Average salary: $61,802 /yearly
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- ...our team in Cedar Rapids. In this role, you will manage the full lifecycle of insurance claims, from initial submission and prior authorizations to resolving complex denials and appeals. If you have a sharp eye for detail, a strong understanding of payer guidelines, and...SuggestedRelocation packageFlexible hours
Fittings Unlimited
Iowa City, IAa month ago - ...Department: Administration - Fort Dodge Shift: Monday - Friday 8A-4:30P Job ID: 183687 Overview LPN or CMA - Medication Prior Authorization Specialist Full-time postion with benefits (40 hours per week) Daytime hours The Medication Prior Authorization...SuggestedDaily paidFull timeTemporary workApprenticeshipMonday to FridayShift work
UnityPoint Health
Fort Dodge, IA3 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...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Des Moines, IA4 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....SuggestedHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hoursEASTERN IOWA HEALTH CENTER
Cedar Rapids, IA2 days ago$26.41 - $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...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Iowa City, IA3 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....SuggestedRemote jobHourly pay$68.5k - $88.02k
...experience 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...SuggestedTemporary workLocal areaImmediate startFlexible hoursCardinal Health
Des Moines, IA4 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...SuggestedRemote work
Pharmacy Careers
Davenport, IA1 day 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...SuggestedRemote workWork from homeFlexible hours
Pharmacy Careers
Davenport, IA1 day ago $16 - $18 per hour
...QUALIFICATIONS: High school education or equivalent experience. 1-2 years prior office experience Ability to identify and manage details.... ...Verifies each patient's insurance coverage and obtains prior authorization when required. Provides correct paperwork to new patients and...SuggestedFull timeWork at officeLocal areaHome officeFlexible hoursMillennium Therapy
Hudson, IA1 day ago- ..., and repairs Support the Audiology and Hearing Aid department through select administrative responsibilities, including prior authorizations, ordering, and third-party funding coordination Maintain and calibrate audiology equipment and assist with evaluating new...SuggestedFull timePart timeLocal areaImmediate start
Medical Associates
Asbury, IA1 day ago - ...Room patients and obtain medical histories. Document into the electronic medical record. Provide patient education. Complete prior authorizations for procedures. Schedule or reschedule clinic and surgical appointments. Triage phone calls and respond to tasks. Administer...SuggestedFull time
Wolfe Eye Clinic
Waterloo, IA4 days ago - ...Facilitate physician communication pertaining to appointments both prior to and follow-up after. Facilitate coverage for appointments... ...and orders relating to appointments. Ensure prior authorizations are completed. Oversee vaccine program for inpatient children...SuggestedFull timeFlexible hours
ChildServe
Johnston, IA4 days ago - ...To provide medication education and set up medications for ACT clients and case managers staff. To process orders, complete prior authorizations, and work with the medication prescriber to ensure all clients received the appropriate and necessary psychiatric medications...SuggestedDaily paidTemporary workWork at officeImmediate startShift workNight shiftWeekend workAfternoon shift
UnityPoint Health
Des Moines, IA9 hours ago - ...patients and obtain medical histories. Document into the electronic medical record. Provide patient education. Complete prior authorizations for procedures. Schedule or reschedule clinic and surgical appointments. Triage phone calls and respond to tasks....SuggestedFull timePart time
Wolfe Eye Clinic
Cedar Falls, IA4 days ago $15.9 - $17 per hour
...the much‑needed care as soon as possible. Requests health plan authorizations/information as required; either electronically or verbally.... ...equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health employee...Hourly payTemporary workWork at officeLocal areaImmediate startRemote workHome officeFlexible hoursAccendra Health
Des Moines, IA4 days ago- ...Des Moines, IAFull-time, permanent positionYou 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...Permanent employmentFull timeWork at officeFlexible hours
Source Medical, LLC
Des Moines, IA1 day ago - ...Major holidays off ✅ PTO ✅ 401(k) ✅ Competitive pay based on experience ✅ Cash-based practice — no insurance billing, prior authorizations, or insurance-driven patient care Our growing clinic specializes in functional medicine, perimenopause, menopause,...Immediate start
The Teggatz Clinic
Cedar Rapids, IA22 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$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...Work experience placementWork at officeLocal areaWork from homePrimary Health Care, Inc (PHC)
Marshalltown, IA4 days ago- ...administrative duties in a timely manner Perform routine clinical tasks to support medical staff Escort patients to exam rooms Prior Authorization Check out New prescriptions/refills Qualifications Fluent in Spanish Previous experience in healthcare administration or...Work at office
6AM City
Nevada, IA2 hours agonew - ...infusion and Beacon care plans. Act as a liaison between the Infusion Suite, providers, nursing staff, and patients. Assist with prior authorization appeals and infusion-related clinical documentation. Provide education and serve as a resource for infusion nursing staff....
University of Iowa
Urbandale, IA3 days ago - ...accurate manner Contact prescribers to obtain prescription refill authorization Accept prescription refill authorizations communicated to... ...to resolve third party prescription payment issues (including prior authorization, step therapy, processing questions etc)...Full timeLocal areaShift workRotating shift
Trinity Health
Dubuque, IA2 days ago $28 - $42 per hour
...exercises and education to participants. May assist in outpatient clinic as needed and may schedule sleep studies and obtains prior authorizations for the sleep studies when applicable. Performs diagnostic testing through pulmonary function, stress exercise,...Full timePart timeWork experience placementRelocation packageShift workDay shift- ...expected to be 10% in this role. About You Required: High School diploma or equivalent; 3 years work experience required. Preferred: Prior experience in the financial services or insurance brokerage industry is a plus. Property & Casualty License or willingness to obtain...Work experience placementLive outWork at officeLocal areaFlexible hours
Arthur J. Gallagher & Co.
West Des Moines, IA1 day ago - ...patients and obtain medical histories Document into the electronic medical record Provide patient education Complete prior authorizations for procedures Schedule surgical appointments Triage phone calls and respond to tasks Travel to other offices for...Full timeCurrently hiringWork at office
Wolfe Eye Clinic
Ames, IA1 day ago - ...'s Electronic Health Record and all web-based programs which would include prescribing medication. Complete the necessary prior authorization paperwork for insurance companies. Complete lab orders. Complete external paperwork as needed for the client's care, such...Work experience placement
COVENANT FAMILY SOLUTIONS, LLC
Cedar Rapids, IA4 days ago - ...provider in exam rooms, assisting provider with in-office procedures, patient phone call triage, stocking rooms, obtaining prior authorizations as needed for medications, surgeries and imaging. Position comes with competitive clinic pay and valuable benefits package....Work at officeLocal area
McFarland Clinic, P.C.
Ames, IA16 days ago - ...Ensure patient charts are prepped and documentation is available prior to date of service Performs daily quality checks on the MRI... ...Effectively communicates and documents procedures to patients and/or authorized family members at beginning, during, and end of appointment...Work at officeImmediate startFlexible hours
Capital Orthopaedics & Sports Medicine, PC
Des Moines, IA4 days ago - ...are on the bus. Report undisciplined students to the proper authority. Keep assigned bus and bus stall clean. Keep to assigned... ...emergencies. Does not make any alterations in routes without prior authorization by the Director of Transportation (excluding life...
North Polk Community School District
Alleman, IA1 day ago
