Prior Authorization Specialist (LPN/RN) (FT) | Prior Authorization | Ames |

Description

McFarland Clinic is currently accepting applications for Prior Authorization Specialist (LPN/RN) for its Ames office. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients.

Responsibilities include: Complete and prioritize prior authorization requests received through the electronic health record, phone, fax, or payer websites, and monitor each request through final determination. Review requests for accuracy and completeness, obtain supporting clinical documentation, and submit medical records or referrals needed to expedite payer review. Communicate with providers, departments, nurse managers, and insurance representatives regarding medications, requirements, authorization status, and next steps. Review denials, identify appeal opportunities, obtain medically necessary information from providers, and submit appeals as appropriate.

Education

• Graduate of an accredited school of nursing

Certification/License

• Possession of State Licensed Practical Nurse license.

• Possession of State Registered Nurse license.

• Current Basic Life Support certification for Health Care Providers.

• Mandatory Reporting of Dependent Adult and Child Abuse.

Days: Monday - Friday

Hours: 8:00 AM - 5:00 PM

Experience

• Preferred experience with medication prior authorizations and appeals

Pre-employment drug screen and criminal history background checks are a condition of hire.

Benefits

McFarland Clinic offers a comprehensive benefits package, including health and dental insurance, 401(k), and PTO. Click here ( for details.

McFarland Clinic is central Iowa's largest physician-owned multi-specialty clinic. Join our team and join a group of caring professionals, dedicated to providing Extraordinary Care, Every Day! We value quality care and extraordinary service, trusting relationships and an exceptional workplace. Our organization has more than 75 years experience of caring for people. We welcome applicants who can help us enhance the health and well-being of our patients and communities we serve.

McFarland Clinic is an Equal Opportunity EmployerMcFarland Clinic makes every effort to comply with all requirements of federal, state and local laws relating to Equal Employment Opportunity.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights ( notice from the Department of Labor.