Prior Authorization Representative

3 weeks ago


Indianapolis, United States DaMar Staffing Full time
Job Description
Prior Authorization Representative Job Description

Client Profile- An Indiana based Independent Physician-Owned radiology practices founded in 1967.

Job Summary- Prior Authorization Representative is responsible for securing inpatient/outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates and obtaining prior authorizations before service are rendered. Must be comfortable working with clinical professionals.

Job Duties

  • Verify insurance eligibility, benefits, network status and create pre-service liability estimate.
  • Ensure accurate ICD, CPT codes and related medical records are submitted in the authorization request.
  • Secure prior authorizations of inpatient and outpatient imaging.
  • Acts as a liaison between the payer and clinic schedulers/medical support.
  • Follows up on delayed or denied authorizations requests and escalates for resolution.
  • Create detail documentation and maintain/stores the authorization paper trail.


Requirements

Qualifications
  • High School Diploma, 3+years of experience in a health care financial setting or medical office setting. Must have previous prior authorization experience.
  • Excellent customer service skills, strong attention to details, multi-task as needed.
  • Must be familiar with an EMR or HER; Microsoft Office 365
  • Must be able to take responsibility and work under pressure. Work efficiently in a busy medical office.
  • Must be a positive team player.
  • Knowledge of ICD-10, CPT, and HCPCS codes specific to radiology is a plus.
  • Proficient in medical terminology, especially radiological terms and procedures.
  • Days/Hours: M/F 8a to 5pm (Availability to start as early as 7a and work as last as 6:00pm is a plus)
  • Starting pay $20.00 to $21.00 hourly (Based on experience)


  • Indianapolis, United States DaMar Staffing Solutions Full time

    Prior Authorization Representative Job Description Client Profile An Indiana based Independent PhysicianOwned radiology practices founded in 1967. Job Summary Prior Authorization Representative is responsible for securing inpatient/outpatient accounts by performing insurance verification obtaining benefit information calculating patient estimates and...


  • Indianapolis, United States DaMar Staffing Solutions Full time

    Prior Authorization Representative Job Description Client Profile An Indiana based Independent PhysicianOwned radiology practices founded in 1967. Job Summary Prior Authorization Representative is responsible for securing inpatient/outpatient accounts by performing insurance verification obtaining benefit information calculating patient estimates and...


  • Indianapolis, Indiana, United States DaMar Staffing Solutions of Indianapolis Full time

    Job Title: Prior Authorization RepresentativeWe are seeking a highly skilled Prior Authorization Representative to join our team at DaMar Staffing Solutions of Indianapolis. As a Prior Authorization Representative, you will play a critical role in securing inpatient and outpatient accounts by performing insurance verification, obtaining benefit information,...


  • Indianapolis, Indiana, United States DaMar Staffing Solutions of Indianapolis Full time

    Job Title: Prior Authorization RepresentativeDaMar Staffing Solutions of Indianapolis is seeking a skilled Prior Authorization Representative to join our team. As a key member of our healthcare staffing solutions, you will be responsible for securing inpatient and outpatient accounts by performing insurance verification, obtaining benefit information, and...


  • Indianapolis, IN, United States VirtualVocations Full time

    A company is looking for a Prior Authorization Technician Supervisor to lead a team of prior authorization technicians. Key Responsibilities: Manage, coach, and mentor a team of prior authorization technicians Ensure adherence to turnaround times and high-quality reviews Identify operational process improvements and drive team performance through...

  • Patient Service Rep

    2 weeks ago


    Indianapolis, United States Community Health Network Full time

    Join CommunityCommunity Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits...

  • Patient Service Rep

    3 weeks ago


    Indianapolis, United States Community Health Network Full time

    Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and...


  • Indianapolis, United States Eli Lilly and Company Full time

    At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities...


  • Indianapolis, Indiana, United States Community Health Network Full time

    Job SummaryWe are seeking a highly skilled Patient Service Representative to join our team at Community Health Network. As a Patient Service Representative, you will play a vital role in providing exceptional patient care and administrative support to our healthcare team.Key ResponsibilitiesProvide administrative support to healthcare providers and clinical...


  • Indianapolis, Indiana, United States Crown Equipment Corporation Full time

    {"Job Title": "Sales and Service Representative", "Job Responsibilities": "As a Sales and Service Representative, you will be responsible for maximizing the sale of dock and door equipment and parts & service for dock & door within a specified territory to meet sales objectives. Your key responsibilities will include developing existing accounts & seeking...


  • Indianapolis, United States OrthoIndy Hospital Northwest Full time

    Facility: OrthoIndy Northwest, Indianapolis, IN Department: Clinic ServicesShift Details: Mon-Fri 730a-4pGreat people are the backbone to great care and patient satisfaction. In return, we'll have your back-offering our employees a supportive team environment, great benefits, a true work/life balance, and the opportunity to positively impact the quality of...

  • Sales Representative

    2 weeks ago


    Indianapolis, Indiana, United States Triangle Fastn-Sal Full time

    Job Title: Outside Sales RepresentativeWe are seeking a highly motivated and results-driven Outside Sales Representative to join our team at Triangle Fastener Corporation. As a key member of our sales team, you will be responsible for identifying and cultivating new business opportunities while nurturing existing customer relationships to drive sales and...

  • Sales Representative

    2 weeks ago


    Indianapolis, Indiana, United States Triangle Fastn-Sal Full time

    Job Title: Outside Sales RepresentativeTriangle Fastener Corporation is a leading wholesale distributor in the construction industry, serving the US and beyond since 1977. We are seeking a highly motivated Outside Sales Representative to join our team in Indianapolis, TX.Job Summary:The Outside Sales Representative will be responsible for identifying and...


  • Indianapolis, Indiana, United States Indiana Health Centers, Inc. Full time

    Job Title: Clinical Patient Service RepresentativeIndiana Health Centers, Inc. is seeking a highly skilled and experienced Clinical Patient Service Representative to join our dynamic call center team. As a vital member of our healthcare team, you will work in a supportive and collaborative environment that values teamwork and contributes to our mission.Key...

  • Sales Representative

    2 weeks ago


    Indianapolis, Indiana, United States Triangle Fastn-Sal Full time

    Job Title: Outside Sales RepresentativeTriangle Fastener Corporation is a leading wholesale distributor in the construction industry, serving the US and beyond since 1977. We are seeking a highly motivated Outside Sales Representative to join our team in Indianapolis, TX.Job Summary:The Outside Sales Representative will be responsible for identifying and...

  • Sales Representative

    2 weeks ago


    Indianapolis, Indiana, United States Triangle Fastn-Sal Full time

    Job Title: Outside Sales RepresentativeWe are seeking a highly motivated and results-driven Outside Sales Representative to join our team at Triangle Fastener Corporation. As a key member of our sales team, you will be responsible for identifying and cultivating new business opportunities while nurturing existing customer relationships to drive sales and...


  • Indianapolis, Indiana, United States SFM Mutual Insurance Companies Full time

    About the RoleWe are seeking an experienced Senior Claims Representative to join our team at SFM Mutual Insurance Companies. As a key member of our claims team, you will be responsible for investigating and managing workers' compensation claims in accordance with state statutes and company best practices.Key ResponsibilitiesInvestigate and manage claims in a...


  • Indianapolis, Indiana, United States ADVENT Full time

    Job Title: Patient Services RepresentativeAt ADVENT, we're seeking a highly skilled and detail-oriented Patient Services Representative to join our team. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and administrative support to our patients and staff.Key Responsibilities:Provide accurate and...


  • Indianapolis, United States Aveanna Healthcare LLC Full time

    Aveanna Healthcare - [Medical Office Assistant / Scheduler] As a Patient Support Representative at Aveanna Healthcare, you'll: Send prescription and authorization requests to medical offices and insurance companies for renewals and prescription/insurance changes; Follow up with medical offices and insurance companies as needed to ensure requests are...

  • Sales Representative

    2 weeks ago


    Indianapolis, Indiana, United States Triangle Fastn-Sal Full time

    Job Title: Outside Sales RepresentativeWe are seeking a highly motivated and results-driven Outside Sales Representative to join our team at Triangle Fastener Corporation. As a key member of our sales team, you will be responsible for identifying and cultivating new business opportunities while nurturing existing customer relationships to drive sales and...