Proliance Surgeons

The Authorization and Benefits Specialist manages accounts receivable and coordinates medical prior authorizations for surgical procedures. They also handle inbound and outbound communications with patients, providers, and insurance companies to resolve billing and coverage inquiries.

The Revenue Cycle Coder interprets medical documentation to apply accurate ICD-10, CPT-4, and HCPCS codes for billing purposes. They also resolve claim denials, audit medical records, and provide coding guidance to healthcare providers.

The Revenue Cycle Specialist is responsible for managing billing processes including charge entry, claims submission, and insurance/patient accounts receivable. They also handle payment posting, credit resolutions, and bad debt processing while ensuring accuracy and compliance.

The Contracts Specialist manages the organization's contracting system, including drafting, reviewing, and negotiating agreements with vendors and healthcare providers. They also ensure regulatory compliance, maintain a centralized contract repository, and provide support to various departments regarding contract management processes.

Serve as the first point of contact for patient billing inquiries, assisting with payments, refunds, and account resolutions. Maintain accurate patient records and follow up on outstanding receivables to support the organization's financial health.