[Hiring] Patient Accounts Specialist - Prior Authorization @IU Health

Role Description

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!

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.

Primary 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.

Qualifications

• High school diploma or equivalent.
• Requires working knowledge of payer billing requirements and regulations.

Preferred

• 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!

Company Description

Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we’re home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.

IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.

A unique partnership with the Indiana University School of Medicine – one of the nation’s largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all.

With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.

At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.

Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states.

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.