- Elevance Health (Southport, IN)
- …per week in-person with patients, members or providers. The **LTSS SERVICE COORDINATOR ** is responsible for conducting service coordination functions for a defined ... + Assists and participates in appeal or fair hearings, member grievances, appeals , and state audits. **Minimum Requirements:** + BA/BS degree and a minimum… more
- Cardinal Health (Indianapolis, IN)
- …documenting patient health insurance benefit investigations, prior authorizations, and appeals , preferred + Knowledge of Medicare, Medicaid and Commercially insured ... payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of Medical/Pharmacy billing and coding is preferred + Important to… more
- Cardinal Health (Indianapolis, IN)
- …Events and follow process for timely submission. Review all requests for appeals and ensure supporting documentation is present. Support team with call overflow ... when needed. Ability to mediate situations in which parties are in disagreement and facilitate a positive outcome. Effectively be able to multitask daily tasks and workload. + **TRAINING AND WORK SCHEDULES** : Your new hire training will take place… more
- Owens & Minor (Indianapolis, IN)
- …assure received documentation meets insurance payer guidelines. When applicable, the audit coordinator will be responsible for accurate and timely response to any ... and collection teams to assure timely submission of all appeals . + Track and report audit findings and results...justification to facilitate payment of claims for initial and review/ appeals payments. + Ability to edit and resubmit claims… more