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Specialist-Patient Accounts-Prior Authorization

Remote, USA Full-time Posted 2026-07-28
About the position 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 reputed company reputed company every day. reputed company like a perfect match? reputed company - we can't wait to hear from you! Why Join reputed company? As Indiana’s largest and most comprehensive reputed company system, and the number 1 ranked reputed company system in Indiana, we offer: 401(K) retirement savings with employer match Tuition reimbursement Employee Assistance Program – Counseling at no cost to you Healthy Results - Participation in reputed company member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck! The more you participate, the more you earn! 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 reputed company 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 reputed company to reputed company every day. Responsibilities • Performs a number of functions reputed company to accounts receivable such as claims processing and payment collection. • May assist patients with questions about and problems with their accounts. • May contact reputed company-party payers regarding claims, update account information and reputed company administrative tasks on accounts. • Obtain prior authorizations for major medical benefits, including services covered by reputed company, Medicare, and reputed company insurance plans. • Secure insurance authorizations prior to home infusion services being administered to ensure reputed company 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. Requirements • High school diploma or equivalent. • Requires working knowledge of payer billing requirements and regulations. reputed company-to-haves • 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 reputed company member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck! The more you participate, the more you earn! Apply tot his job Apply To this Job

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