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LPN/Pre-Authorization Specialist
4 weeks ago
Job Type-
Full Time M-F
Hybrid after training is completed.
Primary Responsibilities:
- Preauthorization of healthcare and medical service events
- Resolution of healthcare delivery & medical expense issues, and all other questions.
- Telephone, email, and fax communication with customers seeking access to health services, answers to benefits questions, procedures and general customer service
- Data entry, standard claims processing, approving services and working with finance department to assure proper billing
Qualifications:
- Strong knowledge of medical coding and healthcare terminology required.
- Emergency and non-emergency preauthorization experience.
- Knowledge of claims processing, diagnosis codes and prior interaction with healthcare providers, billing protocols.
- Medicare and Medicaid billing experience.
- Pediatric and adult patient care knowledge.
- Ability to multi-task and work independently using critical thinking skills
- Typing skills and working knowledge of MS Office applications required.
- Excellent verbal and written skills
- Positive personality traits, team-oriented work ethic, and a great customer service attitude.
Job Requirements :
- Minimum 2 years work experience in a clinical role of nursing.
- Registered LPN license in the State of Indiana
- 21 years of age or older.
- Valid driver's license, and reliable transportation to work.
- Good driving history. No DUI, OWI, reckless driving or other major driving infractions
- No felony convictions, drug or weapons violations. No elevated misdemeanor violations.
- Candidates must successfully complete a 10-year FBI background check.
- Candidates must successfully complete a 10-year pre-employment background check.
- Candidates must submit to pre-employment drug screening and SDI anti-drug program.
- Ability to work with little or no supervision.
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