Billing Specialist - Neurotoxin and Infusion (Education)
The Neurotoxin/Infusion Billing Specialist is responsible for coordination and execution of neurotoxin and infusion prior authorization requests, benefits analysis and denials management for neurotoxin and infusion patients throughout our clinics. Major Areas of Responsibility: Effectively manages neurotoxin and infusion prior authorization requests and approvals while maintaining an appropriate level of service excellenceContacts patients to secure necessary or missing information for insurance authorizationsObtains pre-authorizations and retro-authorizations to facilitate claim processingProcures insurance benefit quotes prior to treatment and provides any applicable pharmaceutical assistance program detailsProcesses and imports insurance determinations lettersDrafts letters of medical necessity when requested to assist with appealsExecutes pre-submission claim audits and procedure note reviews to mitigate rejections and denialsReconciles neurotoxin inventory with claim amounts to help ensure accurate billingIdentify and notify providers of any documentation issues on neurotoxin procedure notesResolves inbound neurotoxin and infusion billing and scheduling inquiry callsAdministers and oversees execution of payment plans as needed to continue neurotoxin and/or infusion treatmentsProcesses patient credit card payments on vendor application Primary Accountabilities: Reinforces and abides by our Clinics core values of integrity, respect, and trustFacilitates the rapid and successful conversion of insurance revenue into cash, minimize debt, improve cash flow by ensuring timely, accurate neurotoxin and infusion medical billing Expectations: Ensures optimal customer service to our patients, external contacts and ProvidersCollaborates across the organization to develop, implement and maintain processes that impact prior authorizations for neurotoxin and infusion claimsMaintains a positive work environment, treating other team members with respect This position is remote once training is complete.