Full Time
National Kidney Partners
Port Richey, FL
Cardiology and Vascular Billing Specialist
Location: Port Richey, FL
Position Overview
We are seeking a detail-oriented Cardiology and Vascular Authorization and Billing Specialist to join our team in Port Richey, FL. This role is responsible for ensuring timely insurance approvals (prior authorizations) for cardiac procedures and vein treatments, while managing accurate billing, coding (ICD-10, CPT), and reimbursement processes. The ideal candidate will prevent denials by verifying benefits, providing clinical documentation to payers, and coordinating with clinical staff for peer-to-peer reviews.
Key Responsibilities
Prior Authorization Acquisition: Obtain authorization for appointments, tests, and complex vascular/cardiovascular procedures by reviewing clinical documentation and understanding payor guidelines.
Clinical Collaboration: Partner with physicians to gather medical necessity documentation for insurance reviews.
Billing & Coding:...