Insurance Authorization Specialist - Patient-Focused

OrthoIndy Northwest; Indianapolis (IN); On-site; USD 45,000 - 60,000; Full time

Job summary

OrthoIndy is seeking an Insurance Authorization Specialist to verify insurance coverage and obtain preauthorizations for procedures, including surgical and pain management cases. The role inputs accurate data into multiple systems and navigates complex online portals to ensure timely authorization.

You will serve as a liaison to physicians and staff, monitor authorizations, address denials, and support revenue cycle with audits and ongoing communications. Equal opportunity employer.

Qualifications

• Requires knowledge of ICD-10, CPT, and medical terminology.
• Experience with insurance authorization and precertification processes.
• Ability to navigate multiple electronic health record and practice management systems.
• Strong communication with physicians, staff, and patients.

Responsibilities

• Verifies active insurance status and documents precertifications.
• Submits information for precertification/authorization.
• Monitors authorizations to minimize denials and updates records.
• Notifies departments of coverage issues and obtains corrected info as needed.
• Performs audits and updates for revenue cycle related to denials monthly.

Skills

ICD-10 knowledge

CPT terminology

Medical terminology

Insurance guidelines

Education

High School Diploma/GED

Bachelor's degree preferred

Specialty medical office training

Job description

OrthoIndy is seeking an Insurance Authorization Specialist to verify insurance coverage and obtain preauthorizations for procedures, including surgical and pain management cases. The role inputs accurate data into multiple systems and navigates complex online portals to ensure timely authorization.

You will serve as a liaison to physicians and staff, monitor authorizations, address denials, and support revenue cycle with audits and ongoing communications. Equal opportunity employer.