Prior Authorization Specialist - Part-Time (Mon)

Iowa Radiology, Inc.; Clive (IA); On-site; USD 21,000 - 30,000; Part time

Job summary

Iowa Radiology is seeking a skilled Prior Authorization Specialist to join our patient-centered healthcare team in Clive, IA. This part-time role (24 hours per week, weekday daytime hours) focuses on securing timely insurance authorizations and supporting patient access to care.

The ideal candidate has two or more years of medical prior authorization or insurance verification experience, strong knowledge of CPT/ICD-10 coding, and excellent communication and organizational skills to ensure

Qualifications

• Two or more years of medical prior authorization, referral, or insurance verification experience required.
• Knowledge of payor requirements, CPT/ICD-10 coding.
• Must have a fundamental knowledge of typing and filing techniques.
• Must be able to read, write, and speak fluent English.
• Excellent verbal and written communication skills, with the ability to convey complex information to non-technical stakeholders.
• Strong organization and attention to detail.

Responsibilities

• Verify patient insurance coverage and obtain prior authorizations through payor portals, phone, and fax.
• Manage imaging orders and ensure authorizations are secured before scheduled exams.
• Upload clinical documents that support authorization requests and track each request until a decision is made.
• Handle denials, peer-to-peer reviews, and appeals in coordination with providers, patients, and insurers.
• Monitor Teams messages and respond to questions and inquiries from staff and referring offices in a timely and professional manner.
• Initiate good public relations and communicate effectively with patients, office personnel, and referring physicians' offices.
• Become proficient in RIS, Epic, and payor portals, as well as Microsoft Teams and the multi-line phone system.

Skills

Medical prior authorization

Insurance verification

CPT/ICD-10 knowledge

Communication skills

Attention to detail

English fluency

Education

High school diploma

Tools

RIS

Epic

Payor portals

Microsoft Teams

Multi-line phone system

Job description

Iowa Radiology is seeking a skilled Prior Authorization Specialist to join our patient-centered healthcare team in Clive, IA. This part-time role (24 hours per week, weekday daytime hours) focuses on securing timely insurance authorizations and supporting patient access to care.

The ideal candidate has two or more years of medical prior authorization or insurance verification experience, strong knowledge of CPT/ICD-10 coding, and excellent communication and organizational skills to ensure