Average salary: $61,802 /yearly
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- ...A local healthcare provider in Spencer, IA is seeking a skilled individual to manage prior authorizations for services. The role involves coordinating with clinical staff, ensuring documentation accuracy for payers, and assisting with claims denials. Applicants should...SuggestedLocal area
Avera Health
Spencer, IA1 hour agonew $174.07k - $374.92k
...precertification, concurrent review, and appeal request. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus on inpatient or outpatient services, acute and post acute services, pharmacy,...SuggestedHourly payFull timeTemporary workLocal areaWork from homeFlexible hoursWeekend workCVS Health
Des Moines, IA1 day ago$21.65 - $28.82 per hour
...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. • Provides coordination and processing of pharmacy prior authorization requests and/or appeals. • Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedHourly payWork experience placementWork at officeShift workMolina Healthcare
Davenport, IA1 day ago$400 per month
Job Description At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating...SuggestedFull timeContract workWork at officeLocal areaWork visaFlexible hoursAllstate
Des Moines, IA27 days ago$20 - $21 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 timePart timeSummer workInternshipWork at officeWork from homeQBE North America
Council Bluffs, IA4 days ago$20 - $23 per hour
...prescriptions Communicate care plans and test results to patients Schedule diagnostic testing and ensure follow-through Obtain prior authorizations for medications Clinic Operations Clean and sterilize instruments; stock exam rooms Maintain HIPAA compliance and...SuggestedFull timeTemporary workWork at officeMonday to FridayPainPoint
Des Moines, IA17 hours ago$214.13k - $417.56k
...care. Essential Job Duties Leads and manages a team of medical directors and behavioral health clinicians responsible for prior authorization, inpatient concurrent review, discharge planning, care management, and interdisciplinary care team activities across a...SuggestedContract workWork experience placementWork at officeLocal areaMolina Healthcare
Sioux City, IA3 days ago- ...education. Counsel patients on cataract and refractive procedures. Perform surgical scheduling duties. Complete prior authorizations for procedures. Schedule or reschedule clinic and surgical appointments. Triage calls and respond to tasks....SuggestedFull timeCurrently hiringWork at office
WOLFE EYE CLINIC MASTER
Hiawatha, IA3 days ago - ...exam rooms, assisting providers with in-office procedures, phone calls, stocking rooms. Assisting at front desk as needed. Prior authorizations as needed. Go to Outreach as needed. Position comes with competitive clinic pay and valuable benefits package Education...SuggestedWork at officeLocal areaMonday to Friday
McFarland Clinic
Ames, IA17 hours ago $90.59k - $105.91k
...insure that all necessary documentation is in the file. Researches and responds to internal (co-worker) and external (member or authorized third party) requests for financial information on commercial members. Job Requirements/Expectations Bachelor’s degree in...SuggestedFull timeWork at officeUniversity of Iowa Community Credit Union
North Liberty, IA17 hours ago- ...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 & Casaulty License or willingness to obtain...SuggestedFull timeWork experience placementLive outWork at officeLocal areaFlexible hours
Gallagher
West Des Moines, IA17 hours ago $22.51 - $27.57 per hour
...in 30 days. Enters information in the system for reverse billing. Completes third party billing form and contacts Provider if prior authorization is required. Performs clinical responsibilities in alignment with The Joint Commission (TJC), Health Resources and Services...SuggestedInternshipWork at officeYakima Valley Farm Workers Clinic
Hubbard, IA59 minutes agonew$21.23 - $26.01 per hour
...in 30 days. Enters information in the system for reverse billing. Completes third party billing form and contacts Provider if prior authorization is required. Performs clinical responsibilities in alignment with The Joint Commission (TJC), Health Resources and Services...SuggestedPart timeInternshipWork at officeYakima Valley Farm Workers Clinic
North Buena Vista, IA1 hour agonew$21.23 - $26.01 per hour
...in 30 days. Enters information in the system for reverse billing. Completes third party billing form and contacts Provider if prior authorization is required. Performs clinical responsibilities in alignment with The Joint Commission (TJC), Health Resources and Services...SuggestedDaily paidPart timeInternshipWork at officeYakima Valley Farm Workers Clinic
North Buena Vista, IA58 minutes agonew- ...Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary. Develop knowledge and understanding...SuggestedFull timeTemporary workWork at officeFlexible hoursShift work
Guardian Pharmacy
Ankeny, IA17 hours ago - ...upon with overseeing physician. Managing patient-related issues Authorize drug refills and provide prescription information to pharmacies. Work with pharmacies and insurance companies on prior authorizations. Fax referral letters back to referring physicians....Work at office
Ducharme Dermatology
Clive, 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
Marion, IA1 day ago $57.59k - $105.64k
...clinic locations. This position will support the clinic in providing phone triage support, laboratory support, helping with prior authorizations, as well as assist with nurse visits. Our Family Medicine staff can see everyone in the family, in every generation, from...TraineeshipMonday to FridayShift workUniversity of Iowa Hospitals & Clinics
Iowa City, IA17 hours ago- ...answering phones, scheduling appointments, and providing information to other departments. Assists in obtaining insurance prior authorizations. Percent of Time: 60% - 100% (24 hours per week - 40 hours per week) Schedule: Monday-Friday. Shift 8:30-5:30. No...Monday to FridayShift workWeekend work
University of Iowa
Iowa City, IA17 hours ago $20k
Job Description About the Company - AAA - The Auto Club Group, is seeking ambitious, business-minded, and visionary Entrepreneurial Agency Owners to join our team! One of the Industry's BEST Compensation Packages Earning potential is unlimited through a 100% incentive...Work at officeAAA-The Auto Club Group
Cedar Falls, IA15 days ago- Job Description Description: The Iowa Bankers Benefit Plan Territory Rep works under general supervision to market various insurance and employee benefit products and to provide service and consultation to banks on health-related issues by performing the following...Work experience placementLive inWork at office3 days per week1 day per week
Iowa Bankers
Johnston, IA9 days ago $29.58 per hour
...medication use, and lifestyle modifications. Collaborate with care team members to efficiently manage tasks such as referrals, prior authorization, phone calls, results notification, and medication refills. Prepare patients for, and assist with, examinations and...Hourly payMinimum wageTemporary workWork at officeLocal areaMonday to FridayFlexible hoursGreat River Health
West Burlington, IA3 days ago- Deputy Chief Legal Officer, Kuvare Strategic Investments Be among the first 25 applicants. About Kuvare Kuvare is on a mission to serve hardworking consumers overwhelmed by the complexities of retirement and is built from the ground up to do so. Our unified financial...Contract workPart time
Kuvare Holdings
Cedar Rapids, IA8 days ago - ...Responsibilities: Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local...Permanent employmentFull timeWork at officeLocal area
Johnson & Johnson
Cedar Rapids, IA4 days ago $20 - $21 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...Remote jobFull timePart timeSummer workInternshipWork at officeImmediate startWork from homeQBE North America
Clinton, IA17 hours ago$20 - $21 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...Remote jobFull timeSummer workInternshipImmediate startQBE North America
Cedar Rapids, IA4 days ago- ...office procedures and anticipates/coordinates supplies needed prior to and during the exam/procedure. Communicates effectively... ...Schedules test ordered by the physician and obtains prior authorizations for testing and/or medications per insurance company policy....Work at officeImmediate startMonday to FridayShift work
UnityPoint Health
Cedar Rapids, IA3 days ago - ...overrides as you develop leadership skills Strong communicator who cares about helping people Self-disciplined, organized, and goal-oriented Willing to obtain a life insurance license (we help guide you) Prior sales or service experience is a plus—but not required...Remote jobFull time
Fisher Organization
Clinton, IA17 hours ago - The Company Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspection and risk control services to support our clients' underwriting...For contractorsWork at officeLocal areaWork from home
EXL
Des Moines, IA2 days ago $18.65 - $23.32 per hour
...per established workflow. Documents patient care accurately and timely in the electronic health record. Completes timely prior authorizations and referrals per established guidelines. Performs point-of-care testing per CLIA guidelines and other established workflows...Hourly payTraineeshipWork experience placementWork at officeFlexible hoursShift workPrimary Health Care
Marshalltown, IA2 days ago
