Prior Authorization Assistant

Avera St. Mary's; United States; On-site; USD 25,000 - 32,000; Full time

Job summary

Avera Pierre Clinic is hiring for a role focused on obtaining prior authorizations and coordinating documentation for procedures. The position emphasizes strong communication with insurers, clinicians, and patients to ensure timely approvals.

The role requires at least a high school diploma or GED and either 3–6 months of related experience or an Associate’s Medical Assistant degree, with typical day shifts and full-time hours. Benefit information is provided by Avera.

Qualifications

• Preauthorization of testing and procedures experience is preferred.
• Ability to communicate with physicians, staff and patients.
• Ability to perform general secretarial duties and scheduling tasks.

Responsibilities

• Obtains preauthorization from insurers for testing, surgeries, therapies, subspecialty referrals and any other prior authorization required by the patient’s insurer.
• Documents prior authorization and communicates information to the performing facility, physician, clinic staff and patient or family as necessary.
• Performs general secretarial duties including copying, fax handling, chart pulling, filing, reception duties and scheduling.

Skills

Prior authorization

Communication skills

Attention to detail

Education

High School or GED Equivalent

3–6 months experience or Associate's Medical Assistant degree

Job description

Location: Avera Pierre Clinic
Worker Type: Regular Work
Shift: Day Shift (United States of America)
Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $18.00 - $23.25

Position Highlights

8:00am-5:00pm M-F; 80hrs/2wks

You Belong at Avera. Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

Responsible for obtaining prior authorization from insurers for medical tests, procedures, surgeries and specialty appointments ordered by the provider. Has understanding of tests, procedures and preparation required prior to testing. Sees that all necessary paperwork and documentation is complete for each procedure. Performs other secretarial duties as the need arises.

What you will do

• Obtains preauthorization from insurers for testing, surgery, therapies, subspecialty referral and any other prior authorization required by the patient's insurance carrier.
• Appropriately documents prior authorization and communicates information to the performing facility, physician, clinic staff, and patient or patient's family as necessary.
• Performs other generalized secretarial duties as time allows including, but not limited to: making copies, maintaining incoming and outgoing fax transactions, pulling charts, loose filing, general reception duties and scheduling appointments.

Essential Qualifications

• The individual must be able to work the hours specified.
• To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience

• High School or GED Equivalent.
• If not a Medical Assistant must have 3-6 months experience or Associate's Medical Assistant degree.

Expectations and Standards

Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits

You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.
• Up to 5% employer matching contribution for retirement.
• Career development guided by hands-on training and mentorship.

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to [e-mail].

At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.