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Intake Prior Authorization Jobs in Indiana (NOW HIRING)

Hours will be 2:30p-11p Job Summary The ER Registrar is responsible for managing patient intake and ... authorization forms, explaining each consent prior to it being signed. * Verifies insurance ...

$26.47 - $40.87/hr

Completes appropriate documentation including reports, treatments, intake forms, message logs etc ... File paperwork correctly and assist with obtaining prior authorizations when needed for procedures ...

$26.47 - $40.87/hr

Completes appropriate documentation including reports, treatments, intake forms, message logs etc ... File paperwork correctly and assist with obtaining prior authorizations when needed for procedures ...

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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 cities in Indiana are hiring for Intake Prior Authorization jobs? Cities in Indiana with the most Intake Prior Authorization job openings:

Hospice & Palliative Care Medical Billing Specialist

Hancock Health Job Openings - APPLY TODAY!

Noblesville, IN โ€ข On-site

$17.25 - $22/hr

Other

Posted 8 days ago


Job description

The Hospice & Palliative Care Medical Billing Specialist is responsible for the accurate and timely management of billing, reimbursement, and collections for all hospice and palliative care patients. As a newly established role, this individual will help shape workflows and processes through active feedback and collaboration. This role also ensures compliance with Accreditation Commission for Health Care (ACHC) standards, CMS hospice regulations, and all applicable federal and state requirements.

  • Reviews and verifies patient eligibility for hospice and palliative care services, including certification of terminal illness and benefit period requirements.

  • Confirms and documents patient insurance coverage, including Medicare Hospice Benefit, Medicaid, and commercial payers.

  • Processes, verifies, and submits hospice claims (Medicare Part A, Medicaid, and commercial) in accordance with hospice billing requirements, including election dates, revocations, transfers, levels of care, and occurrence codes.

  • Submits and tracks prior authorizations (PAs) for hospice patients, ensuring timely approval and proper documentation to support uninterrupted care and reimbursement.

  • Ensures accurate billing for all hospice levels of care, including Routine Home Care (RHC), Continuous Home Care (CHC), Inpatient Respite Care (IRC), and General Inpatient Care (GIP).

  • Monitors and submits Notice of Election (NOE) and Notice of Termination/Revocation (NOTR) forms in a timely and compliant manner.

  • Follows up on unpaid, denied, or rejected claims by communicating with payers and patients, resolving billing discrepancies, investigating root causes, and initiating appeals as needed to ensure prompt reimbursement.

  • Posts payments, adjustments, and remittance advice accurately; reconciles accounts in accordance with agency financial policies and Medicare/Medicaid regulations.

  • Reviews accounts receivable for assigned payers and implements strategies to reduce aging balances and improve cash flow.

  • Collaborates with clinical, intake, and administrative staff to ensure documentation supports billed services and meets ACHC standards for accuracy, completeness, and timeliness.

  • Audits patient accounts for billing accuracy, including verification of election statements, physician certifications, and supporting documentation.

  • Ensures compliance with CMS hospice Conditions of Participation (CoPs), HIPAA, ACHC accreditation standards, and other applicable regulations.

  • Maintains current knowledge of hospice reimbursement methodologies, regulatory updates, and payer-specific requirements.

  • Assists with financial reporting, general ledger support, and accounts payable/accounts receivable functions as needed.