Prior Authorization Specialist

Full Time
Mishawaka, IN 46544
Posted
Job description

Work From Home

Work From Home Work From Home, Indiana 46544

WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

WHAT YOU CAN EXPECT

  • Insurance Payer Management
    Follows payer processes (website, fax, contact number) to submit appropriate clinical documentation. Remains current on updates from payers to ensure appropriate reimbursement from payers.
  • Prior Authorization Education
    Serves as primary resource to ambulatory clinics regarding the prior authorization process and requirements.
  • Clinical Information Collection
    Collects clinical information regarding services to be rendered for prior authorizations.
  • Prior Authorizations
    Contacts payers to obtain prior authorizations. Enters standardized documentation within electronic medical record to identify prior authorization and the criteria surrounding each authorization.
  • Prior Authorization Education
    Educates providers and their clinical staff regarding the prior authorization process. Advises providers and their clinical staff when issues arise relating to obtaining prior authorization.
  • Prior Authorizations
    Primary resource to patients regarding prior authorization process.
  • Insurance Information Verification
    Verifies that all insurance requirements have been met

Qualifications

  • High School Diploma Required
  • 1-year Prior Authorizations and Revenue Cycle required.

TRAVEL IS REQUIRED:

Never or Rarely

COVID-19 VACCINATION

To further Franciscan Alliance's commitment to provide and maintain a safe and healthy workplace and prevent the spread of COVID-19 among our coworkers and their families; our patients, visitors, and vendors, and the community at large all Franciscan workforce members must be vaccinated, unless granted an exemption. We are committed to making the communities we serve healthier.

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

arclintfl.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, arclintfl.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, arclintfl.com is the ideal place to find your next job.

Intrested in this job?

Related Jobs

All Related Listed jobs