51 prior authorization medical office supervisor jobs found

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Biller II Full Time Clerical San Pedro, CA, US 3 days ago Requisition ID: 1051 Salary Range: $25.00 To $28.00 Hourly MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to our community. Our vision is “Improving the Health and Well-Being of Our Community.”Our core values are Integrity, Compassion, and Excellence. Employees are expected to demonstrate a strong commitment to the mission, policies, goals, and philosophy of Harbor Community Health Centers. JOB SUMMARY Reporting to the Revenue Cycle Manager (RCM), the Medical Biller II independently performs billing, claims submission, payment posting, denial resolution, accounts receivable follow-up, and account reconciliation activities for HarborCHC’s primary care, pediatric, behavioral health, and dental...

Pharmacy Billing Specialist Working under the direct supervision of the Pharmacy Billing Manager, the incumbent shall perform a variety of technical billing functions to support the mission of KTHFS. The incumbent will provide support to Pharmacy staff in respect to billing of prescriptions claims and services. Major duties and responsibilities include: Proactively gain knowledge to maintain a high level of industry knowledge related to the review/audit and billing of pharmacy claims for prescriptions and pharmacy services. Collaborate with and be available to pharmacy personnel for timely response and support for billing questions and needs. Build and retain positive and professional relationships with external KTHFS business partners. Use implemented and established processes to assure and maintain accurate demographic and billing information. Use implemented high-quality pre and post claims review of each prescription filled and pharmacy services to be billed. Ensure...

We are recruiting for a mission-driven Supervisor, Pharmacy - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something we live every day, for life's journey. Our Values Respect | Belonging | Accountability | Transparency Department Managed Care Administration * Must Live in Colorado * This is a hybrid role located in Denver, Colorado with a requirement of being in the office 3 days per week. Job Summary The Supervisor, Managed Care Pharmacy, performs supervisor/leadership functions over the Denver Health Medical Plan (DHMP) / Managed Care Pharmacy clinical pharmacist and administrative staff. Applies critical thinking, clinical knowledge, evidence-based policies, procedures, guidelines, and competence to collaborate with the team to promote excellence and quality outcomes. Adheres to all Federal, State, and local laws,...

Job Description Job Description Medical Billing Specialist ESSENTIAL DUTIES Knowledge of insurance verification and eligibility; authorization processes and ability to identify different kinds of insurance coverage and limitation. Receive requests for prior authorization and ensure that they are properly and closely monitored within company-set standards. Collaborate with other departments to assist in obtaining prior authorization /appeals. Proactively work on prior authorizations that are due to be expired. Insurance verification for new and current patients, review of incoming authorizations, and accurate input into electronic medical records system (EMR). Responsible for determining patient financial responsibility as determined by the insurance company. Research and verify patient demographic information through online verification systems. Verify insurance eligibility; get authorization and ability to identify different kinds of insurance coverage and...

Medical Billing Specialist ($3000 Sign on Bonus) ****Join Our Team and Receive a $3,000 Sign-On Bonus!**** POSITION SUMMARY: The Patient Accounts Billing Specialist is responsible for verifying insurance eligibility and benefits, obtaining prior authorizations, and maintaining accurate client account information. This position works closely with clinical, administrative, and billing teams to resolve reimbursement issues, ensure compliance with payer requirements, and support a seamless financial experience for clients. The ideal candidate is detail-oriented, organized, and committed to supporting access to behavioral health services through effective revenue cycle management. Job Title: Patient Accounts Representative, (in-person) Location: Eatontown, NJ MINIMAL QUALIFICATIONS: Two (2) years' experience in billing/Accounts Receivable High School Diploma PREFERRED QUALIFICATIONS: Three (3) years or above experience in billing and one year supervisory. WORK REQUIREMENTS: This in an...

Job Description Job Description Job Summary Medical Biller The Medical Biller reports to the Billing Manager in person at out office in Ontario, CA and is responsible for the accurate, compliant, and timely billing of clinical laboratory services, includingblood testing, microbiology/culture testing, and toxicology services. This role requires strong expertise inMedicare Part A vs Part B billing, skilled nursing facility (SNF) workflows, and commercial payer laboratory billing rules. The Medical Biller manages claims from Pending Review through payment resolution while ensuring full compliance withMedicare, Medicaid, and commercial payor regulations. No Remote Work Available Supervisory Responsibilities None Essential Duties and Responsibilities Laboratory Billing & Claims Management Review laboratory patient demographics, insurance, ordering provider, and facility information. Prepare, review, and submit insurance claims for laboratory services provided by Brio...

Rewarding career. Competitive salary. Outstanding benefits. The Medical Biller Lead serves as an advanced revenue cycle resource within Patient Financial Services, supporting the full life cycle of patient accounts from claim creation through final resolution. This position performs complex hospital billing, accounts receivable follow-up, denial resolution, payment posting, reconciliation, refund processing, and related account research while providing day-to-day workflow support to the billing team. The Medical Biller Lead assists with work queue management, staff training, process consistency, and escalation of complex reimbursement issues. This role supports hospital and clinic services in a Critical Access Hospital (CAH) environment and requires strong knowledge of payer requirements, Epic HB workflows, reimbursement, and customer service excellence. STANDARD EXPECTATIONS Promotes a Positive Working Environment Conducts oneself in line with organization's mission,...

Job Description Specific Role: Medical Biller Reports To: Revenue Cycle Manager Department: Finance Location: Main Admin85048 BLS Occ: Medical Records Specialist (SOC 29-2072) Salary Range: $22.00-$28.00 Schedule: FT M-F 8-5 Travel: None Key Responsibilities Claim Preparation & Submission Generate andsubmitclean claims (electronic and paper) for all services provided by the practice Review documentation, coding, modifiers, and charge capture for accuracy prior to submission Ensure compliance with payer-specific guidelines and private practice workflows. Accounts Receivable (A/R) & Denial Management Monitor insurance and patient A/R aging reports and prioritizetimelyfollow-up. Investigate, correct, and resubmit denied or rejected claims Comfortable with communicatingwith insurance companies to resolve claim issues, eligibility concerns, or authorization discrepanciesover phone or email. Document all actions taken in the practice management system Patient Billing &...

Salary : $66,788.80 - $94,078.40 Annually Location : Colton, CA Job Type: Full-time Job Number: 26-13117-01 Department: Arrowhead Regional Medical Center Opening Date: 09/19/2026 Closing Date: 10/2/2026 5:00 PM Pacific FLSA: Exempt The Job Arrowhead Regional Medical Center (ARMC) is recruiting for a Medical Staff Office Supervisor* who supervises the Medical Staff Office and support staff. The Medical Staff Office Supervisor* oversees the credentialing and reappointment processes for Medical Staff and Allied Health Professional Staff, ensuring compliance with applicable regulatory and accreditation requirements. This position reviews and directs the review of The Joint Commission manual and other legislation and regulations for changes that may impact medical staff operations, researches affected rules and practices, and drafts conforming language for submission to the appropriate committee for discussion and approval. The position also interprets...

Medical Billing and Reimbursement Supervisor Medical Billing and Reimbursement Supervisor 1 day ago Be among the first 25 applicants This range is provided by Atlantic Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $55,000.00/yr - $60,000.00/yr Job Overview – Medical Billing and Reimbursement Supervisor: Compensation: $55,000 – $60,000/year Location: Burlington County, NJ Schedule: Monday to Friday, 9:00 AM to 5:00 PM Lead billing operations as a Medical Billing and Reimbursement Supervisor with our client in Burlington County, NJ. Oversee the billing team, manage reimbursement processes, and ensure accurate, timely claims submission. Provide training, maintain payer databases, and coordinate with outsourced teams. Ideal for professionals experienced in insurance verification, claims processing, and reimbursement management with a track record of process improvement in healthcare billing. Responsibilities...

MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to our community. Our vision is "Improving the Health and Well-Being of Our Community." Our core values are Integrity, Compassion, and Excellence. Employees are expected to demonstrate a strong commitment to the mission, policies, goals, and philosophy of Harbor Community Health Centers. JOB SUMMARY Reporting to the Revenue Cycle Manager (RCM), the Medical Biller II is responsible for the billing and collection activities for the clinic's primary care, pediatric, behavioral health, and dental services. This position works closely with providers, Front Office staff, and the Quality Improvement Department. ESSENTIAL DUTIES & RESPONSIBILITIES Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. An individual must be able to perform each essential duty satisfactorily to be successful in this...

Career Opportunities: Certified Clinical Coder - Texas Medicaid - Medical Billing/Coding (19876) Posting ID 19876 -Posted 09/02/2026 - Health & Human Services Comm - Medical&Dental Benefits Policy - Healthcare Support - Eligible for Telework - Other Locations (1) - Additional Shifts available (1) - b. $3000 - $4999 per month Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: Certified Clinical Coder - Texas Medicaid - Medical Billing/Coding Job Title: Program...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Biller II Full Time Clerical 605 Admin, San Pedro, CA, US 3 days ago Requisition ID: 1020 Salary Range: $25.00 To $28.00 Hourly MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to our community. Our vision is “Improving the Health and Well-Being of Our Community.” Our core values are Integrity, Compassion, and Excellence. Employees are expected to demonstrate a strong commitment to the mission, policies, goals, and philosophy of Harbor Community Health Centers. JOB SUMMARY Reporting to the Revenue Cycle Manager (RCM), the Medical Biller II is responsible for the billing and collection activities for the clinic’s primary care, pediatric, behavioral health, and dental services. This position works closely with providers, Front Office staff, and the...

Senior Vascular Surgery Professional CoderNew Jersey's largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results.Position Summary:We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support.This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural work. The...

Physical Rehabilitation Network (PRN) and its Family of Brands is seeking to recruit & hire a Medical Billing Specialist I. About Us PRN brings together some of the most trusted PT brands across the West and Central U.S. Whether in the clinic or behind the scenes, we’re all about personalized care, smart clinical insight, and making every patient feel supported from start to finish. About the Role The Medical Billing Specialist I is responsible for ensuring accurate and efficient claims processing by performing detailed verification and submission of medical claims. This role supports the revenue cycle by minimizing front-end errors, preventing claim rejections, and maintaining compliance with all state, federal, and payer-specific regulations. The ideal candidate is detail oriented, dependable, and committed to maintaining high productivity and quality standards. Duties & Responsibilities Ensure all claims are submitted with a goal of zero errors. Verify...

Job Description Job Description ENGLEWOOD ORTHOPEDIC ASSOCIATES JOB DESCRIPTION   Department:   Billing Title : Medical Biller Location: Englewood Cliffs Supervision Received : Reports to Team Lead   Englewood Orthopedic Associates is currently recruiting a Full-Time Temporary Medical Biller Individuals must be experienced in medical billing, and initiate & monitor prior authorizations.   Candidate Qualifications and Position Responsibilities: The Medical Billing Specialist applying must have 2 or more solid years of medical billing and authorization experience. Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed. The candidate should have excellent oral and writing skills. Proven experience in insurance verification and obtaining authorizations for office and hospital procedures Preparing, reviewing, and submitting claims Researching and appealing...

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. The Supervisor, CGT Reimbursement & Medical Benefit Operations is responsible for leading a team supporting Cell and Gene Therapy reimbursement, medical benefit investigations, provider billing support, and broader Biologics medical benefit operations. This role serves as a reimbursement and medical billing subject matter expert while providing direct supervision, coaching,...

Job Description We are a small, established psychiatry practice seeking an experienced and self-motivated Medical Biller / Office Coordinator to join our team. This is a 30-hour-per-week position with the flexibility of primarily remote work and approximately one day per week in our office . Our practice consists of one psychiatrist and one physician assistant. We have two full-time virtual assistants who handle patient calls, referrals, pharmacy communication, scheduling-related communication, and virtual check-in. This allows the person in this role to focus primarily on medical billing, insurance-related tasks, accounts receivable, and practice operations rather than serving as a traditional front-desk receptionist. We are looking for someone who is experienced, organized, dependable, and comfortable working independently. The ideal candidate will take ownership of their responsibilities, identify issues before they become problems, and be able to manage their workload without...

Medical Billing And Coding Specialist Revenue Cycle Management is looking for a full-time Medical Billing and Coding Specialist to join our team! Hybrid opportunity after 30-90 day in-person training SUMMARY: The Medical Billing and Coding Specialist is responsible for reviewing patient medical records and accurately assigning ICD-10-CM, CPT, HCPCS, and applicable modifier codes in accordance with coding guidelines and payer requirements. This position ensures charges are accurately reflected on patient accounts, supports timely claim submission, and communicates with internal departments to resolve coding, documentation, and billing discrepancies. ESSENTIAL FUNCTIONS: Reviews medical record documentation to accurately assign diagnosis, procedure, and modifier codes in accordance with ICD-10-CM, CPT, HCPCS, and applicable coding guidelines. Validates diagnosis and procedure codes to ensure billing accuracy, regulatory compliance, and adherence to payer requirements;...

Medical Billing SpecialistRevenue Cycle Management is looking for a full-time Medical Billing Specialist to join our team! Hybrid opportunity after 90 days of in-person training (2 days from home, 3 days in office).The Medical Billing Specialist is responsible for analyzing patient's records and coding the patient's records based on ICD-10 and CPT codes. Additionally, ensure all charges are reflected on the patient account and communicate with inter-departments regarding any type of discrepancy for corrections.Essential Functions:Reviews patient accounts and supporting documentation to ensure all billable services and charges are captured accuratelyValidates diagnosis and procedure codes on accounts for billing accuracy and payer requirements; escalates discrepancies for correctionCommunicates with clinical, coding, and front-end teams to obtain or clarify missing or incomplete informationPrepares and submits accurate electronic and paper claims to commercial insurance carriers and...

Job Description Job Description New Jersey’s largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior  Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural...

Medical Claims Specialist This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. Job Duties/Responsibilities Maintains a thorough understanding and education of federal and state regulations and payer specific policies and...

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you.The Supervisor, CGT Reimbursement & Medical Benefit Operations is responsible for leading a team supporting Cell and Gene Therapy reimbursement, medical benefit investigations, provider billing support, and broader Biologics medical benefit operations. This role serves as a reimbursement and medical billing subject matter expert while providing direct supervision, coaching,...

Job Description Job Description Description: Join the winning team!! Medical Vein Clinic is looking for an experienced Medical Office Supervisor.  Hours: Monday-Friday 7:30am- 5:00pm  Essential Functions: Manage and supervise office staff of 15-20 Manage and implement office policies and procedures to ensure compliance with healthcare regulations  Over see the coordination and scheduling of patient appointments, ensuring optimal use of providers’ time  Over see the day-to-day operations of the medical office, ensuring smooth workflow and efficient patient care  Maintain accurate patient records and ensure confidentiality of sensitive information  Monitor inventory levels of supplies, request ordering as needed  Identify and provide solutions to any problems or opportunities for improvement  Collaborate with providers to optimize patient insurance requirements Continual learning to develop and implement adapting approaches to improve performance and growth...