LPN/Pre-Authorization Specialist

4 weeks ago


Indianapolis, United States Point Comfort Underwriters Full time

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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