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Location

Muncie, IN | United States

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Job description

Text 4891 to 765-523-4622 to Quick Apply for this Prior Authrization Specialist opportunity!

Our Mission at Meridian Health Services is to close the gap on access to Whole-Person Healthcareby expanding locations and services so that all people in underserved communities can get quality treatment. You can be a part of our vision to be a leader in the integration of physical, mental and social health to make a real difference in the lives of others!

You are the detail-oriented and organized full time Prior Authorization Specialist we are looking for. As a Prior Authorization Specialist, you will be responsible for verifying insurance coverage and obtaining pre-approvals for medical procedures and treatments. You will work closely with healthcare providers, insurance companies, and patients to ensure timely and accurate processing of prior authorization requests. Working from our Muncie, Indiana location.

Our commitment to whole person healthcare and your desire to help change our communities for the better will make us an amazing Team!

We value your Prior Authorization Specialist Qualifications:
- High school diploma or equivalent required; associate's or bachelor's degree preferred.
- Proven experience in healthcare administration or medical billing.
- Familiarity with medical terminology and insurance policies.
- Strong attention to detail and excellent organizational skills.
- Excellent written and verbal communication abilities.
- Ability to handle multiple priorities and meet deadlines in a fast-paced environment.
- Proficient computer skills, including knowledge of electronic health records and insurance verification systems.
- Demonstrated ability to maintain patient confidentiality and adhere to HIPAA guidelines.

Prior Authorization Specialist Key Responsibilities:
- Gather necessary patient and medical information to complete prior authorization requests.
- Verify insurance coverage and eligibility for specific medical procedures and treatments.
- Communicate with healthcare providers, insurance companies, and patients to ensure all required information is obtained.
- Complete and submit prior authorization forms to insurance companies.
- Follow up on submitted prior authorization requests to ensure timely processing.
- Track and document prior authorization outcomes and maintain accurate and up-to-date records.
- Collaborate with the clinical team to ensure pre-approval requirements are met.
- Stay up-to-date on insurance policies and guidelines related to prior authorizations.
- Assist patients in understanding their insurance coverage and the prior authorization process.
- Resolve any issues or discrepancies related to prior authorizations.

Why You should choose Meridian:

• Unique Mission – Innovative leader in integrated care and whole person health
• Generous PTO
• Opportunities for advancement
• Comprehensive Benefit Package
• 401k with Company match
• Professional development funds for Licensure and Continuing Education
• Personal Wellness and Financial Wellness Programs
• Merit based pay compensation
• Work-life harmony

Drug screen, TB test, extensive background check, and fingerprinting are required of all Meridian employees. Meridian Health Services recommends that all individuals who join Meridian have a flu shot and Covid vaccination to further protect our staff and the patients we serve. We also adhere to Covid-related protocol including wearing masks, social distancing, and sanitizing.

Meridian Health Services is an Equal Opportunity Employer (M/F/D/V) and also participates in E-Verify.

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Job tags

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Salary