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.
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
Now hiring for an Indianapolis Credentialing Specialist.
Responsibilities:
- Monitor receipt of enrollment notifications and research delinquencies
- Collect and process significant amounts of verification and accreditation information and constantly maintain and update accurate databases for both practitioners and facilities
- Maintain close communication with all appropriate practitioners to ensure that records are up-to-date and consistent
- Collect and process verification and accreditation information
Qualifications:
- 2 years of credentialing experience required
- Strong attention to detail
- Ability to multitask and prioritize competing priorities
- Ability to maintain accurate and organized records
- Work with high level of independence
- Proficient use of computers including office and database software
This is a remote opportunity
