Specialist-Patient Accounts-Prior Authorization
About the position
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
Indiana University Health is Indiana’s most comprehensive health system, with 15
hospitals and nearly 40,000 team members serving Hoosiers across the state.
We’re looking for team members who are inspired by challenging and meaningful
work for the good of every patient. People who are compassionate and serve with
a purpose. People who aspire to excellence every day.
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.
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!
Apply tot his job
Apply To this Job
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
Indiana University Health is Indiana’s most comprehensive health system, with 15
hospitals and nearly 40,000 team members serving Hoosiers across the state.
We’re looking for team members who are inspired by challenging and meaningful
work for the good of every patient. People who are compassionate and serve with
a purpose. People who aspire to excellence every day.
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.
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!
Apply tot his job
Apply To this Job