Healthcare Prior Authorization Specialist – Centralized

Sioux Center Health; Sioux Center (IA); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Student Debt Program

IPERS Retirement

Medical, Dental, and Vision insurance

Flexible Spending Account

Short-term Disability Insurance

Long-term Disability Insurance

Life Insurance

Fitness Center

Paid Time Off

Competitive pay based on experience

Job summary

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 with care teams, and efficient use of the EMR system.

The successful candidate will have ICD-10/CPT knowledge, at least 1 year in healthcare, and comfortable with standard computer tools. Pre-employment screening is required.

Qualifications

• Knowledge of ICD-10 and CPT; prior coding experience preferred.
• Minimum 1 year of healthcare experience.
• General computer literacy required.

Responsibilities

• Determine eligibility for payors by obtaining prior authorizations for tests, procedures, surgeries and LCDs as needed.
• Document prior authorizations and communicate results to facilities, physicians, staff and patients.
• Utilize electronic medical records to process required authorizations and communicate within the organization.
• Coordinate with Nurse Manager/RN on denials and appeals; assist in obtaining medical records for appeals.
• Work Monday–Friday, 8:00 am–4:30 pm.

Skills

ICD-10

CPT coding

Healthcare experience

EMR proficiency

Tools

EMR system

Job description

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 with care teams, and efficient use of the EMR system.

The successful candidate will have ICD-10/CPT knowledge, at least 1 year in healthcare, and comfortable with standard computer tools. Pre-employment screening is required.