Authorization and Billing Coordinator jobs in United States
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BAMF Health · 21 hours ago

Authorization and Billing Coordinator

BAMF Health is leading the way in Theranostics, transforming patient care through innovative technology. The Authorization and Billing Coordinator will manage insurance verification, authorization requests, and patient financial counseling while ensuring compliance with medical policies and regulations.

Artificial Intelligence (AI)BiopharmaBiotechnologyClinical TrialsHealth Care
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Growth Opportunities

Responsibilities

Confirm insurance coverage and benefits, including pre-authorization requirements. Review patient accounts for outstanding balances and provide required forms (e.g., ABN, GFR) per policy
Process authorization requests, ensuring all documentation is complete and accurate. Review CPT and ICD-10 codes for medical necessity based on payer policies
Answer patient billing questions and provide information on available financial or community assistance resources
Manage assigned patient balances, including handling phone calls, setting up payment plans, and addressing account inquiries
Communicate effectively with patients, providers, and payers via phone, in person, or electronically, delivering excellent customer service
Accurately document account activities, including authorizations, payment plans, denials, approvals, and related communications
Follow all company policies, payer guidelines, and regulatory requirements. Maintain HIPAA compliance and uphold patient privacy and confidentiality
Assist with preparing and submitting appeals for denied authorizations, including supporting documentation and follow-up. Request retro-authorizations when applicable
Demonstrate active listening and empathy in resolving or escalating concerns. Serve as a liaison between patients, clinical teams, and billing staff to ensure clear and accurate communication

Qualification

Prior AuthorizationMedical BillingCPTICD-10 CodingPatient Financial CounselingHIPAA ComplianceCustomer ServiceCommunication SkillsDocumentation Skills

Required

High School Diploma or GED required
2 years working in a health care setting required
1 year acquired prior authorization, registration, or professional billing required

Preferred

Associate or bachelor's degree in a related field preferred
Patient Access, billing and/or medical coding prior training preferred
3 years working in prior authorization, registration, or professional billing preferred
Radiology scheduling & authorization experience preferred
Certification in billing and/or coding preferred

Benefits

Employer paid High Deductible Health Plan with employer HSA contribution
Flexible Vacation Time
401(k) Retirement Plan with generous employer match
Several benefit options including, but not limited to; dental, vision, disability, life, supplemental coverages, legal and identity protection

Company

BAMF Health

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BAMF Health is a theranostics center that offers molecular therapy, radiopharmacy, and clinical trials to treat cancer and other diseases.

Funding

Current Stage
Growth Stage
Total Funding
$10M
2024-08-19Series Unknown
2024-07-09Grant· $5M
2021-10-10Series Unknown· $5M

Leadership Team

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Anderson Peck
Co-Founder & CTO
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Eric Boonstra
Chief Financial Officer
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Company data provided by crunchbase