Job Description

Job Summary: Customer Service Representative – Authorization & Coding

We are seeking a detail-oriented and customer-focused Customer Service Representative – Authorization and Coding to join our team. In this role, you will be responsible for reviewing client documentation for accuracy, ensuring proper coding practices, and managing insurance authorizations for medical supplies and services. You will play a critical part in maintaining up-to-date client billing profiles, submitting required paperwork to insurance carriers, and delivering exceptional service to clients and healthcare partners.

The ideal candidate is highly organized, understands medical terminology and coding, and possesses strong communication and computer skills. An administrative background in the medical or dental field and familiarity with insurance reimbursement processes is preferred. If you thrive in a fast-paced environment and enjoy problem-solving while maintaining a compassionate approach with clients, we’d love to meet you.

Key Responsibilities:

• Review and verify accuracy of client documentation and medical coding
• Submit and track insurance authorizations (new and renewals)
• Maintain up-to-date billing profiles and client records in compliance with policies and regulations
• Ensure accurate data entry and documentation in internal systems
• Communicate daily with providers, insurance companies, and clients
• Respond to inquiries and resolve issues with professionalism and compassion
• Maintain compliance with HIPAA and company policies
• Support team communication, process improvement, and ongoing education

Qualifications:

• High school diploma required; some college coursework preferred
• 2+ years of experience in a medical or dental office preferred
• Knowledge of medical terminology, insurance billing, and coding practices
• Strong communication, organization, and customer service skills
• Proficiency in Microsoft Excel, Word, and 10-key data entry
• Ability to manage multiple priorities and maintain accuracy under pressure
• Team-oriented with a proactive mindset

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