Average salary: $79,349 /yearly
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- ...Franklin General Hospital in Hampton, IA is seeking a detail‑oriented Prior Authorization Clerk to manage insurance authorizations for hospital and clinic services. You will coordinate with providers, scheduling staff, and insurance carriers to obtain approvals, document...SuggestedWork at office
FRANKLIN GENERAL HOSPITAL
Hampton, IA1 day ago $37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will...SuggestedHourly payTemporary workRemote workArgonaut Management Services, Inc
Nevada, IA2 days ago- ...improvement, affordability, and member outcomes. This includes assisting in the development of formularies and evidence-based prior authorization criteria, performing drug utilization analyses, evaluating digital health solutions and vendor offerings, and developing...SuggestedPermanent employmentWork experience placementInternshipH1bWork at officeRemote workMonday to Friday
Wellmark
Des Moines, IA21 hours ago - ...Representative for the Therapy Center in Sioux Center, IA. The role focuses on determining eligibility for payors and obtaining timely prior authorizations, while supporting scheduling and therapy center tasks. Key duties include communicating with physicians, patients and...SuggestedMonday to Friday
Sioux Center Health
Sioux Center, IA21 hours ago - ...Floyd Valley Healthcare in Le Mars, IA is seeking a Centralized Authorization Department Representative for a full-time, day shift role. You will determine eligibility for payors, obtain prior authorizations, document communications, and support appeals using the EMR....SuggestedFull timeMonday to FridayDay shift
Avera
Le Mars, IA21 hours ago - ...a Certified Medical Assistant for the Mental Health and Wellness Clinic. The CMA will coordinate mental health care, manage prior authorizations, and support both front-office and clinical tasks in a busy outpatient setting. The position offers Monday–Friday, 7:30 am–4...SuggestedFull timeMonday to Friday
Humboldt-County-Memorial-Hospital
Humboldt, IA2 days ago - ...follow-up and engagement activities Perform drug urine screenings and coordinate outside lab orders Complete medication prior authorizations Travel to other Infinity Health locations to provide coverage as needed Who We're Looking For We're looking for...SuggestedFull timeCasual workReliefFlexible hours
Infinity Health LLC
Corydon, IA2 days ago - ...office. You will provide patient care, assist with rooming, handle calls and MyChart messages, and manage medication refills and prior authorizations. This is a Monday–Friday, 8 AM–5 PM role in a team-driven, patient-focused environment. We offer a comprehensive benefits...SuggestedWork at officeMonday to Friday
McFarland Brand 2016-09-29
Ames, IA3 days ago - Floyd Valley Healthcare in Le Mars, IA is hiring a Centralized Authorization Department Representative for a full-time, 40-hour week. You will determine eligibility for payors by obtaining prior authorizations and documenting them for seamless patient care. You will communicate...SuggestedFull timeDay shift
- Floyd Valley Healthcare in Le Mars, Iowa invites applications for a full-time Centralized Authorization Representative. This role processes prior authorizations and coding tasks within our centralized authorization department. The position emphasizes accuracy, communication...SuggestedFull time
- Sioux Center Health is seeking a detail-oriented Medical Administrative Assistant for Avera Pierre Clinic in Sioux Center, IA. You will obtain preauthorizations, document communications, and support the scheduling team. Responsibilities include verifying insurance requirements...Suggested
- ...Specialist I may also be responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Specialty Pharmacist is accountable for verifying the prescription entry. This position...SuggestedRemote workFlexible hoursShift work
Lumicera
Des Moines, IA4 days ago - ...laboratory values, diagnosis, treatment history, organ function, dosing parameters, and supportive care requirements prior to treatment authorization. Participate in formulary reviews, medication-use evaluations, and oncology protocol standardization initiatives.Collaborate...SuggestedLocal areaShift workWeekend work
Saint Alphonsus Health System
Des Moines, IA21 hours ago - ...many positions, even consideration for a hybrid work arrangement. Farm Bureau....where the grass really IS greener! Work Authorization/Sponsorship Applicants must be currently authorized to work in the United States on a full-time basis. We are not able to...SuggestedFull timeWork at officeWork visa
Farm Bureau Financial Services
West Des Moines, IA1 day ago $19.5 - $21.5 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...SuggestedFull timeInternshipWork at officeQBE North America
Council Bluffs, IA21 hours ago- ...Position Purpose Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate...Full timePart timeWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursWeekend work
Centene Corporation
Des Moines, IA4 days ago - ..., SP/Hub, and healthcare providers to optimize Prolastin-C access. The role involves educating prescribers, managing patient support and reimbursement programs, and ensuring prior authorization and formulary requirements are met, with travel over 50% #J-18808-LjbffrRemote work
GRIFOLS, S.A.
Iowa City, IA3 days ago - Floyd Valley Healthcare in Le Mars, IA is hiring a full-time Centralized Authorization Department Representative to determine insurance payor eligibility and obtain prior authorizations for medical tests, procedures and surgeries. You will document approvals in the EMR,...Full timeDay shift
- Floyd Valley Healthcare in Le Mars, IA seeks a Centralized Authorization Department Representative. This full-time role manages prior authorizations for medical tests, surgeries, and procedures, communicating results to physicians, clinics, and patients. The position uses...Full time
$50k
...comply with relevant healthcare laws and regulations. Demonstrate prior experience working with pharmacy benefit products and patients... ...patients' plan benefit coverage, including any prior authorization, appeal, tier exception, or formulary exclusion requirements....Temporary workWork at officeImmediate startMonday to FridayFlexible hoursShift work- ...skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How You'll Contribute A Prior Authorization Specialist who excels in this role: Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization...Full timeTemporary workPart time
- ...barriers to patient access to medications. The Medication Access Technician will work to solve problems involving insurance, prior authorization, access, and patient payment to ensure patients are able to be successfully compliant with their prescription regimen at home...Local area
Saint Mary's Hospital
Mason City, IA3 days ago - ...include: Patient interaction in-person, on my chart and on the phones, rooming patients, vitals, medication refills, medication prior authorizations. Education Graduate from an accredited program for Medical Assistants Graduate of accredited school of nursing...Part timeLocal area
McFarland Brand 2016-09-29
Ames, IA3 days ago $24.62 - $33.74 per hour
...patient care support as delegated by Provider or RN Administers therapies including medications, scheduling follow up visits (and prior authorization) or other support unique to a specialty provider. Provides patient care pre/post encounter or procedure, preventative or...Hourly payMinimum wageContract workTemporary workLocal areaRemote workShift workWeekend workDay shiftAfternoon shiftAllina Health
Coon Rapids, IA21 hours ago- ...tests/procedure to meet medical necessity and refers to UR for further review if needed. Refers tests/procedures to UR that need prior authorization. Verifies insurance benefits with insurance companies via phone calls, faxes or internet and documents verification in each...Contract workPart timeWork at officeImmediate startFlexible hoursWeekend work
Clarke County Hospital
Osceola, IA4 days ago $125k - $150k
...dynamics across your territory—national, regional, and local insurance landscapes Collaborate with Market Access, to overcome prior authorization barriers and ensure seamless patient onboarding Drive formulary wins and in-office pull-through by equipping providers...Work at officeLocal areaWorldwideNight shiftInizio Engage
Des Moines, IA2 days ago$174.07k - $374.92k
...policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases. The Medical Director will provide clinical, coding, and reimbursement expertise as well as...Hourly payFull timeTemporary workLocal areaRemote workWork from homeWeekend work$110k - $130k
...Collaborate closely with the payor team to understand payer policies and facilitate patient access. Ensure providers understand prior authorization requirements, appeals processes and clinical criteria, including technology options for electronic submission of PA, Letter...Full timeWork at officeRemote workHome office$174.07k - $374.92k
...quality assurance while being responsible for predetermination reviews and review of claim determinations. This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level Appeals / Special Projects and Committee participation...Hourly payFull timeTemporary workLocal areaRemote workWork from home$26.01 - $68.55 per hour
...approx 4-5 months of training Monday - Friday 7:30am-6pm EST with occasional holiday rotation. Preferred Qualifications Prior Authorization or Utilization Management experience Managed care experience Experience using MedCompass Ambulatory surgery...Hourly payFull timeTemporary workWork at officeMonday to FridayShift workWeekend workAfternoon shift
