Prior Authorization Specialist

Physicians Clinic of Iowa, PC

Cedar Rapids, IA Administrative & Clerical / Healthcare

The Physicians’ Clinic of Iowa is seeking a full-time Prior Authorization Specialist to complete benefits investigations, prior authorizations, and assist patient in utilizing external resources to fund treatment plans for the Department of Rheumatology.

 

Responsibilities will include, but are not limited to:   

  • Complete prior authorizations and/or pre-determinations for diagnostic testing, procedures and/or drug therapies.
  • Complete scheduling process for testing, procedure or therapy; notification and education of patient regarding appointment date/time and any necessary preparation for appointment.
  • Research and maintain a working knowledge of patient financial assistance programs, educate and assist patients in applying for available funding in conjunction with PCI Financial Counselor.
  • Maintain working knowledge of third party payments procedures.
  • Is knowledgeable with current insurance plans and managed care procedures.
  • Is knowledgeable of daily schedules and clinic flow, correlating clinical provider/ancillary appointments when applicable.

 

The successful candidate must maintain patient confidentiality and demonstrate a high level of professionalism at all times. The qualified individual will be patient focused, possess excellent communication skills, and must work well with team members. Must also have a high level of comfort in working with computer systems.

 

PCI is E.O.E.  Pre-employment drug screen and background check required. PCI is a tobacco free workplace.

 

Job ID: 70687

Posted 27 days ago

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