Pre Authorization Coordinator (Hybrid)

Iowa Orthopedic Center is actively seeking a Pre Authorization Coordinator to support orthopedic providers in delivering high-quality patient care. The Coordinator is a position which supports the overall service of clinics through assisting the Business Office in four primary components. Initially, the primary focus of the coordinator is to manage the process for required testing, such as MRI, CT, Injections, PCP Referrals, VA and Surgeries. The position will encompass attaining eligibility and documentation of future encounters so that the patient may be seen quickly and billing process to go smoothly. Being in the billing department allows for evolution of the position, which may encompass other visits, tests or procedures which require authorization or eligibility to be seen in our office.

As a Center of Excellence, every team member at Iowa Ortho—from the surgeons to the administrative staff—strives to provide the highest quality medical care possible. If you enjoy working alongside some of the best medical providers in the state and you place patient care above all else, there may be a place for you at Iowa Ortho.

Key Responsibilities:

• Work with insurance companies, Triage, Outpatient Testing, Surgery Scheduling, Financial Counseling, Coding, Billing and Work Comp departments as needed to fulfill pre authorization requirements.
• Verify eligibility/prior authorization requirements for Surgery, Pain Management, Outpatient Testing, EMG’s, MRI, CT, Injections, PCP referrals and VA patients.
• Stay current on pre authorization requirements for various insurance companies.
• Submit/Follow up with pre authorization requests.
• Research payer practices to ensure authorization is required and document if a test does not require authorization in the NexGen/Advantx systems.
• Update NexGen/Advantx with prior authorization numbers for billing.
• Document all insurance company encounters in a timely fashion. This must be done in such a way that verifies the authorization was attained properly, including the name of the person who authorized and the information given to the Coordinator.
• Strong attendance is required for this position due to timeliness requirements set by the payer and the need of the patient’s health

• Associates Degree plus one year of administrative or coordination experience in the medical field – OR –
• Three years of direct related experience to this position in the medical office / insurance field with a High School DiplomaX
• Excellent customer service skills serving members of the public over the phone
• Strong demonstrated time management and organizational skills
• Intermediate computer; strong internet explorer skills and internet research abilities using online payer platforms
• Intermediate 10-Key ability; intermediate typing and keyboarding skills to document calls currently in progress
• Ability to identify trends and notify appropriate resources for assistance
• Demonstrated excellent attendance is required
• Ability to read, write, and speak the English language clearly and effectively
• Excellent interpersonal skills and be able to effectively communicate with a diverse group of people.

Why Choose Iowa Ortho?

• Competitive Benefit Package: Competitive pay, health, dental, paid time off, paid holidays, 401(k) with company match, profit-sharing, employee discounts and more.
• Center of Excellence: Physician-owned orthopedic clinic and surgery center dedicated to providing exceptional medical care to the people of central Iowa. Discover why Iowa Ortho is a recognized center of excellence in orthopedic care.
• Cutting-Edge Environment: Work in a state-of-the-art facility that embraces the latest advancements in medical technology.
• Team Atmosphere: Join a collaborative team that supports one another and is committed to enhancing patient care.
• Professional Growth: Opportunities for career advancement and continuous learning.

Join our team and be a part of our commitment to delivering gold-standard healthcare!

• Please note our first point of contact may be by email. Please check your spam folder, as unknown senders sometimes wind up in spam or junk.

Iowa Ortho is a privately held medical practice. Candidates who receive a conditional offer of employment at Iowa Ortho will be required to complete a criminal background check, education verification, reference checks, and an initial TB test.

Iowa Ortho is committed to a diverse and inclusive workplace. Iowa Ortho is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.