Medical Billing & Pre-Authorizations Agent

About the Role

We are seeking a Medical Billing & Pre-Authorizations Agent to support revenue cycle operations for a US-based client. This role is responsible for managing billing processes, handling pre-authorizations, and ensuring accurate and compliant account resolution. The position requires strong analytical skills, attention to detail, and the ability to communicate effectively in a professional environment.

Key Responsibilities

• Manage billing processes by identifying and resolving accounts across multiple payors, ensuring timely collection of outstanding balances.
• Submit, review, and follow up on pre-authorizations in accordance with established policies and procedures.
• Maintain accurate and detailed documentation of all account activities within client systems.
• Respond to inquiries in a timely and professional manner, ensuring effective resolution.
• Develop and monitor payment arrangements in alignment with client guidelines.
• Analyze account data to identify discrepancies, trends, and areas for improvement.
• Ensure compliance with internal policies as well as applicable US healthcare regulations.
• Meet established productivity and quality standards while working within a structured environment.

Qualifications

• Strong written and verbal communication skills in English and Spanish.
• Demonstrated analytical and problem-solving abilities.
• Proficiency in computer systems and data entry.
• High level of accuracy and attention to detail.
• Ability to manage multiple tasks and meet deadlines.
• Knowledge of medical billing, claims, or pre-authorizations is preferred.
• Collaborative mindset with the ability to work effectively within a team.

Education & Experience

• High School Diploma or equivalent required.
• Experience in collections, billing, or customer service is valued.
• (Alternatively, completion of at least 1 year of university coursework.)

What We Offer

• Opportunity to work with an established US-based client.
• Professional and structured work environment.
• Ongoing training and development opportunities.
• Exposure to international healthcare operations.

If you meet the qualifications and are interested in joining a dynamic and professional team, we encourage you to apply.