What are the responsibilities and job description for the Prior Auth Specialist position at Cass Health?
- Obtain and manage prior authorizations for scheduled services, procedures, and treatments.
- Review clinical documentation and insurance requirements to determine authorization needs.
- Communicate with insurance companies, providers, and clinical teams to secure timely approvals.
- Track authorization requests, follow up on pending cases, and help resolve denials.
- Collaborate with clinical and revenue cycle teams to improve processes and reduce authorization-related delays and denials.
- RN, LPN, or CMA background preferred, but not required.
- Experience in medical coding, prior authorization, utilization review, medical billing, or a related healthcare field is also highly preferred.
- Understanding of medical terminology, insurance requirements, and clinical documentation.
- Strong organizational skills, attention to detail, and ability to manage multiple priorities.
- Excellent communication and problem-solving skills.
- Experience with Epic or other electronic health record systems is a plus.
About Cass Health
Cass Health is a thriving, independent rural health system in southwest Iowa. We proudly serve more than 40,000 unique patients each year and support over 150,000 outpatient encounters across our hospital and four rural health clinics. Our team includes nearly 500 employees, more than 80 providers, and over 100 volunteers—making us the largest employer in Cass County and one of the largest Critical Access Hospitals in Iowa.
Recognized for Excellence
- Top 100 Critical Access Hospital every year since 2017
- Top 20 Critical Access Hospital every year since 2021
- Top Iowa Workplace for more than a decade
- HFMA MAP Award Winner for Revenue Cycle Performance (2021)
We offer a comprehensive range of services, including primary care, surgical specialties, bariatric care, OB/GYN, orthopedics, oncology, ENT services, eye care, and regional maternal health outreach.
Cass Health Benefits
We offer a comprehensive benefits package designed to support your personal and professional well-being, including:
- Medical and dental insurance
- Employer-paid life insurance
- Long-term disability coverage
- Participation in IPERS
- Optional 403(b) retirement plan
- Generous paid time off
- Short-term disability benefits
- Tuition reimbursement
- Continuing education and professional development opportunities
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.