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...SuggestedTemporary workLocal areaRemote workArgonaut Management Services, Inc
Des Moines, IA7 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...SuggestedFlexible hoursShift workDay shift
Spencer Hospital
Spencer, IA2 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
$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....SuggestedHourly payRemote workCardinal Health
Des Moines, IA3 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...SuggestedRemote work
Mercor Inc
Des Moines, IA3 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...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Des Moines, IA4 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...SuggestedFull time
UnityPoint Health
Fort Dodge, IA2 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...SuggestedFull time
Spencer Hospital
Spencer, IA4 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....SuggestedWork at officeImmediate start
Baylor Scott & White Health
Des Moines, IA5 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...SuggestedDaily paidFull timeTemporary workApprenticeshipMonday to FridayShift work
UnityPoint Health
Fort Dodge, IA7 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...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Des Moines, IA4 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, IA8 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, IA5 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...SuggestedFull timeWork at officeSB Clinical Practice Management
Spirit Lake, IA2 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...SuggestedCasual workWork at officeImmediate start
Four Oaks Family And Childrens Services
Cedar Rapids, IA3 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 officeImmediate start
$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 workLocal areaImmediate startFlexible hoursCardinal Health
Des Moines, IA3 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 timePart timeWork at officeVisa sponsorshipFlexible hours
UnityPoint Health
Des Moines, IA6 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 contractPart time10 hours per week
US Tech Solutions
Nevada, IA4 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 timeWork at officeWork visa
Farm Bureau Financial Services
West Des Moines, IA5 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 payWork experience placementWork at officeWeekend workMolina Healthcare
Iowa City, IA2 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 payFull timeTemporary workLocal areaMonday to FridayFlexible hoursEASTERN IOWA HEALTH CENTER
Cedar Rapids, IA6 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 workWork from homeFlexible hours
Pharmacy Careers
Davenport, IA3 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 workHome officeFlexible hoursShift work
6AM City
Nevada, IA5 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 timeTemporary workPart timeReliefWork at officeImmediate startMonday to FridayFlexible hoursShift workDay shiftAfternoon shift
Access Dubuque
Dubuque, IA4 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 timeWork experience placementWork at officeLocal areaWork from homePrimary Health Care
Des Moines, IA2 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$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 payMolina Healthcare
Iowa City, IA2 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 officeLocal areaMonday to Friday
McFarland Clinic
Ames, IA6 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
