Northern Virginia Pelvic Surgery Associates PC
Fairfax, VA, USA
Job Description Job Description Four physician specialty practice, with primary location in Northern Virginia, seeks an experienced professional Medical Billing Specialist, who will be responsible for a wide variety of duties. CPC preferred but not required . Experience with GE Centricity is a plus. Responsibilities: Monitoring and resolution of denials - including root cause, resolution, re-submission of claim, claim acceptance, and payment receipt. Verifies and accurately documents insurance benefits. Creates and documents estimated patient responsibility money before service is rendered and collects from patients prior to procedures. Identifies and provides accurate CPT/ICD codes during authorization check and authorization request. Obtains, interprets and submits clinical documentation pertinent to the specific services requiring prior authorization to support medical necessity reviews by the payer. Obtains and documents prior authorization approval from insurance...
