Description Indiana Health Centers, Inc. (IHC) is a mission-driven organization providing high-quality, affordable healthcare to underserved and uninsured populations since 1977. At IHC, a Federally Qualified Health Center, we specialize in integrated care which means having access to essential services to meet the needs of patients we serve in the community. With ten healthcare centers, eight Women, Infants, and Children (WIC) nutrition program locations, a Mobile Health Unit, and in-house Pharmacy services (select locations), we offer primary medical, dental, and behavioral healthcare services to community-based patient populations throughout Indiana that are diverse in age, educational background, and income level. The IHC Corporate team is now recruiting for a remote Patient Service Center (PSC) Clinical Support Specialist living in the state of Indiana. The PSC Clinical Support Specialist is responsible for coordinating patient referrals and managing prior authorizations to ensure timely access to healthcare services. This role serves as a liaison between patients, providers, insurance companies, and specialty clinics to facilitate efficient care coordination. The specialist ensures all referrals and/or authorization documentation is complete, accurate, and compliant with payer requirements. Applicants who meet the following qualifications will receive priority consideration for this role: - MA, LPN, or RN (required) - Lives in the state of Indiana (required) Corporate Hours of Operation Monday - Friday, 8:00 am - 5:00 pm IHC’s robust benefits and compensation package includes: - $1000.00 retention bonus paid after one year - No nights or weekends - Generous Paid Time Off and Floating Holidays - Day 1 Insurance benefits eligibility - 403(b) Retirement Plan matching at one year of employment - Employer-paid Group Life, Short-term disability, and Long-term disability coverages and HSA employer contributions - Flexible Leave of Absence programs - Personify Health Wellness program with paid incentives for participation - Employee Assistance Programs with 24/7 access to therapy consultation services PSC Clinical Support Specialist role responsibilities include: - Prepare and submit prior authorization of requests for procedures, medications, imaging, and specialty services. Collect and compile required clinical documentation to support authorization requests. - Communicate with insurance companies to obtain approval, provide additional information, or resolve authorization issues. - Monitor authorization status and follow up on pending requests to prevent delays in care. - Document authorization numbers, approvals, denials, and expiration dates in the EHR. - Process incoming and/or outgoing patient referrals to specialty providers, diagnostic services, and ancillary care. - Verify referral/PA requirements based on insurance guidelines and payer policies. - Coordinate with providers and specialists to schedule referred services. - Track referral/PAs statuses to ensure completion of appointments and continuity of care. - Communicate referral information and appointment instructions to patients. - Assist in training new staff for the Patient Service Center. - Sending and following up on referrals, completing Prior Authorizations (PA), Scheduling Diagnostic Imaging tests, and other patient care related paperwork. - Processes appropriate patient paperwork in a timely manner. - Educate patients regarding documents they will need to provide at the time of service. - Accurately enters, maintains, and retrieves data on IHC’s Electronic Medical Records (EMR) system. - Communicates appropriate diagnostic and clinical information with patients as needed. - Communicates with patients care team as necessary. - May assist with contacting patients for reminder calls and follow-up. Required Skills: - Learn and follow standard work practices/procedures – every time – without variation or error. - Follow established routines, requiring occasional modifications in procedure. - Train others on referrals and prior authorizations functions and standard workflow - Recognize, troubleshoot, and/or alert others to potential scheduling conflicts or problems. - Speak professionally over the phone. - Demonstrate office equipment and computer skills, including data entry. - Able to use Microsoft Word, Excel, and Outlook, eCW, Dialpad, etc. Requirements - PSC Clinical Support Specialist is required to be a Medical Assistant (must have completed Medical Assisting degree or certificate program), LPN, or RN (valid Indiana licenses in good standing). - Lives in the state of Indiana (required) - One (1) year of prior experience in an office or health-related position preferred. Related education can substitute for experience. - Knowledge of insurance verification and payer authorization processes preferred. - Spanish fluency preferred. Equal Opportunity Employment Statement We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Summary Job Description: Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN Function in a fully accountable role with respect to ensuring the overall quality of inpatient coding with continuous quality improvement when indicated. The coder ensures that accurate and complete coding is performed so it can be used for measuring and reporting physician and hospital outcomes. The coder maintains an extensive up to date knowledge of clinical coding and has an extensive knowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHA Official Coding Guidelines as they pertain to diagnosis and procedural coding. Qualifications: - Associate degree. - In lieu of associate degree, Certified Coding Specialist credential with two years of inpatient coding experience. - Microsoft Office experience, EHR and Encoder experience preferred. - RHIA, RHIT or CCS certification required. Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.

• Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location • Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts • Provides training and guidance to lower level colleagues and provide problem resolution as needed • Documents claims billed, paid, settled, and follow-up in appropriate system(s) • Identifies and escalates issues affecting accurate billing and follow-up activities • Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner • Communicates with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information • Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays • Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and accurate manner • Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution • Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required • May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, e.g., number of claims and dollars billed, claims edited, claims unprocessed, etc. • Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as new systems, processes or payers are created • Provides problem resolution to billing and follow-up issues as needed

Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com. Job Summary: This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. Essential Functions: - Completes release of information requests including retrieving patient's medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity. - Date stamps all requests and highlights pertinent data to facilitate processing. - Validates requests and authorizations for release of medical information according to established procedures. - Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing. - Maintain equipment in excellent operating condition (inside and out). - Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems. - May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client. - Maintains a neat, clean, and professional personal appearance and observes the dress code established. - Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area. - Maintains working knowledge of the existing state laws and fee structure - Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs - Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations. - Maintains confidentiality, security and standards of ethics with all information. - Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner. Qualifications: - High School Diploma (GED) required - A minimum of 2 years prior experience in a medical records department or like setting preferred - Must have strong computer software experience -- general working knowledge of Microsoft Word and Excel required - Excellent organizational skills are a must - Must be able to type 50 wpm - Must be able to use fax, copier, scanning machine - Must be willing to learn new equipment and processes quickly. - Must be self-motivated, a team player - Must have proven customer satisfaction skills - Must be able to multi-task Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.