Prior Authorization Specialist

Jimmy Jazz; Harlan (IA); On-site; USD 35,000 - 60,000; Full time

Job summary

Jimmy Jazz in Harlan, IA seeks a Revenue Cycle Specialist responsible for managing authorizations, insurance verification, and referrals, ensuring visits are linked to referrals and proper billing.

You will schedule visits, assist with payer communications, prepare activity reports, and support financial advocates with estimates. Ideal candidates have 2+ years in healthcare Revenue Cycle and familiarity with CPT/ICD-10 coding.

Qualifications

• High school diploma or equivalent.
• Associates degree in finance or medical office assistant or CMA, LPN or RN preferred.
• Two years of related healthcare Revenue Cycle experience.
• Understanding of medical terminology and clinical documentation.
• Knowledge of CPT, ICD10, HCPCS coding.
• Proficiency with MS Office tools and general computer skills.

Responsibilities

• Obtain authorization for procedures or services requiring prior authorization.
• Notify Nurse Navigator of authorization requirements.
• Create payer listings, contact information, and requirements.
• Assist with identifying departmental procedures and authorization requirements.
• Communicate with providers when requirements change.
• Assist financial advocates with estimates for services and patient communications.
• Coordinate with departments to promote understanding of Referral/Authorization/Verification.

Skills

Revenue Cycle experience

Customer service

Medical terminology

MS Office

Insurance verification

Prior authorization

Education

Associate degree in finance or medical office assistant

CMA/LPN/RN preferred

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Jimmy Jazz in Harlan, IA seeks a Revenue Cycle Specialist responsible for managing authorizations, insurance verification, and referrals, ensuring visits are linked to referrals and proper billing.

You will schedule visits, assist with payer communications, prepare activity reports, and support financial advocates with estimates. Ideal candidates have 2+ years in healthcare Revenue Cycle and familiarity with CPT/ICD-10 coding.