Prior Authorizations / Eligibility Specialist

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.