Prior Authorization & Patient Care Advocate

Bestcare; Council Bluffs (IA); On-site; USD 25,000 - 36,000; Full time

Job summary

Nebraska Methodist Health System in Council Bluffs, IA is seeking a Prior Authorization Advocate to support Methodist Physicians Clinic. The role focuses on educating patients about estimated costs, guiding them through the authorization process, and ensuring timely access to care.

The ideal candidate has healthcare experience, familiarity with CPT/ICD codes, and experience with insurance verification and billing.

Qualifications

• 2 years of healthcare experience required, including electronic medical records.
• Registration, insurance, or prior-authorization experience preferred.
• Knowledge of CPT/ICD codes and insurance billing.

Responsibilities

• Advocate for new patients and review estimated cost of care.
• Verify benefits and obtain authorizations.
• Assist with patient payments and billing issues.
• Prepare waivers/ABNs when required.

Skills

CPT/ICD codes

Computer skills

Organization

Billing/revenue cycle

Customer communication

Time management

Oral and written communication

Travel ability

Education

High school diploma or GED

Healthcare certificate/education

Tools

EMR/electronic medical records

Office equipment

Job description

Nebraska Methodist Health System in Council Bluffs, IA is seeking a Prior Authorization Advocate to support Methodist Physicians Clinic. The role focuses on educating patients about estimated costs, guiding them through the authorization process, and ensuring timely access to care.

The ideal candidate has healthcare experience, familiarity with CPT/ICD codes, and experience with insurance verification and billing.