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Prior Authorization Specialist Physician Practice at Franciscan Health

Franciscan Health


Mid Level

$44.000 - $61.000

27 Apr → 27 May


Job Description

Franciscan Health Mooresville Campus


1201 Hadley Road Mooresville, Indiana 46158



With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.



  • Serve as primary contact for all ambulatory department prior authorization requirements.

  • Serve as primary resource to ambulatory clinics reading the prior authorization process and requirements.

  • Collect clinical information regarding services to be rendered.

  • Contact payer to obtain prior authorization. Gather additional clinical and or coding information, as necessary, in order to obtain prior authorization.

  • Provide standardized documentation within EPIC to identify prior authorization and the criteria surrounding such authorization.

  • Advise providers and their clinical staff when issues arise relating to obtaining prior authorization.

  • Stay informed and research information regarding insurance criteria for prior authorization.

  • Serve as primary resource to patients regarding prior authorization process.

  • Verify that all insurance requirements have been met.

  • Educate providers and their clinical staff regarding the prior authorization process.



  • Required High School Diploma/GED

  • 1 year Prior Authorizations and Revenue Cycle Required



Never or Rarely



To further Franciscan Alliance's commitment to provide and maintain a safe and healthy workplace and prevent the spread of COVID-19 among our coworkers and their families; our patients, visitors, and vendors, and the community at large all Franciscan workforce members must be vaccinated, unless granted an exemption. We are committed to making the communities we serve healthier.



It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

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