Prior Authorization Pro: Streamline Care & Reimbursements

RiseMe; Greencastle (IN); On-site; USD 36,000 - 54,000; Full time

Job summary

Putnam County Hospital in Greencastle, IN is seeking an Prior Authorization Specialist to manage authorization workflows across primary care clinics. You will obtain authorizations, coordinate with payors, and ensure accurate patient data and clinical information is provided to support timely reimbursement.

Ideal candidates will have strong communication, organizational skills, and experience with CPT/ICD-10 coding within a healthcare setting, while upholding patient confidentiality and

Qualifications

• Experience with prior authorizations for imaging and procedures.
• Knowledge of payer requirements and insurance verification.
• Experience with CPT and ICD-10 coding for medical necessity.
• Healthcare setting experience preferred.

Responsibilities

• Obtain prior authorizations for imaging and procedures.
• Maintain documentation on prior authorizations to support timely care.
• Ensure accurate patient registration including demographics and insurance.
• Assemble clinical information for referrals and communications with payors.
• Coordinate with review organizations and insurers to meet requirements.
• Assist with referrals and ensure HIPAA compliance.

Skills

Customer service

Communication

Teamwork independence

Time management

Prioritization

Problem solving

Initiative

Professional conduct

Attention to detail

Medical terminology

Job description

Putnam County Hospital in Greencastle, IN is seeking an Prior Authorization Specialist to manage authorization workflows across primary care clinics. You will obtain authorizations, coordinate with payors, and ensure accurate patient data and clinical information is provided to support timely reimbursement.

Ideal candidates will have strong communication, organizational skills, and experience with CPT/ICD-10 coding within a healthcare setting, while upholding patient confidentiality and