Average salary: $61,802 /yearly

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  • $37.66 - $44.33 per hour

     ...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical...  ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited... 
    Suggested
    Temporary work
    Local area
    Remote work

    Argonaut Management Services, Inc

    Des Moines, IA
    7 days ago
  •  ...Clinical Insurance Authorization Specialist - Spencer Hospital page is loaded## Clinical Insurance Authorization Specialist - Spencer Hospitallocations...  ...:*** Coordinate with staff in order to complete prior authorization for all services and procedures in an accurate and... 
    Suggested
    Flexible hours
    Shift work
    Day shift

    Spencer Hospital

    Spencer, IA
    2 days ago
  • Baylor Scott & White Health in Des Moines is looking for an Insurance Verification Specialist 2 to provide insurance benefit information and ensure timely verification for patients. This role directly affects reimbursement processes and requires strong communication and...
    Suggested

    Baylor Scott & White Health

    Des Moines, IA
    4 days ago
  • $16.75 - $21.75 per hour

    Cardinal Health is seeking a Senior Coordinator for Prior Authorization, responsible for managing payer approvals for durable medical equipment. This fully remote position requires 3-6 years of healthcare experience, particularly in prior authorization or similar roles.... 
    Suggested
    Hourly pay
    Remote work

    Cardinal Health

    Des Moines, IA
    3 days ago
  •  ...Availity Essentials. The role involves managing end-to-end administrative processes related to eligibility, claims management, prior authorizations, and remittance. Ideal candidates will have at least 2 years of experience in similar payer portal applications and... 
    Suggested
    Remote work

    Mercor Inc

    Des Moines, IA
    3 days ago
  • $100k

     ...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of...  ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited... 
    Suggested
    Full time
    Local area
    Remote work

    Argonaut Management Services, Inc

    Des Moines, IA
    4 days ago
  •  ...UnityPoint Health in Fort Dodge is seeking a full-time LPN or CMA - Medication Prior Authorization Specialist. This position focuses on obtaining timely prior authorizations for medications, enhancing patient care by navigating insurance requirements. Candidates should... 
    Suggested
    Full time

    UnityPoint Health

    Fort Dodge, IA
    2 days ago
  •  ...LLC, located in Spencer, Iowa, is seeking a Clinical Insurance Authorization Specialist. This full-time position requires a current...  ...(LPN) license in Iowa. Responsibilities include coordinating prior authorizations, ensuring documentation for payers, and maintaining... 
    Suggested
    Full time

    Spencer Hospital

    Spencer, IA
    4 days ago
  •  ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization.... 
    Suggested
    Work at office
    Immediate start

    Baylor Scott & White Health

    Des Moines, IA
    5 days ago
  •  ...Department: Administration - Fort Dodge Shift: Monday - Friday 8A-4:30P Job ID: 181782 Overview LPN or CMA - Medication Prior Authorization Specialist Full-time postion with benefits (40 hours per week) Daytime hours The Medication Prior Authorization... 
    Suggested
    Daily paid
    Full time
    Temporary work
    Apprenticeship
    Monday to Friday
    Shift work

    UnityPoint Health

    Fort Dodge, IA
    7 days ago
  • $100k

     ...under limited technical direction and within broad limits and authority, adjudicate highly complex claims, potentially with a significant...  ...in each jurisdiction (such as required by New York). ~ Prior experience working with ImageRight and Guidewire strongly preferred... 
    Suggested
    Full time
    Local area
    Remote work

    Argonaut Management Services, Inc

    Des Moines, IA
    4 days ago
  •  ...will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review... 
    Suggested
    Full time
    For contractors
    Apprenticeship
    Work experience placement
    Internship
    Remote work
    Work from home
    Home office
    Weekday work

    Humana

    Des Moines, IA
    8 days ago
  • A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This fully remote position offers flexibility and the opportunity to influence patient access to medications. Ideal... 
    Suggested
    Remote work

    Pharmacy Careers

    Davenport, IA
    5 days ago
  • $20.44 - $25.55 per hour

     ...Overview Authorization Specialist - Neurology Associates of Stony Brook, UFPC Location: Lake Grove, NY Schedule: Full Time Days/Hours: M-...  ...year of administrative experience in a medical office setting. Prior pre-authorization or obtaining referrals process experience. Strong... 
    Suggested
    Full time
    Work at office

    SB Clinical Practice Management

    Spirit Lake, IA
    2 days ago
  •  ...role partners closely with clinical teams and payers to support authorizations, compliance, and quality outcomes.Key Responsibilities:Review...  ...eligibility and maintain accurate funding recordsSecure prior authorizations (MCOs, private insurance, private pay) and identify... 
    Suggested
    Casual work
    Work at office
    Immediate start

    Four Oaks Family And Childrens Services

    Cedar Rapids, IA
    3 days ago
  •  ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Complete appropriate payer forms related to notification and authorization. Coordinate... 
    Work at office
    Immediate start

    Baylor Scott & White Health

    Des Moines, IA
    4 days ago
  • $68.5k - $88.02k

     ...with URAC and ACHC specialty pharmacy accreditation standards and survey readiness ~ Experience optimizing patient access, prior authorization, and reimbursement workflows ~ Strong analytical skills with experience using data to drive operational and performance improvements... 
    Temporary work
    Local area
    Immediate start
    Flexible hours

    Cardinal Health

    Des Moines, IA
    3 days ago
  •  ...part time neuropharmacologist. You will be supported by your own nurse, experienced in neurology, who will handle prior authorizations and help field phone calls and portal messages. You will be replacing a quality retiring physician whose patients are appreciative... 
    Full time
    Part time
    Work at office
    Visa sponsorship
    Flexible hours

    UnityPoint Health

    Des Moines, IA
    6 days ago
  •  ...States. Estimated 10-15 hours per week, with increases when covering for the leave of other physicians. Responsibilities Review prior authorization requests for medical services to determine medical necessity. Perform all review and decision-making via electronic review.... 
    Long term contract
    Part time
    10 hours per week

    US Tech Solutions

    Nevada, IA
    4 days ago
  •  ...employees, provides growth and professional development opportunities, and offers great benefits, we invite you to apply today! Work Authorization/Sponsorship Applicants must be currently authorized to work in the United States on a full-time basis. We are not able to... 
    Full time
    Work at office
    Work visa

    Farm Bureau Financial Services

    West Des Moines, IA
    5 days ago
  • $23.76 - $51.49 per hour

     ...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to... 
    Hourly pay
    Work experience placement
    Work at office
    Weekend work

    Molina Healthcare

    Iowa City, IA
    2 days ago
  • $27.04 - $43.68 per hour

     ...obtaining thorough clinical information from patient, parent or authorized representative during the encounter. Information shall be...  ...Assists with the coordination of services, procedures, referrals, prior authorizations, inpatient consults, or admissions as needed.... 
    Hourly pay
    Full time
    Temporary work
    Local area
    Monday to Friday
    Flexible hours

    EASTERN IOWA HEALTH CENTER

    Cedar Rapids, IA
    6 days ago
  •  ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe... 
    Remote work
    Work from home
    Flexible hours

    Pharmacy Careers

    Davenport, IA
    3 days ago
  • 6AM City, LLC is hiring a Remote Clinical Pharmacist who will handle prior authorization processes and provide consultations to healthcare providers. The role demands strong attention to detail, customer service skills, and the ability to work flexible hours. Ideal candidates... 
    Remote work
    Home office
    Flexible hours
    Shift work

    6AM City

    Nevada, IA
    5 days ago
  •  ...patient care - valuates according to protocol and discusses with provider when indicated, managing medication refills, completing prior authorizations, assist with medication consents and contracts, and assist with the day to day operations of the clinic. Essential Job... 
    Full time
    Temporary work
    Part time
    Relief
    Work at office
    Immediate start
    Monday to Friday
    Flexible hours
    Shift work
    Day shift
    Afternoon shift

    Access Dubuque

    Dubuque, IA
    4 days ago
  • $92.4k - $138.6k

     ...medical records within the designated PHC time frame. Completes appropriate correspondence, phone calls, referral documentation, prior authorizations, refills, and letters to patients and referring providers within the designated time frame established by PHC. Actively... 
    Full time
    Work experience placement
    Work at office
    Local area
    Work from home

    Primary Health Care

    Des Moines, IA
    2 days ago
  • $95k - $105k

    Join to apply for the Underwriter-Life role at The Momba Group 1 day ago Be among the first 25 applicants Join to apply for the Underwriter-Life role at The Momba Group This range is provided by The Momba Group. Your actual pay will be based on your skills and experience...
    Full time

    The Momba Group

    West Des Moines, IA
    1 day ago
  • $26.41 - $51.49 per hour

     ...clinical member care. The role involves ensuring the medical necessity of services, analyzing clinical requests, and managing prior authorizations in compliance with state and federal regulations. Candidates should have at least 2 years of relevant experience and an... 
    Hourly pay

    Molina Healthcare

    Iowa City, IA
    2 days ago
  •  ...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... 
    Work at office
    Local area
    Monday to Friday

    McFarland Clinic

    Ames, IA
    6 days ago
  •  ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management.... 
    Remote job

    Pharmacy Careers

    Des Moines, IA
    4 days ago