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Remote Aetna Prior Authorization Jobs in Indiana

Legion Health

$231K - $288K/yr

... prior authorizations, pharmacy coordination, etc. * Patient Acquisition: Unlike with a private ... Fully remote within the United States. * Schedule: Full-time or part-time positions are available.

IQVIA

Flex Nurse Educator

Indianapolis, IN · Remote

Bilingual in English/Spanish and prior Ambassador experience desirable. * BSN preferred ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

Huntington

Collateral Analyst Sr

Indianapolis, IN · On-site +1

$27.40 - $62.50/hr

Prior ABL, Commercial Banking experience or Accounting experience #LI-DK1 #CML Exempt Status: (Yes ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Ovationhealthcare

Specialist, Revenue Recovery

Goshen, IN · Remote

... authorizations, and other administrative issues. * Analyze explanation of benefits (EOBs) and ... Prior experience specifically in denial analysis or underpayment identification. * Familiarity with ...

New

ABB

Field Service Technician

Carmel, IN · Remote

The work model for the role is: #LI - Remote This role is contributing to the Electrification ... Candidates must already have a work authorization that would permit them to work for ABB in the US.

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Remote Aetna Prior Authorization information

What is a remote Aetna prior authorization specialist?

Remote Aetna prior authorization jobs involve reviewing and processing requests for medical procedures, medications, or services to determine if they meet Aetna insurance's coverage criteria. Employees in these roles work from home, typically as part of a healthcare team, to ensure that patients receive necessary care while adhering to Aetna's policies. Responsibilities may include evaluating clinical documentation, communicating with healthcare providers, and making authorization decisions based on established guidelines. These positions often require knowledge of medical terminology, insurance processes, and strong attention to detail.

What skills and qualifications are needed to thrive as a remote Aetna prior authorization specialist?

Success as a Remote Aetna Prior Authorization Specialist requires a strong understanding of medical terminology, insurance processes, and prior authorization guidelines, often supported by experience in healthcare administration or certification such as a Certified Medical Administrative Assistant (CMAA). Familiarity with electronic health record (EHR) systems, Aetna's proprietary platforms, and insurance verification tools is typically needed. Outstanding attention to detail, problem-solving abilities, and effective communication with providers and patients are crucial soft skills. These skills ensure timely and accurate authorization decisions, reduce claim errors, and provide a positive experience for both healthcare providers and members.

What are common challenges faced by remote Aetna prior authorization specialists, and how can they be managed?

Professionals in a Remote Aetna Prior Authorization role often encounter challenges such as navigating complex insurance criteria, managing high volumes of authorization requests, and communicating effectively with healthcare providers and patients. Staying organized, maintaining up-to-date knowledge of Aetna's policies, and utilizing digital workflow tools can help manage these demands. Regular communication with team members and ongoing training are also key to ensuring accurate and timely authorizations while working remotely.

What is the difference between Remote Aetna Prior Authorization vs Remote Medical Billing Specialist?

AspectRemote Aetna Prior AuthorizationRemote Medical Billing Specialist
CredentialsInsurance, healthcare, or medical administration certificationsMedical billing or coding certifications
Work EnvironmentHealthcare insurance companies, remote or office-basedMedical offices, hospitals, or remote billing companies
Industry UsageHealth insurance providers, specifically AetnaHealthcare providers, billing companies, insurance payers

Remote Aetna Prior Authorization specialists focus on obtaining approval for medical services from Aetna insurance, requiring knowledge of insurance policies and authorization procedures. Remote Medical Billing Specialists handle billing, coding, and claims processing for healthcare providers. While both roles involve healthcare and insurance, the primary difference lies in their responsibilities: authorization versus billing. Understanding these distinctions helps job seekers find the right role aligned with their skills and certifications.

Does Aetna offer remote positions?

Aetna offers remote positions for roles such as remote Aetna Prior Authorization specialists, allowing employees to work from home. These positions typically require familiarity with healthcare systems, prior authorization processes, and remote work tools like teleconferencing and electronic health records.

What are popular job titles related to Remote Aetna Prior Authorization jobs in Indiana?

For Remote Aetna Prior Authorization jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Remote Aetna Prior Authorization jobs in Indiana look for?

The top searched job categories for Remote Aetna Prior Authorization jobs in Indiana are:

What cities in Indiana are hiring for Remote Aetna Prior Authorization jobs?

Cities in Indiana with the most Remote Aetna Prior Authorization job openings:

Remote Aetna Prior Authorization jobs near you

Staff Psychiatrist (MD or DO) - Remote | Telehealth | Full-Time or Part-Time | Indiana

Legion Health

On-site, Remote

$231K - $288K/yr

Full-time

Posted 6 days ago

Job description

[We show compassion to heal minds.]
About Legion Health
Legion Health is a technology-forward psychiatry company delivering world-class outpatient mental health care while expanding access for patients through insurance.
We are seeking exceptional Psychiatrists (MD or DO) across the United States who are passionate about evidence-based psychiatry and want the time, support, and clinical autonomy needed to provide exceptional patient care.
Our innovative model combines the stability of a traditional hospital position with the flexibility of a private practice. We prioritize our clinicians' well-being and professional growth, offering a competitive compensation package and fostering a vibrant, collaborative culture.
Quality and patient experience are paramount to us. This means recruiting exceptional providers, championing evidence-based protocols, and displaying compassion in every patient interaction. Our exceptional psychiatrists operate with clinical autonomy, supported by experienced peers.
Our vision is to pioneer a new era of medicine by delivering world-class psychiatry. We believe in a future where every person can access the compassionate, high-quality care they need.
About the Role
Practice at the top of your license, from wherever you do your best work. This role is designed for psychiatrists who want meaningful clinical autonomy without having to build and operate a private practice alone.
We are looking for clinically excellent, patient-centered psychiatrists to provide psychiatric care through telehealth. Full-time and part-time positions are available.
Benefits
Legion's model is built to give clinicians more time for patients, fewer administrative distractions, and the support of a high-caliber psychiatric community.
  • Flexibility: Set your own schedule for optimal work-life balance.
  • Work from Home: See patients from the comfort of your home via telehealth.
  • Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc.
  • Patient Acquisition: Unlike with a private practice, we'll work to fill your schedule, so you don't have to do your own marketing.
  • Competitive Pay: We compensate our providers at market-leading rates.
  • Weekly Pay: We pay our providers every week for immediate financial benefit and planning ease.
  • Legal Protection: We provide full malpractice insurance coverage.
  • Clinical Autonomy: We hire the most skilled providers and trust them to do what's best for patients.
  • Technical Support: We cover the costs for you to have best-in-class EHR, e-Prescribe, and AI tools.
  • Credentialing Support: We handle all aspects and costs of credentialing with a large number of insurance plans, including commercial, ACA, and government, ensuring your legal and effective authorization within insurance networks.
  • Licensure and DEA Coverage: We'll reimburse you for all fees associated with getting licensed in other states as required by Legion.
  • Commitment to Responsible Prescribing and High-Quality Care: We have rigorous, evidence-based protocols and provide objective diagnostic tools to ensure responsible and ethical prescriptions of controlled substances.
  • Community of Clinical Excellence: You will work alongside the most talented psychiatrists in the world. Our current psychiatrists have trained at some of the country's most prestigious institutions.
  • Opportunities for Professional Growth: As we expand, we intend to promote clinical leadership from the best of our active providers.
  • Culture of Excellence through Innovation: Actively participate in ushering in a new era of mental health care through superior clinical care and technology.
  • Resources: We provide premium subscriptions to resources such as UpToDate and Carlat.
  • Exclusive Events: Engage with your colleagues through exclusive in-person and virtual events.

• Responsibilities
  • Provide excellent patient care for conditions including depression, anxiety, ADHD, insomnia, PTSD, bipolar disorder, etc.
  • Perform comprehensive psychiatric assessments, including mental-health history, medical history, diagnostic evaluation, and risk analysis.
  • Create and execute individualized treatment plans that may combine medication management and brief psychotherapy.
  • Provide compassionate, respectful, and patient-centered care.
  • Use evidence-based clinical protocols and responsible prescribing practices.
  • Collaborate with other psychiatrists through consultations and case reviews.
  • Use technology and operational systems effectively to deliver reliable telehealth care.

Qualifications
  • An active, unrestricted license to practice medicine in at least one U.S. jurisdiction.
  • Strong clinical assessment, diagnostic, and medication-management skills.
  • Excellent communication and interpersonal skills.
  • Comfort providing care remotely and using electronic health record systems.
  • Commitment to patient-centered, compassionate, evidence-based care.

Role Logistics
  • Location: Fully remote within the United States.
  • Schedule: Full-time or part-time positions are available.
  • Expected annual compensation: $300K-$500K, depending on completed patient-care hours.

Clinical Advisory Board
Legion's Clinical Advisory Board brings together nationally recognized psychiatrists, physician executives, telepsychiatry pioneers, and primary-care leaders. Working closely with Legion's medical leadership, they help shape our clinical quality standards, evidence-based care protocols, prescribing safeguards, risk-management practices, and continuous quality-improvement efforts as the company scales.
Members of our clinical advisory board include:
  • Madhukar Trivedi, M.D. - Psychiatrist; Professor of Psychiatry and Distinguished Chair in Mental Health at UT Southwestern
  • Alexander Ruvalcaba, M.D. - Psychiatrist; Physician Executive at MultiCare Behavioral Health Network
  • Jon Kole, M.D. - Psychiatrist; Senior Medical Director at Headspace
  • Liberty Eberly, D.O. - Psychiatrist; Co-Founder and Former Chief Medical Officer at innovaTel Telepsychiatry
  • John Lusins, M.D. - Psychiatrist; Founder and President at South Texas Mental Health Associates
  • Jacqueline Champlain, M.D. - Family Medicine Physician; Lead Physician at WellMed and Fellow of the American Academy of Family Physicians

Bring Your Best Clinical Work to Legion
If you are a thoughtful, evidence-based psychiatrist who wants the flexibility of remote practice, meaningful clinical autonomy, robust operational support, and a community committed to excellent psychiatric care, we would be excited to learn more about you.
Equal Employment Opportunity
Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.

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