Job Title: EHR Implementation & Medical Billing Specialist
We are in the process of upgrading to a more comprehensive Electronic Health Record (EHR) system to better serve our patients and streamline our operations. As part of this transition, we are seeking a skilled and experienced professional to assist with the implementation and take ownership of key billing and authorization processes post-launch.
Position Summary:
This role will play a critical part in the successful implementation of our new EHR system. Post-implementation, the position will be responsible for:
Preparing and submitting claims to our billing company.
Managing medical accounts receivable.
Navigating complex prior authorization systems, particularly for VA, Tricare, and Aetna.
Handling non-network authorizations and approvals for medical equipment.
Key Responsibilities:
Collaborate with internal teams and vendors during the EHR migration and implementation process.
Ensure accurate and timely claim preparation and submission.
Monitor and follow up on outstanding accounts receivable.
Confidently manage prior authorization workflows, including documentation and communication with payers.
Maintain compliance with payer-specific requirements and regulations.
Serve as a subject matter expert on VA/Tricare billing and authorization processes.
Required Qualifications:
Proven experience with EHR implementation or migration.
Strong understanding of medical billing and coding practices.
Demonstrated expertise in VA, Tricare, and Aetna prior authorization systems.
Experience with non-network authorizations and approvals for medical equipment.
Excellent organizational and communication skills.
Ability to work independently and manage multiple priorities.
