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Intake Prior Authorization Jobs in Indiana (NOW HIRING)

ProTeam Wellness

Office Administrator

Indianapolis, IN · On-site

$40K - $45K/yr

Coordinate intake processes, ensuring all required documentation is completed accurately * Verify ... Familiarity with insurance verification, co-pays, and prior authorizations * Experience with EHR ...

ProTeam Wellness

Office Administrator

Indianapolis, IN · On-site

$17 - $23.50/hr

Coordinate intake processes, ensuring all required documentation is completed accurately * Verify ... Familiarity with insurance verification, co-pays, and prior authorizations * Experience with EHR ...

ProTeam Wellness

Office Administrator

Indianapolis, IN · On-site

Coordinate intake processes, ensuring all required documentation is completed accurately * Verify ... Familiarity with insurance verification, co-pays, and prior authorizations * Experience with EHR ...

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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
PATIENT SERVICE REPRESENTATIVE- INTERNAL MEDICINE

PATIENT SERVICE REPRESENTATIVE- INTERNAL MEDICINE

Johnson Memorial Hospital

Franklin, IN • On-site

$16.50 - $20.75/hr

Full-time

Posted 17 days ago

Job description

JOB RESPONSIBILITIES:

Performs the "check-in" and “check-out” duties and responsibilities for the individual physician office, which may include one or more of the following activities:

  • Greets and checks-in patients in a professional manner as evidenced by demonstrating concern for patients in a helpful and positive way;
  • Verifies and inputs accurate patient demographic and insurance information;
  • Completes the registration process, by accurately identifying the patients and verifying accurate financial information by identifying proper payers. This includes obtaining Photo ID and obtaining signatures on patient intake forms (i.e., HIPAA, Treatment Consent, Financial Responsibility, Assignment of Benefits, and other forms as required);
  • Prepares medical charts for appointments, assuring that dictations, pertinent medical information and updated demographics/insurance information is placed in patient's chart;
  • Prints superbills;
  • Checks-out patients; prints and gives patient any forms needed such as Visit Summary and Workers’ Comp Check Out Instructions. Schedules next appointment if needed. Collects co-pays and balances due. May enter diagnosis code(s) based upon information given by providers. Posts patient payments and balances cash drawer daily.

Answers multi-line phone and directs calls appropriately.

Schedules appointments and documents "no-show" appointments. Completes all paperwork and documentation for dismissal of a patient.

Depending on particular office site, may perform one or more of the following duties:

  • Reviews account balances of scheduled patients and addresses any "past due" balances. Explains financial assistance options and directs patients to schedule appointments with the Claim Aide if non-insured or under-insured.
  • Completes patient medication assistance forms.
  • Obtains pre-certification and prior authorization from payors for office visits.
  • Types correspondences for provider(s).
  • FSA only: Makes colonoscopy packets and sends them out to patients in which a referral has been received.

Clearly communicates and continuously supports the Mission and Values of JMH.

Performs additional duties not addressed here as assigned by the Practice Administrator and/or JMH executive leadership staff.

Conducts all activities in compliance with applicable laws, regulations, standards, and JMH policies and procedures including Blood and Body Substance Precautions.

EDUCATION, EXPERIENCE AND TRAINING:

High School Diploma or equivalent required. Previous physician office, cashier or insurance experience preferred.

Johnson Memorial Health is a nationally-recognized network of physicians, services and healthcare resources based in Johnson County, Indiana. The centerpiece is Johnson Memorial Hospital, located in Franklin Indiana, just 20 minutes south of Indianapolis.

All qualified applicants will receive consideration for employment without regard to race, age, sex, color, religion, sexual orientation, gender identity, national origin, protected veteran status, disability, or other protected characteristic under applicable law.

SCHEDULE:


M-F 8a-5p / 1 hour lunch
FTE 80 hours per pay period.

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