Specialist-Patient Accounts-Prior Authorization

Indiana University Health System • Indianapolis, IN

1d • Remote

About The Position

Description Overview We are looking for team members who are passionate about challenging and significant work for the good of every patient. We are searching for individuals who are compassionate, serve with a purpose, are dedicated to supporting their team, and who seek excellence every day. Sound like a perfect match? Apply now - we can't wait to hear from you! Why Join IU Health? As Indiana’s largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer: 401(K) retirement savings with employer match Tuition reimbursement Employee Assistance Program – Counseling at no cost to you Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck! The more you participate, the more you earn! Schedule : Full-Time, 8 hour shift during regular business hours; start/end times are flexible. Work Location : Remote- Training will be held at Gateway Plaza; located 2 miles from Methodist Hospital Primary Responsibilities : Performs a number of functions related to accounts receivable such as claims processing and payment collection. May assist patients with questions about and problems with their accounts. May contact third-party payers regarding claims, update account information and provide administrative tasks on accounts. Obtain prior authorizations for major medical benefits, including services covered by Medicaid, Medicare, and commercial insurance plans. Secure insurance authorizations prior to home infusion services being administered to ensure timely and accurate coverage. Submit and manage appeals for denied claims on behalf of patients, including gathering supporting documentation and communicating with payers. Coordinate with physician offices to request and collect necessary medical records, clinical notes, and supporting documentation required for authorization or appeal processes.

Requirements

• High school diploma or equivalent.
• Requires working knowledge of payer billing requirements and regulations.

Nice To Haves

• At least one year of experience in hospital or physician billing strongly preferred.

Responsibilities

• Performs a number of functions related to accounts receivable such as claims processing and payment collection.
• May assist patients with questions about and problems with their accounts.
• May contact third-party payers regarding claims, update account information and provide administrative tasks on accounts.
• Obtain prior authorizations for major medical benefits, including services covered by Medicaid, Medicare, and commercial insurance plans.
• Secure insurance authorizations prior to home infusion services being administered to ensure timely and accurate coverage.
• Submit and manage appeals for denied claims on behalf of patients, including gathering supporting documentation and communicating with payers.
• Coordinate with physician offices to request and collect necessary medical records, clinical notes, and supporting documentation required for authorization or appeal processes.

Benefits

• 401(K) retirement savings with employer match
• Tuition reimbursement
• Employee Assistance Program – Counseling at no cost to you
• Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck! The more you participate, the more you earn!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED