Full-time - Monday through Friday 8:30am-5pm

Pay: $16-$18  per hour

TEAM WELLWARD BENEFITS 

  • Medical Insurance
  • 401(k) w/company match - Safe Harbor
  • Dental/Vision.
  • Paid Holidays
  • Paid Time Off
  • Service/Merchandise Discounts
  • Dynamic and Positive Work Culture
  • Team Wellward Apparel & More!

**Benefits subject to change/qualifications required to be eligible
Compensation: $16.00 - $18.00 per hour

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.





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Benefits Package
Medical Insurance 401(k) w/company match - Safe Harbor Supplemental Short & Long Disability/Dental/Life/Accident/Vision/etc. Paid Holidays Paid Time Off Continuous Ed Dollars Annually Service/Merchandise Discounts Dynamic and Positive Work Culture Team Wellward Apparel & More! **Benefits subject to change/qualifications required to be eligible