Medical Biller & Prior Authorization Specialist
Ovadia Plastic Surgery
Job Description
Job Description
Ovadia Plastic Surgery is a growing reconstructive and plastic surgery practice in Lower Manhattan, with additional clinical sites in New Jersey. We're looking for an experienced Medical Biller & Prior Authorization Specialist to bring billing in-house and own the revenue cycle alongside our surgeon and practice manager.
This is a full-time role based at our 225 Broadway office.
What you'll do:
- Submit and manage professional claims for surgical and office-based services
- Work denials, underpayments, and appeals with commercial payers
- Post payments, reconcile EOBs/ERAs, and follow up on outstanding AR
- Obtain prior authorizations and pre-certifications for surgical cases
- Verify insurance benefits and communicate coverage details to patients
- Track claim and authorization status and keep the team updated
- Help build and refine our in-house billing workflows
What we're looking for:
- 2+ years of medical billing experience, ideally in a surgical specialty
- Hands-on prior authorization experience with commercial insurers
- Strong knowledge of CPT/ICD-10 coding, modifiers, and payer rules
- ModMed (Modernizing Medicine) experience strongly preferred
- Organized, persistent, and comfortable on the phone with payers
Why join us:
- Competitive salary
- Health insurance, 401(k) with match, and paid time off
- Small, close-knit team where your work has a direct impact
Vacancy posted 4 days ago
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