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Intake Prior Authorization Jobs in Indiana (NOW HIRING)

Spark Recovery

Intake Therapist

Indianapolis, IN

$35K - $41K/yr

Intake Clinician Location: Indiana Department: Admissions & Clinical Services Reports To: Clinical ... prior authorization and utilization review documentation as needed for payer approval. 4. ...

Trilogy Health Services, LLC

Central Intake Coordinator

IN · On-site

$17.25 - $23.50/hr

... prior authorizations. Additionally, in this role you will approve or escalate referrals based on ... initial intake and clinical assessment of each referral received, and work referrals to green ...

Athletico

Front Office Coordinator

West Lafayette, IN

$14.75 - $19.25/hr

The Patient Experience Coordinator (PEC) ensures accurate patient intake and financial clearance ... Strong understanding of insurance verification processes , prior authorization requirements, and ...

Athletico

Front Office Coordinator

Indianapolis, IN

$14.75 - $19.25/hr

The Patient Experience Coordinator (PEC) ensures accurate patient intake and financial clearance ... Strong understanding of insurance verification processes , prior authorization requirements, and ...

Athletico

Front Office Coordinator

Muncie, IN

$15.25 - $20/hr

The Patient Experience Coordinator (PEC) ensures accurate patient intake and financial clearance ... Strong understanding of insurance verification processes , prior authorization requirements, and ...

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Intake Prior Authorization information

What are the key skills and qualifications needed to thrive as an Intake Prior Authorization Specialist, and why are they important?

To thrive as an Intake Prior Authorization Specialist, you need a strong understanding of insurance policies, medical terminology, and healthcare processes, often supported by a background in healthcare administration or a related field. Familiarity with prior authorization software, electronic medical records (EMRs), and payer portals is essential. Attention to detail, problem-solving abilities, and effective communication are crucial soft skills for navigating complex insurance requirements and collaborating with providers. These skills ensure timely and accurate processing of prior authorizations, reducing delays in patient care and supporting organizational efficiency.

What is an Intake Prior Authorization Specialist?

An Intake Prior Authorization Specialist is a healthcare professional responsible for processing and obtaining prior authorizations for medical procedures, medications, or services. They review requests from healthcare providers to ensure that the necessary documentation is provided and that the requested services meet insurance guidelines. This specialist acts as a liaison between providers, patients, and insurance companies to facilitate timely approvals and avoid delays in patient care. Their work helps ensure insurance coverage and compliance with healthcare regulations.

What are some common challenges faced in an Intake Prior Authorization role, and how can they be managed?

Professionals in Intake Prior Authorization often navigate high volumes of requests, rapidly changing insurance guidelines, and tight turnaround times. Staying organized, maintaining up-to-date knowledge of payer requirements, and using strong communication skills can help manage these challenges. Collaborating closely with clinical and administrative teams is also key to ensuring timely and accurate processing of authorizations. Regular training and support from experienced colleagues can further ease the transition into this fast-paced environment.

What is the difference between Intake Prior Authorization vs Medical Office Assistant?

AspectIntake Prior AuthorizationMedical Office Assistant
CredentialsTypically requires knowledge of insurance policies, medical terminology, and sometimes certification in healthcare administrationHigh school diploma or equivalent; may have medical assisting certification
Work EnvironmentHealthcare facilities, insurance companies, or specialty clinicsMedical offices, clinics, hospitals
Primary ResponsibilitiesReviewing insurance requirements, obtaining prior authorizations, verifying patient insuranceScheduling appointments, patient check-in, data entry, administrative support

Intake Prior Authorization specialists focus on insurance approval processes, while Medical Office Assistants handle broader administrative tasks. Both roles are essential in healthcare settings but serve different functions related to patient intake and administrative support.

What are popular job titles related to Intake Prior Authorization jobs in Indiana? For Intake Prior Authorization jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Intake Prior Authorization jobs in Indiana look for? The top searched job categories for Intake Prior Authorization jobs in Indiana are:
What cities in Indiana are hiring for Intake Prior Authorization jobs? Cities in Indiana with the most Intake Prior Authorization job openings:
Intake Prior Authorization jobs near you
Prior Authorization Specialist

Prior Authorization Specialist

Goodman Campbell Brain and Spine

Carmel, IN • On-site

$17 - $22.75/hr

Full-time

Posted 6 days ago

Job description


Goodman Campbell Team

At Goodman Campbell Brain and Spine (GCBS), every member of our team is essential to fulfilling our mission to deliver exceptional and timely neurosurgical care with a steadfast emphasis on quality.

We work to cultivate an authentic culture through purposeful actions that convey collaboration, respect and a shared vision of excellence. We truly value every interaction we have – with our patients and each other. Our team is at the heart of all we do as an organization, and each employee has the opportunity to enhance the level of service we provide to our patients. We are in search of like-minded individuals, who are pursuing a job of purpose that impacts the lives of patients.

Job Summary

We are seeking a dedicated and capable Prior Authorization Specialist to facilitate the pre-certification process for our patient procedures. The primary responsibilities of this role are updating patient registration information, verification of benefits and authorization/pre-certification for all procedures requiring authorization. This position plays a key role in facilitating patient care and effective information intake for billing and collections purposes. Once fully trained, this position offers the opportunity to be remote.

Outstanding employees in this role are detailed, accurate and efficient while striving to deliver the highest level of service. As this role is an essential part of our team, active communication and respectful collaboration with peers is vital to success. The abilities to multi-task and be flexible are vital to succeed in this role.


Job Duties

  1. Pre-Authorization
    1. Obtain required referrals and pre-authorizations for all scheduled appointments, procedures, tests, surgeries, injections and physical therapy
    2. Obtain benefit verification for all Goodman Campbell procedures
    3. Work with Medical Administrative Assistants to schedule tests and complete all required pre-authorizations
  2. Patient Registration
    1. Completing unfinished patient registrations.
    2. Scan Insurance Card if not done at front desk.
    3. Obtain any missing information in the chart or registration
  3. Responsible for completing required documentation within NextGen regarding authorizations; benefit verification, insurance and patient demographics
  4. Update incorrect insurance & demographic information in office practice software as corrections are found in referral and/or pre-authorization process
  5. Assist other areas when needed
  6. Other duties as assigned

Knowledge, Skills and Abilities Required

  • Knowledge of medical insurance plans
  • Ability to work independently
  • Flexible and able to multi-task
  • Exceptional attention to detail
  • Ability to collaborate and communicate clearly
  • Ability to respectfully interact with physicians, providers, peers and patients
  • Outstanding computer and internet skills
  • Alignment with HIPAA regulations
  • Respect for organizational policies, procedures, systems and objectives

Educational and Experience Required

Education: High school diploma or equivalent

Preferred Experience: 1-3 years hospital or medical office experience, 2 years of medical billing experience preferred.

Physical Demands

Able to sit for an extended period of time in focused work.

Long periods of telephone and computer work.