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Specialist-Patient Accounts Senior

Specialist-Patient Accounts Senior

Job Description

Overview

Schedule: Monday–Friday, 8:00 a.m. – 4:30 p.m.
Work Arrangement: Hybrid

Position Summary

The role is responsible for the timely and accurate processing of prior authorizations. This includes obtaining authorizations and completing appeals within required timeframes. The position may also be responsible for identifying charging issues, troubleshooting problems, and developing solutions to ensure accuracy and compliance.

Key Responsibilities

  • Obtain prior authorizations in a timely and accurate manner.
  • Prepare and submit appeals as needed.
  • Identify, analyze, and resolve charging or billing issues.
  • Ensure compliance with payer rules, regulations, and documentation requirements.
  • Communicate effectively with internal teams, providers, and payers.

Top Skills Preferred

  • Strong insurance knowledge
  • HCPCS coding experience
  • Experience with drug programs
  • Solid written and verbal communication skills

Required Qualifications

  • High school diploma or equivalent.
  • Minimum of three (3) years of experience in hospital or physician billing.
  • Working knowledge of payer billing requirements and regulations.

We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Indiana University Health is Indiana’s most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We’re looking for team members who share the things that matter most to us. People 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. People who are always ready to apply themselves.

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