JobMesh

Senior Medical Office Administrator (Insurance Authorization Specialist), Bilingual (English/Spanish)

Northwell Health · New York City, New York, US

FlexStaff is seeking a Senior Medical Office Administrator with experience in Healthcare Insurance Authorization and Revenue Cycle Operations for our Client,...

Job description

FlexStaff is seeking a Senior Medical Office Administrator with experience in Healthcare Insurance Authorization and Revenue Cycle Operations for our Client, a Prosthetics and Orthotics Lab, located in Manhattan, NY. Requirements: High school diploma or equivalent required. Advanced knowledge of medical insurance verification, prior authorization processes, and reimbursement methodologies. Prior experience in healthcare billing, collections, or revenue cycle operations required. Bilingual English/Spanish. Schedule: Monday- Friday, 8:30am-5:30pm. This is Temp-to-Hire role. In this role you will be serving as the lead specialist for insurance verification, benefits investigation, prior authorizations, and re-authorizations using payer portals, electronic systems, and direct payer communication Responsibilities: Insurance Authorization & Revenue Cycle Operations Lead insurance verification, benefits investigation, prior authorizations/re-authorizations. Interpret payer policies, coverage criteria, and reimbursement rules. Validate eligibility, deductibles, co-insurance, and OOP maximums before services. Resolve authorization issues and denials with clinicians and billing. Track turnar...