Pre-Authorization Specialist - Infusion/Hematology/Oncology (Full-Time)

The Iowa Clinic, PC.; West Des Moines (IA); On-site; USD 50,000 - 65,000; Full time

Job summary

The Iowa Clinic, a physician-owned multi-specialty clinic, is looking for a dedicated Pre-Authorization Specialist for its Infusion and Hematology/Oncology departments. This role involves directing authorization programs, maximizing reimbursements, and serving as a vital communication link between staff and patients. Join a team that's focused on delivering exceptional healthcare and making a difference.

Benefits

401(k) with employer match and profit sharing

Generous PTO accruals

Paid holidays

Health, dental, and vision insurance

Quarterly volunteer opportunities

Employee rewards and recognition program

Health and wellness program

Qualifications

• At least 2 years’ experience in hematology/oncology, infusion, or pharmacy prior authorization.
• Experience with patient assistance programs and insurance billing.
• Knowledge of federal and state regulations regarding billing.

Responsibilities

• Manage authorization program for Hematology/Oncology and Infusion clinics.
• Maximize reimbursement for infusion medications.
• Act as a liaison to provide education on prior authorization and patient assistance.

Skills

Knowledge of Medicare

Knowledge of Medicaid

Knowledge of Managed Care guidelines

Ability to handle multiple priorities

Insurance billing practices

Education

High School Diploma or equivalent

Tools

Microsoft Excel

Microsoft Word

Job description

Looking for an organization where you love what you do and who you do it with? You’re in the right place. Healthcare here is different – we are a physician owned and governed multi-specialty clinic with over 280 providers. By working at The Iowa Clinic, you’ll get to make a difference while seeing a difference in our workplace. Because as one clinic dedicated to exceptional care, we’re committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place. We are hiring for a Pre- Authorization Specialist for our Infusion and Hematology/Oncology practices.

A day in the life of a Pre-Authorization Specialist for Infusion, Hematology andOncologyat The Iowa Clinic:

• This role is responsible for the direction and control of the authorization program for the Hematology/Oncology and Infusion clinics.
• Responsibilities include maximizing reimbursement through programs that provide funding or provision of infusion medications; also assist with collecting co-pays from patients.
• Serving as a liaison between clinic teams and the Infusion, Hematology and Oncology staff ensuring effective communication regarding prior authorization issues, providing insurance authorization, and patient assistance program information along with providing education to providers, patients, and staff.

Requirements include:

• High School Diploma or equivalent.
• Atleast 2 years’ experience in hematology/oncology, infusion, or other pharmacy prior authorization is required.
• Experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.
• Ability to effectively handle multiple priorities within a changing environment.Knowledge of third-party insurance billing practices, federal and state regulations regarding billing and reimbursement, internal billing structure, and billing procedures, and experience with patient assistance programs.
• Intermediate level skill in Microsoft Excel and Word preferred.

What’s in it for you:

·One of the best 401(k) programs in central Iowa, including employer match and profit sharing

·Generous PTO accruals

·Paid holidays

·Health, dental and vision insurance

·Quarterly volunteer opportunities through a variety of local nonprofits

·Employee rewards and recognition program

·Health and wellness program