Specialist-Patient Accounts Senior

Schedule: Monday–Friday, 8:00 a.m. – 4:30 p.m.
Work Arrangement: Hybrid

Position Summary

The role is responsible for the timely and accurate processing of prior authorizations. This includes obtaining authorizations and completing appeals within required timeframes. The position may also be responsible for identifying charging issues, troubleshooting problems, and developing solutions to ensure accuracy and compliance.

Key Responsibilities

• Obtain prior authorizations in a timely and accurate manner.
• Prepare and submit appeals as needed.
• Identify, analyze, and resolve charging or billing issues.
• Ensure compliance with payer rules, regulations, and documentation requirements.
• Communicate effectively with internal teams, providers, and payers.

Top Skills Preferred

• Strong insurance knowledge
• HCPCS coding experience
• Experience with drug programs
• Solid written and verbal communication skills

Required Qualifications

• High school diploma or equivalent.
• Minimum of three (3) years of experience in hospital or physician billing.
• Working knowledge of payer billing requirements and regulations.

• Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we’re home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.
• IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.
• A unique partnership with the Indiana University School of Medicine – one of the nation’s largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all.
• With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
• At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.
• Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states.