What are the responsibilities and job description for the Prior Authorization Specialist (FT) | Orthopedics | Ames | position at McFarland Clinic?
Description
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.
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
