Prior Authorization Specialist

Ultipro; West Des Moines (IA); On-site; USD 32,000 - 42,000; Full time

Job summary

Des Moines Orthopaedics - West Des Moines is seeking a full-time Medical Reception/Coordination specialist to help build a Prior Auth team. Working alongside navigators, you will support authorizations and scheduling, in-house at West Des Moines or Ankeny offices as space allows.

The role requires the ability to recall information quickly, prior auth experience, and strong organization, with hours Monday through Friday 8:00 AM to 5:00 PM. Benefits include health plans and PTO.

Qualifications

• HS GED or Diploma or better required.
• 1 year of medical reception or coordination experience.
• Prior exposure to patient care coordination preferred.
• Experience with prior authorizations is a plus.

Responsibilities

• Provide authorization support and, when needed, scheduling for patients.
• Review prior authorizations via Intergy and carrier sites; communicate with staff.
• Maintain professionalism and calm communication with patients and clinical staff.

Skills

Prior authorization experience

Medical reception

Customer service

Organizational skills

Education

High School Diploma or GED

Tools

Intergy

Office 365

Job description

Des Moines Orthopaedics - West Des Moines
West Des Moines, IA 50266, USA

Description

DMOS is building a Prior Auth team! The department will initially focus on inpatient surgery prior authorization to kick off the team. In this full- time position you will work alongside your current team of navigators to help standardize and support an outstanding patient experience. To thrive in this role, you recall information quickly, have prior auth experience and prioritize tasks accordingly. This position will be in house at the West, Des Moines or Ankeny Offices as space allows. The hours are Mon-Fri 8:00AM - 5:00PM.

Here is What You Can Expect:

• Acting as the patient navigators support to provide authorization and, in some cases, scheduling.
• Utilizing Office 365 products, Intergy, insurance carrier sites, reviewing prior authorizations and communicating with staff when needed.
• Sitting at a desk without interruption for extended periods of time may seem unnatural.

What We're Looking For:

• Ability to communicate calmly with patients and technicians.
• Display a high-level of professionalism when interacting with patients and clinical staff members.
• Ability to handle multiple tasks at one time while staying organized.
• You practice the art of listening, asking clarifying questions and avoiding interrupting.
• Experience. Prior exposure to patient care coordination.
• Ensures patients receive timely care, promotes a reliable healthcare environment, and supports the overall efficiency of the team by being dependable.

Why DMOS?

• Reliable schedule with no on-call hours
• 401(k) with company contribution even if you don’t make one.
• Health, dental, and vision insurance including generous PTO with the option for hourly employees to earn up to 22 days a year
• We’ll celebrate 70 years of orthopedic care in 2025

DMOS is a privately held medical facility. Candidates who receive a conditional offer of employment at DMOS will be required to complete a criminal background check, federal background checks, education verification, reference checks, and an initial TB test.

Join our leading team of orthopaedic surgeons and discover how your talents can help get our patients back to living!

Please Note: DMOS values your privacy. DMOS will not ask a candidate for private personal information, such as social security number/date of birth, until after an offer is accepted. DMOS will not contact candidates through any other site outside of UKG or @DMOS email addresses. DMOS does not contact candidates through Indeed. Please do not respond to Indeed requests for DMOS. You may email [e-mail] for more questions.

Qualifications

Education

Required

H.S. GED or Diploma or better in General.

Experience

Preferred

1 year:

Medical Reception or Coordination

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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