Prior Authorizations / Eligibility Specialist

April 3, 2024
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Now hiring for an Indianapolis Prior Authorizations / Eligibility Specialist.

Responsibilities:

  • Identify and complete appropriate prior authorization paperwork to file
  • Check patient eligibility prior to services
  • Follow up on prior authorizations and provide additional documentation as needed
  • Communicate Medicaid eligibility, census changes, and MCE results to Program Support Specialist in weekly Payor meeting

Qualifications:

  • Ability to work in a fast paced environment
  • High school diploma required
  • 2-3 years’ experience in medical billing, coding and/or prior authorization
  • Proficient in Microsoft Office Suite
  • Must know what procedure codes are and the process for completing prior authorizations
  • Experience with electronic billing (1500 forms or 837)

Able to work remotely after training.

Medical Case Manager

April 1, 2024
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Now hiring for a Plainfield Medical Case Manager

Responsibilities:

  • Conduct initial assessments with clients
  • Discuss problems presented
  • Responsible for explaining the treatment plan to the patient after they have seen the doctor
  • Develop working relationships
  • Discuss the benefits of the care & the “why” behind the case and some education on any underlying conditions
  • Discuss the cost & options for payment with the patient
  • Update company database as needed

Qualifications:

  • 1 year of relevant work experience
  • Proficient in Microsoft Office Suite
  • Need to be flexible and be able to ask clarifying questions
  • Customer Service skills

Billing and Prior Authorization Specialist

March 29, 2024
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Now hiring for a Billing and Prior Authorization Specialist.

Responsibilities:

  • Run AR aging reports
  • Work denied claims
  • Answer general insurance questions
  • Process prior authorizations

Qualifications:

  • Must have experience with medical AR/billing
  • High school diploma or 3-5 years of experience in collection of medical accounts
  • Experience with CPT-4 and ICD-10 preferred
  • Experience working with insurance company (Medicaid, Medicare and commercial) portals
  • Experience billing using 1500s, UB04s and/or 837 forms
  • Experience working in behavioral health preferences

Benefits Specialist

February 26, 2024
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Now hiring for a Noblesville Benefits Specialist.

Responsibilities:

  • Support the company’s medical, dental, vision, disability, life insurance, and 401k benefit plans by working directly with third-party benefit providers
  • Run reports
  • Handle the set-up and maintenance of all garnishments
  • Manage year-end balancing and verification for distribution of W2’s
  • Help employees get access to and enroll in company benefits, preparing eligibility, enrollment and other file feeds/reports, data entry, and auditing data feeds to payroll
  • Maintains COBRA notifications
  • Manage leaves of absence, including FMLA, Parental Leave, ADA leave, etc.
  • Serves as Administrative Support to HR

Qualifications:

  • Proficient in Microsoft Office Suite
  • Strong attention to detail
  • Experience with Paylocity preferred
  • College degree in a related field, or 5+ years past payroll, benefits, and human resource experience
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