Authorization & Billing Support Specialist, Senior

Validate patient insurance, appeal denials with medical necessity, and manage prior authorizations for testing and procedures. Review Task Manager to respond to denials and open encounters, then correct errors in the EMR and CERNER systems. Analyze coding data to assign accurate diagnoses and procedure codes, document denial trends for continuous improvement, and implement process improvements. Act as a liaison between physicians and staff regarding coding policies, charge entry, and insurance procedures. Provide resolution to coding issues using best practices and train team members on insurance guidelines. Ensure all data is accurately documented and scanned, while informing staff about financial aid and Medicaid applications.