The RCM Billing Specialist is responsible for processing medical claims, managing accounts receivable, and resolving insurance denials to ensure accurate reimbursement. They also maintain patient accounts, verify insurance eligibility, and communicate with insurance carriers and patients regarding account status.
The Prior Authorization Coordinator manages the end-to-end authorization process for interventional pain management procedures to ensure timely patient care. This role involves collecting documentation, reviewing medical necessity, and communicating with insurance payors and internal teams to secure approvals.
The Prior Authorization Team Lead oversees the authorization process for pain management procedures while serving as a subject matter expert for the team. They are responsible for training staff, improving workflows, and ensuring accurate documentation and communication with insurance carriers.
