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Grand River Medical
Dubuque, IA | Full Time
$35k-43k (estimate)
2 Months Ago
Access Dubuque
Dubuque, IA | Full Time
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Grand River Medical Group
Dubuque, IA | Full Time
$37k-46k (estimate)
6 Days Ago
Prior Authorization Specialist
$35k-43k (estimate)
Full Time | Ancillary Healthcare 2 Months Ago
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Grand River Medical is Hiring a Prior Authorization Specialist Near Dubuque, IA

Prior Authorization Specialist

Position is located in Dubuque, IA

Grand River Medical Group is seeking an ambitious nurse (LPN, RN) to work as a Prior Authorization Specialist in our Multi-Specialty Clinic. As a Prior Authorization Specialist, you will be responsible for obtaining prior authorization approvals for various procedures and services including but not limited to medical, elective, ancillary, and pharmaceutical. You will work closely with insurance companies and health plans to obtain prior authorizations for patients at Grand River Medical Group.

The ideal candidate would be detail oriented, self-motived and work independently or part of a team. You will be responsible for prioritizing your workload and being able to multi-task while continuing to provide an exceptional patient experience.

This is a full-time position, 35-40 hours per week. This position has a flexible schedule, with the ability to work a hybrid model of some work from home and some in office days, with no evening or weekend requirements. All nursing positions have the ability to pick up shifts at other clinic locations as desired. Grand River Medical Group's clinics are typically open from 7:30 a.m. - 5:00 p.m.

Duties include but are not limited to:

  • Initiate prior authorization process by processing clinical requests requiring medical review of the patient's electronic chart.
  • Review prior authorization requests and communicate with the healthcare team when additional information is needed.
  • Contact appropriate insurance carrier to obtain prior authorization approval number.
  • Handle all requests for prior authorizations in a timely and accurate manner.
  • Maintain a thorough understanding of authorization requirements and health plan contracts.
  • Provide nursing care by using the nursing process and theory in assessing patient's general condition and in making clinical decisions.
  • Prepare patients for clinician office visit, including greeting and escorting to exam room, obtaining vitals, updating medications and allergies in electronic medical record, and explaining procedures.
  • Assist the clinician with examinations, diagnostic procedures and treatments.
  • Document accurately in all areas of the electronic medical record.

Education/Experience/Skills:

  • Must be a graduate from an accredited school of nursing for Licensed Practical Nurses or Registered Nurses.
  • Minimum three years of professional nursing experience in a clinic setting preferred.
  • Must be a licensed LPN or RN with an active license to practice in the state of Iowa; BSN preferred.
  • Prior Authorization experience preferred.
  • Basic Life Support (BLS) certification required.

We offer: A competitive hourly wage plus a very attractive benefits package including vacation, generous company provided benefits, and much more.

Grand River Medical Group is an independent physician owned practice located in Dubuque, IA. We provide a wide range of healthcare services from primary care to subspecialty care for adults and children. We currently employ over 300 team members who help support the practices and clinical operations of over 65 physicians, nurse practitioners and physician assistant clinics, our urgent care network, and four dialysis units located in Iowa (Manchester and Dubuque) and Wisconsin (Platteville and Richland Center).

Grand River Medical Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sex, age, sexual orientation, gender identity or expression, status as a protected veteran, or status as a qualified individual with disability.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ancillary Healthcare

SALARY

$35k-43k (estimate)

POST DATE

01/21/2023

EXPIRATION DATE

02/11/2023

WEBSITE

dbqpeds.com

HEADQUARTERS

SAGEVILLE, IA

SIZE

25 - 50

FOUNDED

2017

REVENUE

<$5M

INDUSTRY

Ancillary Healthcare

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Grand River Medical
Full Time
$1,000-1,000 (estimate)
11 Months Ago

The job skills required for Prior Authorization Specialist include Prior Authorization, Primary Care, etc. Having related job skills and expertise will give you an advantage when applying to be a Prior Authorization Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Prior Authorization Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Prior Authorization Specialist positions, which can be used as a reference in future career path planning. As a Prior Authorization Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Prior Authorization Specialist. You can explore the career advancement for a Prior Authorization Specialist below and select your interested title to get hiring information.

If you are interested in becoming a Prior Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Prior Authorization Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Prior Authorization Specialist job description and responsibilities

Request, follow up and secure prior-authorizations prior to services being performed.

04/09/2022: Laramie, WY

Receive requests for pre-authorizations and ensure that they are properly and closely monitored.

03/28/2022: Schenectady, NY

Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.

02/27/2022: Wichita, KS

Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.

04/08/2022: Altus, OK

Reported to supervisor to assure accurate capture of services needing authorization.

02/05/2022: Dothan, AL

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Prior Authorization Specialist jobs

Prior Authorization Specialist must have excellent computer skills including Excel, Word, and Internet use.

02/12/2022: New Britain, CT

A good Prior Authorization Specialist are those who are detail oriented with above average organizational skills.

03/28/2022: Galveston, TX

Basic understanding of human anatomy, specifically musculoskeletal would also give you benefits for this role.

04/04/2022: Lebanon, PA

Some experience in medical billing or insurance authorization are strongly preferred by most employers.

03/10/2022: Jamestown, NY

Licenses and certifications are not usually required to work as a prior authorization specialist.

04/02/2022: Mcallen, TX

Step 3: View the best colleges and universities for Prior Authorization Specialist.

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