Job Description

Position is PRN - coverage for vacations or call ins. Expectation is 16-32 hours/month

Collaborates with physicians, patients, and insurance companies to pre-certify medical services and procedures in order to deliver quality medical care in the most cost effective manner. Serves as pivotal point for communication among these parties. Provides assistance in utilization management and related duties by working collaboratively with the multidisciplinary team to achieve desired clinical, service and cost outcomes. Ensures that patients presenting for treatment obtains authorization from third party payers in order to expedite the receipt of full and timely reimbursement. Provides valuable information for consideration in clinical decision-making. Promotes quality patient care and to prevent costly payment denials and reduce the institution's financial risk.

Key Responsibilities:

• Patient experience with referral review and scheduling appropriately with correct providers and resources

• Professional Phone Skills

• Working as a team to cover all front office duties – faxing, managing messaging, registration check in , insurance reviews,

• Positive demeanor

• Quick learner or previous Cerner experience

Qualifications:

• Must have medical Office experience
• Must have experience with provider scheduling
• Cerner skills a plus

Requirements:

• Requires High School diploma or equivalent.
• Requires 2-4 years of relevant experience.
• Minimum one-year medical office experience or combination of extensive customer service work experience and education in insurance verification, patient registration, and medical terminology.
• Requires working knowledge of payer billing requirements, regulations, and the third party appeal and denial process.

• 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.