Cass Health is seeking a detail-oriented and motivated Prior Authorization Specialist to join its team.
In this role, you will help patients access needed care by coordinating insurance prior authorizations for medical services, procedures, imaging, and specialty care. You will work closely with providers, clinical staff, and insurance companies to help ensure services are appropriately authorized and delays in patient care are minimized.
Key responsibilities
- 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
Requirements & Qualifications
RN, LPN, or CMA background is preferred, but not required.
Preferred experience and qualifications
- Experience in medical coding, prior authorization, utilization review, medical billing, or a related healthcare field
- Understanding of medical terminology, insurance requirements, and clinical documentation
- Strong organizational skills and attention to detail
- Ability to manage multiple priorities
- Excellent communication and problem-solving skills
- Experience with Epic or another electronic health record system is a plus
- Clinical licensure or certification is not required
Benefits & Perks
Cass Health offers a comprehensive benefits package, 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
Location
Iowa, US
Employment Type
Not specified
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago