FlexStaff is seeking a Senior Medical Office Administrator with experience in Healthcare Insurance Authorization and Revenue Cycle Operations for our Client, a Prosthetics and Orthotics Lab, located in Manhattan, NY.
Requirements:
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High school diploma or equivalent required.
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Advanced knowledge of medical insurance verification, prior authorization processes, and reimbursement methodologies.
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Prior experience in healthcare billing, collections, or revenue cycle operations required.
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Bilingual English/Spanish.
Schedule: Monday- Friday, 8:30am-5:30pm.
This is Temp-to-Hire role.
In this role you will be serving as the lead specialist for insurance verification, benefits investigation, prior authorizations, and re-authorizations using payer portals, electronic systems, and direct payer communication
Responsibilities:
Insurance Authorization & Revenue Cycle Operations
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Lead insurance verification, benefits investigation, prior authorizations/re-authorizations.
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Interpret payer policies, coverage criteria, and reimbursement rules.
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Validate eligibility, deductibles, co-insurance, and OOP maximums before services.
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Resolve authorization issues and denials with clinicians and billing.
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Track turnaround times and escalate delays; report key metrics.
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Maintain organized filing for audits and compliance.
Work Process Management & Technical Administration
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Optimize workflows for authorizations, scheduling, documentation, and billing readiness.
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Create and maintain SOPs; coordinate clinician schedules with authorizations.
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Ensure daily billing readiness; use practice management systems to track status.
Quality Assurance & Compliance
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Audit authorization accuracy, documentation completeness, and billing readiness.
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Identify trends and gaps; recommend corrective actions.
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Ensure compliance with payer, state, and federal regulations; retrain staff as needed.
Staff Training & Leadership
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Train and supervise administrative staff on insurance processes and standards.
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Act as escalation point for complex issues and promote best practices.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).
