Prior Authorizations / Eligibility Specialist

Now hiring for an Indianapolis Prior Authorizations / Eligibility Specialist.

Responsibilities:

• Identify appropriate prior authorization paperwork to file based on MCE
• Complete prior authorization paperwork
• Follow up on prior authorization and provides 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 and coding preferred
• Proficient in Microsoft Office Suite
• Knowledge of MCEs and payers of last resort