Prior Authorization Specialist - Muncie #1839

Meridian Health Services Muncie , IN 47302

Posted 2 months ago

Your dedication, our commitment

If you are a passionate, dedicated professional that wants to make a difference in our patients lives, then please consider the following open position:

TEXT 1839 to (765)523-4622 for Quick Apply!

Meridian Health Services is currently seeking a full time Prior Authorization Specialist for our office in Muncie, Indiana. This is a great opportunity to make an impact in the lives of others. The hours are 7 am- 4 pm

Key Responsibilities:

  • Monitor the inpatient clinical documentation so that it accurately demonstrates the intensity of service and level of care provided for the patient.

  • Review all inpatient admissions after the first 24 hours to ensure comprehensive documentation outlining the reason for admission

  • All patients will be reviewed at least every 3 days to ensure continued need for stay is accurately documented

  • Review medical records, including treatment plans for accuracy and compliance

  • Clarify all documentation for accuracy of severity of illness

  • Provide topics of education regarding clinical documentation for the multidisciplinary team to clinical supervisors and HIM Educators

  • Periodic monitoring of procedure codes for compliance

  • Obtaining Prior Authorization for outpatient, inpatient and residential behavior health and substance abuse services

  • Reviewing clinical documentation to obtain outpatient behavior health/MRO authorizations

  • Running reports

  • Maintain a working knowledge of Meridian Health Services policies and procedures

We are seeking candidates with the following qualities:

  • High School Graduate and previous experience in a healthcare setting.

  • Associate's degree, in related field, and two years of coding, auditing or clinical experience preferred

  • Excel proficiency

Meridian Health Services provides the following benefits:

  • Health, dental, vision plans

  • Merit Based Compensation Plan

  • 401k with company contribution

  • Voluntary benefits, including critical illness, short term disability, etc.

  • Generous PTO plan

  • Wellness plan

  • Professional development funds

  • Paid Holidays

  • Life balance oriented organization

Drug screen, TB test, extensive background check, and fingerprinting are required of all Meridian employees. All individuals who join Meridian are required to have a flu shot and Covid vaccination to further protect our staff and the patients we serve. We also adhere to Covid-related protocol including wearing masks, social distancing, and sanitizing.

Meridian Health Services is an Equal Opportunity Employer (M/F/D/V) and also participates in E-Verif

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Prior Authorization Specialist - Muncie #1839

Meridian Health Services