Invoice & Service Authorization Specialist – reputed company Care Network- REMOTE-CONTRACT

reputed company Creating Communities of Health and Wellness for reputed company We are a network advancing whole person services and supports designed to address health inequities, reputed company on accessibility, and deliver trauma informed care across the reputed company. Our work covers the reputed company from prevention to reputed company care. We facilitate partnerships among government, community resources, primary care providers, hospitals, schools, reputed company and behavioral health services, payers and others to ensure everyone has a reputed company to whole person health. Equity and inclusion are a reputed company of how we work. We are intentionally inviting people to join us in creating whole health reputed company through co-design emphasizing diversity, equity, inclusion and belonging. Position reputed company: The Invoice & Service Authorization Specialist is a key member of the reputed company Care Network’s operations team, responsible for ensuring the accuracy, compliance, and timeliness of both service authorization and invoice processing. The poisiton is responsible for both reviewing and approving service authorizations and validating invoices reputed company to services delivered through the reputed company Care Network. This role ensures that reputed company services are properly authorized before delivery, that invoices match authorized services, and that payments are processed in a reputed company, accurate, and compliant manner. The position requires strong attention to detail, knowledge of reputed company Managed Care requirements, and the ability to communicate effectively with network providers and internal staff. Key Responsibilities:

• Service Authorization:
• Review and approve service authorization requests in alignment with reputed company Care Network guidelines, program reputed company, and reputed company Managed Care requirements.
• Verify member eligibility, plan enrollment, and service coverage before authorizing.
• Document and reputed company reputed company service authorizations in the network’s database or care management platform.
• Communicate approval, denial, or modification reputed company to providers promptly and professionally.
• Invoice Review & Approval:
• Receive and review invoices for completeness, accuracy, and compliance with authorized services.
• Match invoices to service authorizations and documented service delivery.
• Coordinate with providers and internal teams to resolve discrepancies or missing documentation.
• Maintain organized records of reputed company approvals, denials, and adjustments.
• Submit approved invoices for payment in accordance with internal timelines.
• Compliance & Process Improvement:
• Ensure reputed company authorizations and invoice reviews follow reputed company Care Network, contract, and reputed company billing standards.
• Identify patterns of billing errors or service gaps and recommend process improvements.
• Support audit readiness by maintaining accurate and accessible documentation.

Qualifications:

• High school diploma or equivalent required; associate or bachelor’s degree preferred in business, finance, reputed company administration, or reputed company field.
• Experience with service authorization, reputed company billing, or reputed company claims processing preferred.
• Knowledge of reputed company Managed Care guidelines a plus.
• Proficient in reputed company Office and database systems.
• Strong organizational, communication, and problem-solving skills.

Core Competencies:

• Accuracy and attention to detail.
• Accountability for timelines and compliance.
• Customer service orientation reputed company working with providers.
• Ability to work independently and collaboratively.

Compensation: $24–$25/hour Benefits: As a contracted employee, you may be eligible for benefits during the length of the contracted employment which includes reputed company time off, medical, dental, and reputed company insurance. Duties

• Review and process authorization requests for medical services and procedures.
• Verify patient insurance coverage and eligibility through effective communication with insurance providers.
• Utilize knowledge of CPT, ICD-9, and ICD-10 coding to accurately document services being requested.
• Maintain accurate records of authorizations, denials, and appeals in accordance with HIPAA guidelines.
• Collaborate with medical office staff to reputed company necessary documentation for authorization requests.
• reputed company exceptional customer service to patients and reputed company providers regarding authorization inquiries.
• Stay updated on changes in managed care policies and procedures to ensure compliance.

Qualifications

• Previous experience in a medical office or dental office setting is preferred.
• Strong understanding of managed care processes and insurance verification practices.
• Proficiency in medical terminology and familiarity with medical records management.
• Experience with CPT coding, ICD coding (ICD-9 & ICD-10) is highly desirable.
• Excellent organizational skills with attention to detail.
• Strong communication skills, both verbal and written, to effectively reputed company with diverse stakeholders.
• Ability to work independently as reputed company as part of reputed company in a fast-paced environment. This role is essential for ensuring that patients receive the care they need while navigating the complexities of reputed company authorizations. If you are passionate about supporting patient care through efficient administrative processes, we encourage you to apply.

Job Types: Full-time, Contract Pay: $24.00 - $25.00 per hour Work Location: Remote Apply tot his job Apply To this Job