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Prior Authorization Specialist (FT) | Orthopedics | Ames | 2025-050

McFarland Brand 2016-09-29
Ames, IA Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 5/1/2025

If you are passionate about health care, dedicated to patient well-being, and eager to make a difference in the lives of others, we encourage you to apply for this opportunity.  In this pivotal role, you will be responsible for providing extraordinary care and support to individuals recovering from injuries, accidents, or undergoing orthopedic procedures. Join our team and be part of the extraordinary care we provide to our patients every day.  

McFarland Clinic is currently accepting applications for a Prior Authorization Specialist for it’s Ames Orthopedic department. Candidates should be service oriented, a team player, and able to provide extraordinary care, everyday to our patients.  

Responsibilities include:  

  • Review patient’s medical history and verify patient’s insurance 

  • Work with insurance plans for pre-authorization and re-authorization of patient services

  • Complete authorizations and submit requested medical documentation to insurance companies

  • Troubleshoot authorization related issues

  • Maintain open communication regarding status of authorization and any additional documentation or information needed

  • Maintain accurate documentation in patient’s medical record

  • Manage incoming and outgoing referrals for services, including appointments and procedures.

  • Contact referring physicians for additional information as needed

  • Monitor schedule for potential issues

  • Assist with other clerical tasks as needed

Education

  • High School Diploma, GED or HiSet

Days: Monday - Friday 

Hours: 8:00 AM - 5:00 PM. 

Schedule can be flexible within reason. 

Experience

  • Basic computer skills

  • Attention to detail and ability to multitask

  • Excellent written and verbal communication skills

  • Excellent interpersonal skills

  • Knowledge of medical terminology

  • Epic EMR experience preferred but not required

  • Healthcare experience preferred but not required

  • Pre-authorization knowledge/experience required

Benefits

McFarland Clinic offers a comprehensive benefits package, including health and dental insurance, 401(k), and PTO. Click here for details.  

McFarland Clinic is central Iowa's largest physician-owned multi-specialty clinic. Join our team and join a group of caring professionals, dedicated to providing Extraordinary Care, Every Day! We value quality care and extraordinary service, trusting relationships and an exceptional workplace. Our organization has more than 75 years experience of caring for people. We welcome applicants who can help us enhance the health and well-being of our patients and communities we serve.

McFarland Clinic is an Equal Opportunity Employer.  McFarland Clinic makes every effort to comply with all requirements of federal, state, and local laws relating to Equal Employment Opportunity.

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