Centralized Prior Authorization Nurse (RN/LPN) – Day Shift

Sioux Center Health; Le Mars (IA); On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Student Debt Program

IPERS Retirement

Medical, Dental, and Vision insurance

FSA

Short-term and Long-term Disability

Life Insurance

Fitness Center

Paid Time Off

Competitive pay based on experience

Job summary

Floyd Valley Healthcare in Le Mars, IA is seeking a Centralized Authorization Nurse (RN or LPN) for a full-time, 40-hour-week role. Responsibilities include obtaining prior authorizations for tests, procedures, and medications, and documenting and communicating results to care teams.

The position requires Iowa RN or LPN licensure with knowledge of ICD-10/CPT codes preferred. Benefits include health insurance, retirement, paid time off, and more.

Qualifications

• Current RN or LPN licensure in Iowa.
• Experience with prior authorization processes is preferred.

Responsibilities

• Determine eligibility for payors by obtaining prior authorization for tests, procedures, surgeries, and LCD requirements.
• Document prior authorization and communicate with facilities, physicians, clinic staff and patients.
• Obtain medication prior authorizations by submitting chart documentation.
• Utilize electronic medical records to process required authorizations and communicate within the organization.
• Communicate status of denials and appeals; assist in medical records retrieval for appeals.

Skills

Prior authorization

ICD-10 knowledge

CPT codes knowledge

Job description

Floyd Valley Healthcare in Le Mars, IA is seeking a Centralized Authorization Nurse (RN or LPN) for a full-time, 40-hour-week role. Responsibilities include obtaining prior authorizations for tests, procedures, and medications, and documenting and communicating results to care teams.

The position requires Iowa RN or LPN licensure with knowledge of ICD-10/CPT codes preferred. Benefits include health insurance, retirement, paid time off, and more.