Revenue Cycle & Prior Authorization Specialist

360 Vascular Institute is an independent, physician-led vascular and interventional radiology practice committed to delivering exceptional, personalized vascular care. We are seeking an experienced Revenue Cycle & Prior Authorization Specialist to become an integral member of our growing team.This is more than a traditional medical billing position. You will work closely with physicians, nurses, and administrative leadership to help patients navigate insurance, obtain timely prior authorizations, resolve reimbursement issues, and support a seamless patient experience from scheduling through payment.This position reports directly to the Revenue Cycle Manager and plays an important role in the continued growth and success of our practice.Primary ResponsibilitiesObtain prior authorizations and referrals for office visits, imaging studies, and endovascular proceduresVerify insurance eligibility, benefits, deductibles, and authorization requirementsManage insurance and patient accounts receivableInvestigate and resolve denied, underpaid, and unpaid insurance claimsPrepare and submit corrected claims, reconsiderations, and appealsCommunicate with insurance companies regarding claim status and reimbursementAssist patients with billing questions and payment arrangementsMaintain accurate documentation of all account activityCollaborate with physicians, clinical staff, and the Revenue Cycle Manager to improve reimbursement and patient accessCross-train in additional revenue cycle responsibilities as the practice continues to growRequired QualificationsMinimum 2 years of experience in medical billing, accounts receivable, prior authorizations, or revenue cycle operationsExperience with insurance follow-up, denial management, and appealsStrong knowledge of Medicare, Medicare Advantage, and commercial insuranceExcellent organizational, communication, and customer service skillsStrong attention to detail with the ability to manage multiple prioritiesProficiency with electronic medical record and/or practice management softwarePreferred QualificationsExperience obtaining prior authorizations for endovascular procedures strongly preferredExperience in Interventional Radiology, Vascular Surgery, Cardiology, or an Office-Based Lab (OBL)Experience using Availity, payer portals, and specialty procedure authorizationsExperience preparing appeals using clinical documentation and payer medical policies The Ideal CandidateWe're looking for someone who is:Honest, dependable, and accountableDetail-oriented with exceptional follow-throughA proactive problem solver who enjoys investigating complex reimbursement issuesCompassionate and professional when working with patientsComfortable working independently while collaborating with a close-knit teamInterested in growing with an expanding physician-owned specialty practiceWhy Join 360 Vascular Institute?Independent physician-led specialty practiceCollaborative and supportive team environmentOpportunity for professional growth and advancementWork directly with physicians and leadershipMeaningful relationships with patients and coworkersCompetitive compensation based on experienceThis position is primarily onsite. A limited hybrid schedule may be considered after successful completion of training and based on demonstrated performance, reliability, productivity, and the operational needs of the practice.