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Prior Authorization Specialist

Cedar Rapids, IA

Job Information:

The Physicians’ Clinic of Iowa Department of ENT is seeking a full-time Prior Authorization Specialist to complete benefits investigations, prior authorizations, educate patients on insurance benefits related to therapies, and assists patient in utilizing external resources to fund treatment plans.

Responsibilities will include, but are not limited to:  
• Greets patients and obtains background information.
• 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.
• May assist with efficient flow of check in and check out, surgery scheduling, and phones as needed to maintain an uninterrupted patient flow in the department.
• Collect and post co-pays and other payments received by patients.
• Is knowledgeable of all ENT daily schedules and 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.

If you are interested in pursuing this exciting opportunity and making a difference in the lives of our patients, please submit your resume or application to:
Physicians’ Clinic of Iowa, PC

Posted 05/17/17

Job ID: 22490675