Top 5 Prior authorization specialist Jobs in Des Moines Ia

Residential Admissions and Authorization Specialist
Community and Family Resources —Des Moines, IA
- Full-time
- Background check
- Current TB test
- Pass drug screening
- Continuing education credits
- Paid holidays
9d
Specialist II, Financial Clearance, Patient Access- Full time
MercyOne —Des Moines, IA
- Weekends as needed
- Acute care
- Hospital
- Research
Epic Ambulatory Bones Application Engineer Specialist - 6079188
Accenture —Des Moines, IA
- $47.85 - $57.85 an hour
- Full-time
- Remote
- 5 years
- High school diploma or GED
- US work authorization
- Disability insurance
- Health insurance

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Specialist II, Financial Clearance, Patient Access- Full time
MercyOne —Des Moines, IA
Process Focus: Utilizes multiple system applications to perform analysis, create reports& develop educational materials. Sunday/Monday/Tuesday 6am- 6:30pm.
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US Veterans Health Administration —Des Moines, IA
Licensure-At the GS 13 level, the applicant must hold a full, current, and unrestricted license to practice psychology at the doctoral level in a State,…
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CPR certification (based on position and as determined by manager). Obtains insurance prior authorization as needed and documents the verification of benefits…
Prior Authorization Specialist
WSD —Westerville, OH
Must have prior experience with insurances and prior authorizations. Collaborate with clinical staff to ensure timely approvals for patient treatments.
$18 - $25 an hour
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Residential Admissions and Authorization Specialist

Community and Family Resources -
Des Moines, IA

Apply Now

Job Details

Full-time
9 days ago

Benefits

Continuing education credits
Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Loan forgiveness

Qualifications

Associate's degree

Full Job Description

Community and Family Resources is committed to supporting clients at every stage of their recovery journey. For many individuals, the first step begins with entering a residential treatment program. Our Residential Admissions and Authorization Specialist plays a vital role in this process by guiding clients through admissions and ensuring a smooth, welcoming transition into our facility.

We are currently seeking a Residential Admissions and Authorization Specialist to work with our residential programs in our Des Moines region.

Essential Duties and Responsibilities:

Communicate with referring agency to determine if a potential client meets necessary requirements for residential.
Conduct initial interviews and explain the treatment process with clients and referral sources.
Staff referrals with the appropriate Residential Program Supervisor, clinical department, and medical department prior to scheduling admission appointment.
Prepare client for admission by conducting a preadmission phone and/or in-person contact with client.
Review client records and insurance benefits to determine need for prior authorization.
Prepare and submit accurate prior authorization requests to insurance companies, including detailed medical documentation to support the need for the service.
Facilitate new client orientation including providing a copy of the client handbook and tour of facility with the admissions Treatment Specialist from the identified unit in which the client will be placed.
Track authorization requests and follow up with insurance companies as needed to check on status of pending authorizations.
Review denial notifications, identify reason for denial, and work with providers to appeal or resubmit authorization requests with additional supporting documentation.
Completion of the PHQ9, DG SBIRT Screening and coordinating care with the appropriate department.
Provide clients/families with referral sources for services unavailable within the agency or when agency services are inappropriate.
Participate in intra-agency staffing to determine needed services and appropriate modes of treatment.
Assist clients in completion of necessary assessment forms/documents and appropriate releases.
Prepare and distribute assessment results, reports, etc. as required and requested.

Schedule:

Type: Full-Time
Hours: Monday-Friday, 9a-5p

Education and Experience Qualifications:

A minimum of associate’s degree is required.
A minimum of 2 years of experience in substance use treatment or related field is required.
Experience with insurance billing or prior authorizations is strongly preferred.
Experience working with persons experiencing co-occurring symptoms is preferred.
Current certification as a Certified Alcohol and Drug Counselor (tCADC, CADC, or IADC) through the Iowa Board of Certification is preferred.

Benefits:

Health insurance
Dental insurance
Vision insurance
IPERS retirement benefit
Optional 401K
Employee Assistance Program
Generous PTO (20 days accrued in your first year)
9 paid holidays
Paid trainings and CEU opportunities
Public Student Loan Forgiveness employer
Tuition reimbursement
Various discounts including tuition fees at partner schools, travel, cell phone plans, and more!

Application Process: Candidates interested in applying should submit an application and resume. Candidates will be required to complete a background check, drug screen, and TB test prior to starting employment.

Equal Opportunity Employer: Community and Family Resources is an Equal Opportunity Employer, including Veterans and Individuals with Disabilities.

Apply Now

Refine Your Search

prior authorization specialist jobs in des moines ia

Residential Admissions and Authorization Specialist

Specialist II, Financial Clearance, Patient Access- Full time

Epic Ambulatory Bones Application Engineer Specialist - 6079188

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