Prior Authorization Specialist - Patient Care Coordination

UnityPoint Health; West Des Moines (IA); Sur place; USD 37 000 - 54 000; Plein temps

Avantages offerts par ce poste

Paid time off

401K matching

Dental and health insurance

Daily Pay

Tuition reimbursement

Résumé du poste

UnityPoint Health is seeking a Prior Authorization Specialist in West Des Moines, IA. The role focuses on obtaining insurance prior authorizations, maintaining accurate data entry, and communicating professionally with patients and staff.

The position is full-time, with standard Monday–Friday hours. A strong understanding of payer requirements and EMR documentation is essential to ensure timely authorizations and high-quality patient care.

Qualifications

• Must have accurate data entry and maintain data integrity.
• Strong communication with patients, teams, and payers.

Responsabilités

• Obtain insurance prior authorizations for office procedures, diagnostics, and imaging.
• Gather necessary patient information from provider and EMR to process authorizations and referrals.
• Verify demographic and insurance details when scheduling and pre-certifications.
• Monitor pending authorizations and initiate timely follow-up.
• Document authorization outcomes accurately in the EHR.
• Coordinate with clinics and scheduling to ensure timely appointments.

Connaissances

Accurate data entry

Professional communication

Formation

High School diploma or equivalent

Description du poste

UnityPoint Health is seeking a Prior Authorization Specialist in West Des Moines, IA. The role focuses on obtaining insurance prior authorizations, maintaining accurate data entry, and communicating professionally with patients and staff.

The position is full-time, with standard Monday–Friday hours. A strong understanding of payer requirements and EMR documentation is essential to ensure timely authorizations and high-quality patient care.