Prior Authorization Coordinator

SupportFinity™; Knoxville (IA); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

Generous PTO & Sick Time

401(k) with company match

Paid holidays

Job summary

SupportFinity™ is hiring a Prior Authorization Coordinator in Knoxville, Iowa, to facilitate insurance approvals for patients. In this role, you will work closely with medical providers and families to ensure timely treatment access.

This position requires strong detail orientation and problem-solving skills, along with experience in medical billing or insurance verification. A comprehensive benefits package is offered, along with standard business hours with no weekends or on-call responsibilities.

Qualifications

• 1–3 years in medical billing, insurance verification, prior authorization, or a clinical office setting.
• Familiarity with medical terminology, anatomy, and coding (ICD‐10, CPT, HCPCS).
• Strong attention to detail and excellent time management skills.

Responsibilities

• Verify insurance coverage and confirm patient eligibility.
• Submit authorization requests accurately with necessary documentation.
• Track pending authorizations and manage updates.
• Handle denials and initiate appeals when needed.
• Communicate with providers and patients about authorization status.
• Maintain accurate records in the EHR.

Skills

Medical terminology

Attention to detail

Insurance portals (e.g., Availity, CoverMyMeds)

Problem-solving

Education

High School Diploma or GED

Associate or bachelor's degree in healthcare administration or related field

Tools

EHR systems

Job description

Prior Authorization Coordinator

At GI for Kids, you’ll play a key role in helping children access the care they need. As our Prior Authorization Coordinator, you’ll serve as the vital link between medical providers, insurance companies, and patient families—ensuring treatments and procedures are approved quickly, accurately, and with compassion. If you’re detail-oriented, love problem‑solving, and enjoy supporting both patients and clinical teams, this role may be perfect for you.

Why You’ll Love Working Here

• No nights, weekends, or on‑call
• Monday–Friday, standard business hours
• Office closed for major holidays (paid holidays)
• Comprehensive benefits package, including:
  • Medical, Dental, and Vision Insurance
  • Generous PTO & Sick Time
  • 401(k) with company match
  • And more!

What You’ll Do

• Verify Insurance Coverage – Confirm patient eligibility, benefits, co‑pays, and deductibles before services are scheduled.
• Submit Authorization Requests – Prepare and submit accurate, complete prior authorization requests using payer portals, fax, or phone, including all necessary clinical documentation, ICD‑10, CPT, and HCPCS codes.
• Track and Manage Status Updates – Follow up on pending authorizations, ensuring timely approvals and preventing delays in patient care.
• Handle Denials & Appeals – Review denial reasons and initiate appeals by gathering additional documentation or coordinating peer‑to‑peer reviews when needed.
• Communicate with Providers & Patients – Keep clinical staff updated on authorization status and help patients understand their insurance requirements and potential costs.
• Maintain Accurate Records – Enter and update authorization details in the EHR or Practice Management system for smooth billing and scheduling.

Requirements

Education

• High School Diploma or GED required
• Associate or bachelor’s degree in healthcare administration or related field preferred

Experience

• 1–3 years in medical billing, insurance verification, prior authorization, or a clinical office setting

Knowledge & Technical Skills

• Familiarity with medical terminology, anatomy, and coding (ICD‑10, CPT, HCPCS)
• Skilled in insurance portals such as Availity or CoverMyMeds
• Experience with EHR systems

Essential Strengths

• Strong attention to detail and accuracy
• Excellent time management and organization
• Problem‑solving mindset with the ability to navigate complex insurance guidelines
• Clear, professional communication—both written and verbal