Full Time
SPIRO PLASTIC SURGERY
West Orange, NJ, USA
Position Summary
The Billing Manager will oversee all aspects of the practice’s revenue cycle and accounts receivable, ensuring accuracy, timeliness, and compliance. This role requires strong knowledge of both cosmetic and insurance-based billing processes, plastic surgery coding, excellent communication skills, and the ability to work closely with patients, providers, insurance companies, and internal team members. Knowledge and understanding of the Federal IDR process and the NSA (No Surprises Act) is required. Interfacing with attorney firms specializing in physician advocacy litigation and the IDR process is a significant part of this role.
Key Responsibilities
Insurance & Authorization Management
Verify eligibility and benefits
Run prior authorizations for procedures and services
Initiate pre-determinations as needed
Update surgical insurance status forms
Gather all supporting documents necessary for claims and approvals...
