Centralized Prior Authorization Specialist — Healthcare

Sioux Center Health; Le Mars (IA); Sur place; USD 42 000 - 58 000; Plein temps

Avantages offerts par ce poste

Student Debt Program

IPERS Retirement

Medical Insurance

Dental Insurance

Vision Insurance

FSA

Short-Term Disability

Long-Term Disability

Life Insurance

Fitness Center

Paid Time Off

Competitive pay

Résumé du poste

Floyd Valley Healthcare in Le Mars, IA is seeking a Centralized Authorization Department Representative to join our award-winning team. This full-time role (40 hours weekly) focuses on obtaining prior authorizations from insurers, documenting them, and communicating results to care teams.

The position offers a supportive culture and regular daytime hours. Responsibilities include determining eligibility for payors, obtaining authorizations, using EMR systems, and coordinating with nurses and

Qualifications

• Minimum 1 year of healthcare experience.
• Knowledge of ICD-10 and CPT preferred.
• Prior authorization and coding experience preferred.

Responsabilités

• Determine eligibility for payors by obtaining prior authorization from insurers for tests, procedures, surgeries and LCD as needed.
• Document prior authorizations and communicate results to facilities, physicians, clinics and patients.
• Utilize EMR to process required authorizations and communicate within the organization.
• Communicate with Nurse Manager/RN about denials and appeals; assist in retrieving medical records for appeals.
• Hours are Monday-Friday, 8:00 am-4:30 pm.

Connaissances

ICD-10 knowledge

CPT knowledge

Prior authorization

Healthcare coding

Computer skills

Mandatory Reporter

Description du poste

Floyd Valley Healthcare in Le Mars, IA is seeking a Centralized Authorization Department Representative to join our award-winning team. This full-time role (40 hours weekly) focuses on obtaining prior authorizations from insurers, documenting them, and communicating results to care teams.

The position offers a supportive culture and regular daytime hours. Responsibilities include determining eligibility for payors, obtaining authorizations, using EMR systems, and coordinating with nurses and