Job Details

Description

• Scheduling
  Serve as the primary scheduling coordinator for designated customer accounts, ensuring timely and accurate scheduling of neuromonitoring services.
  Coordinate with surgical teams, hospitals, and internal staff to confirm procedure dates, times, and required resources.
  Maintain up-to-date scheduling records and proactively resolve any conflicts or discrepancies.
• Pre-Authorization Activities
  Conduct insurance verification and obtain necessary pre-authorizations for procedures as required by payers or responsible parties.
  Communicate with insurance companies, case counterparts to ensure all case requirements are known and timing needs are satisfied.
  Track and follow up on pending authorizations to avoid delays in service delivery or billing forfeiture.
• Billing/Revenue Cycle Management
  Review and audit completed encounter documentation for accuracy and completeness prior to billing.
  Generate and submit medical claims to carriers, ensuring compliance with payer-specific guidelines and coding standards.
  Monitor accounts receivable and perform follow-up activities to ensure timely payment, including appeals and resubmissions as needed.
  Maintain accurate billing records and contribute to monthly financial reporting.
• Quality & Clinical Auditing Leadership
  Act as the primary point of contact for assigned customer accounts, addressing inquiries and resolving issues promptly and professionally.
  Build and maintain strong relationships with external stakeholders, including hospital administrators, billing departments, insurance representatives, and case managers.
  Collaborate with internal departments such as Clinical Operations, Finance, and Data Analysts to ensure seamless service delivery and account satisfaction.
  Provide insights and data to support strategic initiatives, reporting, and business development efforts.
• State-Specific Claims Coordination
  Manage neuromonitoring service claims with a primary focus on New York and New Jersey workers' compensation and personal injury accounts. This includes navigating the unique regulatory landscape, payer guidelines, pre-authorization requirements, and documentation standards specific to these states.
  Ensure accurate and compliant submissions to support timely reimbursement and reduce denials.

Qualifications

Associate's or Bachelor's Degree in Healthcare Administration, Business, or related field preferred
Certified Medical Reimbursement Specialist (CMRS) or Certified Professional Biller (CPB) desired.

Minimum of 2–3 years of experience in medical billing, preferably in a surgical or intraoperative neuromonitoring environment.
Familiarity with CPT/ICD-10 coding, payer guidelines, and electronic billing systems is essential.

Proven ability to manage multiple customer accounts, prioritize tasks, and maintain high levels of customer satisfaction.
Strong interpersonal and communication skills with a customer-first mindset. Ability to handle sensitive situations with professionalism and discretion.
Demonstrated ability to manage all administrative aspects of the patient encounter lifecycle, including scheduling, documentation, billing, and collections.
Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and experience with medical billing software and EHR systems.
High level of accuracy and attention to detail in data entry, documentation, and financial transactions.
Ability to work effectively in a cross-functional team environment and contribute to shared goals.

Primarily remote office environment with frequent and prolonged computer and office equipment use.
Standard business hours with occasional overtime to meet project deadlines.
Ability to manage stress and maintain productivity under tight deadlines and changing priorities.

Regular interaction with team members, clients, and other stakeholders through various communication channels.

Ability to maintain a stationary position for extended periods.
Occasionally required to move short to moderate distances.
Must be able to lift and/or move up to 50 pounds occasionally.