Remote Authorization and Billing Specialist

Summary

Join Bend Health's mission to revolutionize mental health care for kids and teens by working as a full-time Credentialing Specialist. This role reports to the SVP of Revenue Cycle Management and involves requesting prior authorizations, answering billing and insurance questions, tracking current authorizations, and assisting with miscellaneous tasks.

Requirements

• A great people person that is willing to work collaboratively with multiple departments and vendors
• Extremely detail oriented and able to prioritize tasks accordingly
• Educational background and certifications in healthcare and billing and/or credentialing required
• 2 years healthcare experience preferably in authorization, billing, credentialing or comparable department

Responsibilities

• Request Initial and Continuing Prior Authorizations for patient’s as per the insurance companies guidelines
• Help answer billing and insurance questions and phone calls from the internal staff, patients, and insurance companies
• Track current authorizations so we do not miss resubmitting for a new authorization, as well as alerting providers when patients are getting near the end of their authorization
• Help with month end billing submission and reconciliation work
• Help Create and maintain prior authorization workflows and reporting
• Help answer insurance benefit questions from patients and staff
• Coordinate timing of authorization requests by collaborating with Behavioral Care Managers and other team members
• Assist with miscellaneous billing/authorization/insurance benefit work as it arises
• Helping to assist in minor data entry or billing projects if necessary

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity
• 401k contribution