Top 54 Remote medical prior authorization Jobs in Indiana

Patient Service Center Clinical Support Specialist - Remote in Indiana
Indiana Health Centers, Inc. —Indianapolis, IN
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Wellness program
- 403(b) matching
Quick Apply
Utilization Management Nurse Consultant
CVS Health —Indiana
- $26.01 - $68.55 an hour
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
4d
Prior Authorization Specialist
Goodman Campbell Brain and Spine —Carmel, IN
- Computer literacy
- Medical office experience
- HIPAA
Quick Apply
Remote Pharmacy Technician (Indiana Residents Only)
CSpring —Indiana
- $18 - $19 an hour
- Overtime
- Remote
- Pass drug screening
- High school diploma or GED
- 1 year
- Disability insurance
- Health insurance
Quick Apply
Operations & Maintenance - Damage Prevention (O&M D)
bp —Evansville, IN
- $35.85 - $48.29 an hour
- Overtime
- Writing skills
- Pass drug screening
- Mid-level
- Paid parental leave
- Parental leave
3d
Operations & Maintenance - Damage Prevention (O&M D)
bp —Merrillville, IN
- $35.85 - $48.29 an hour
- Overtime
- Computer literacy
- Writing skills
- Pass drug screening
- Paid parental leave
- Parental leave
3d
Medical Services Coordinator
BEHAVIORAL HEALTH PRACTICE SERVICES LLC. —Mishawaka, IN
- $21.75 an hour
- Full-time
- Psychiatry
- HIPAA
- Mid-level
- Paid parental leave
- AD&D insurance
Quick Apply
12h
Pharmaceutical Sales Representative - Indianapolis, Indiana
GlaxoSmithKline —Indianapolis, IN
- Full-time
- Remote
- Bilingual
- Bachelor of Science
- Mid-level
Care Coordinator
Valeris, Inc. —Jeffersonville, IN
- Full-time
- Background check
- Spanish
- Computer literacy
- Health savings account
- AD&D insurance
Quick Apply
12d
Surgery Scheduler
Urology of Indiana —Carmel, IN
- Full-time
- Surgery
- Computer literacy
- Mid-level
- Health savings account
- Health insurance
Quick Apply
7d
Central Intake Admissions Specialist
Otterbein SeniorLife —Franklin, IN
- Microsoft Excel
- Microsoft Outlook
- Marketing
- Paid holidays
- Health insurance
Quick Apply
Medical Billing Analyst
Rheumatology of Central Indiana —Muncie, IN
- Part-time
- Mid-level
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Transportation Security Officer
US Transportation Security Administration —Indianapolis, IN
- $46,535 - $57,374 a year
- Overtime
- Background check
- 18 years or older
- Ability to walk for extended periods
- Travel reimbursement
- Paid holidays
Executive Care Coordinator
Valeris, Inc. —Jeffersonville, IN
- Full-time
- Bilingual
- Background check
- Pass drug screening
- Health savings account
- AD&D insurance
Quick Apply
6d
Medical Assistant
Dr. Mary Tilak's PC —Munster, IN
- From $18 an hour
- Part-time
- Primary Care
- Office
- Clinic
- Free parking
- 401(k)
Quick Apply
4d
Clinical Director of Virtual Care Programs
Planned Parenthood GNHI —Merrillville, IN
- $117,769 - $257,311 a year
- Full-time
- 5 years
- Certified Nurse Practitioner
- Travel
- Disability insurance
- Health insurance
MEDICAL INSURANCE ACCOUNT RECEIVABLE REPRESENTATIVE
FIRST UROLOGY P S C —Jeffersonville, IN
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Paid holidays
Quick Apply
11h
Coordinator of Academics & Accreditation
Purdue University —Hammond, IN
- Evenings as needed
- Background check
- Bachelor of Science
- Mid-level
- Paid parental leave
- Health savings account
Commercialization Expert
CLEAResult Consulting Inc. —Indianapolis, IN
- $120,000 - $140,000 a year
- Full-time
- Remote
- Analysis skills
- Travel
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
Control Systems Engineer - PLC
KNAPP —McCordsville, IN
- Overtime
- Mid-level
- Residential
- 3 years
- Profit sharing
- Paid parental leave

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Patient Service Center Clinical Support Specialist - Remote in Indiana

Indiana Health Centers, Inc. -
Indianapolis, IN

Quick Apply

Job Details

Full-time

Benefits

Wellness program
403(b) matching
Health savings account
Paid holidays
Disability insurance
Paid time off
Employee assistance program
403(b)
Benefits from day one

Qualifications

Microsoft Word
Computer operation
Microsoft Excel
Microsoft Outlook
Overseeing health insurance pre-certification
Electronic health records (EHR) management
Phone communication
ICD-10
Healthcare referral management
Records management
Clinical data entry
Team training
Health insurance referral requirements
Case referral
Clinical documentation standards
Document management systems
Standard operating procedures (SOPs)
Quality data entry
Client interaction via phone calls

Full Job Description

Description:

Indiana Health Centers, Inc. (IHC) is a mission-driven organization providing high-quality, affordable healthcare to underserved and uninsured populations since 1977. At IHC, a Federally Qualified Health Center, we specialize in integrated care which means having access to essential services to meet the needs of patients we serve in the community. With ten healthcare centers, eight Women, Infants, and Children (WIC) nutrition program locations, a Mobile Health Unit, and in-house Pharmacy services (select locations), we offer primary medical, dental, and behavioral healthcare services to community-based patient populations throughout Indiana that are diverse in age, educational background, and income level.

The IHC Corporate team is now recruiting for a remote Patient Service Center (PSC) Clinical Support Specialist living in the state of Indiana. The PSC Clinical Support Specialist is responsible for coordinating patient referrals and managing prior authorizations to ensure timely access to healthcare services. This role serves as a liaison between patients, providers, insurance companies, and specialty clinics to facilitate efficient care coordination. The specialist ensures all referrals and/or authorization documentation is complete, accurate, and compliant with payer requirements.

Applicants who meet the following qualifications will receive priority consideration for this role:

MA, LPN, or RN (required)
Lives in the state of Indiana (required)

Corporate Hours of Operation

Monday - Friday, 8:00 am - 5:00 pm

IHC’s robust benefits and compensation package includes:

$1000.00 retention bonus paid after one year
No nights or weekends
Generous Paid Time Off and Floating Holidays
Day 1 Insurance benefits eligibility
403(b) Retirement Plan matching at one year of employment
Employer-paid Group Life, Short-term disability, and Long-term disability coverages and HSA employer contributions
Flexible Leave of Absence programs
Personify Health Wellness program with paid incentives for participation
Employee Assistance Programs with 24/7 access to therapy consultation services

PSC Clinical Support Specialist role responsibilities include:

Prepare and submit prior authorization of requests for procedures, medications, imaging, and specialty services. Collect and compile required clinical documentation to support authorization requests.
Communicate with insurance companies to obtain approval, provide additional information, or resolve authorization issues.
Monitor authorization status and follow up on pending requests to prevent delays in care.
Document authorization numbers, approvals, denials, and expiration dates in the EHR.
Process incoming and/or outgoing patient referrals to specialty providers, diagnostic services, and ancillary care.
Verify referral/PA requirements based on insurance guidelines and payer policies.
Coordinate with providers and specialists to schedule referred services.
Track referral/PAs statuses to ensure completion of appointments and continuity of care.
Communicate referral information and appointment instructions to patients.
Assist in training new staff for the Patient Service Center.
Sending and following up on referrals, completing Prior Authorizations (PA), Scheduling Diagnostic Imaging tests, and other patient care related paperwork.
Processes appropriate patient paperwork in a timely manner.
Educate patients regarding documents they will need to provide at the time of service.
Accurately enters, maintains, and retrieves data on IHC’s Electronic Medical Records (EMR) system.
Communicates appropriate diagnostic and clinical information with patients as needed.
Communicates with patients care team as necessary.
May assist with contacting patients for reminder calls and follow-up.

Required Skills:

Great communication skills, both verbal and written.
Knowledge of ICD-10 codes and meanings.
Learn and follow standard work practices/procedures – every time – without variation or error.
Follow established routines, requiring occasional modifications in procedure.
Train others on referrals and prior authorizations functions and standard workflow
Recognize, troubleshoot, and/or alert others to potential scheduling conflicts or problems.
Speak professionally over the phone.
Demonstrate office equipment and computer skills, including data entry.
Able to use Microsoft Word, Excel, and Outlook, eCW, Dialpad, etc.

Requirements:

PSC Clinical Support Specialist is required to be a Medical Assistant (must have completed Medical Assisting degree or certificate program), LPN, or RN (valid Indiana licenses in good standing).
Lives in the state of Indiana (required)
Knowledge and experience with both Medication and Imaging Prior Authorizations.
Experience with referrals to specialists.
Document management experience.
One (1) year of prior experience in an office or health-related position preferred. Related education can substitute for experience.
Knowledge of insurance verification and payer authorization processes preferred.

Equal Opportunity Employment Statement

We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Quick Apply

Refine Your Search

remote medical prior authorization jobs in indiana

Patient Service Center Clinical Support Specialist - Remote in Indiana

Utilization Management Nurse Consultant

Prior Authorization Specialist

Remote Pharmacy Technician (Indiana Residents Only)

Operations & Maintenance - Damage Prevention (O&M D)

Operations & Maintenance - Damage Prevention (O&M D)

Medical Services Coordinator

Pharmaceutical Sales Representative - Indianapolis, Indiana

Care Coordinator

Surgery Scheduler

Central Intake Admissions Specialist

Medical Billing Analyst

Transportation Security Officer

Executive Care Coordinator

Medical Assistant

Clinical Director of Virtual Care Programs

MEDICAL INSURANCE ACCOUNT RECEIVABLE REPRESENTATIVE

Coordinator of Academics & Accreditation

Commercialization Expert

Control Systems Engineer - PLC

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