Clinical Insurance Authorization Specialist - Spencer Hospital

Redfield Community Memorial Hospital

Spencer, IA, US
Competitive wages; benefits: affordable insurance,...
Onsite
Prior authorization coordination
Medical necessity criteria compliance
Provider communication skills
Spencer Hospital is seeking a Clinical Insurance Authorization Specialist to manage prior authorizations and collaborate with staff to ensure timely processing. The ideal candidate will possess an active LPN license and relevant experience, with excellent communication and organizational skills

Job Summary

  • The role involves coordinating with staff to complete prior authorizations for all services and procedures accurately and timely.
  • Employees will collaborate with providers to ensure treatments meet medical necessity criteria and assist with appeals for claim denials.
  • Spencer Hospital offers competitive wages, affordable insurance, IPERS retirement, in-house education, paid time off, and a family gym membership.

Matching Summary

Match Score: 85

Spencer Hospital is seeking a Clinical Insurance Authorization Specialist to manage prior authorizations and collaborate with staff to ensure timely processing. The ideal candidate will possess an active LPN license and relevant experience, with excellent communication and organizational skills.

Salary

Competitive wages; Benefits: Affordable insurance, IPERS retirement, PTO, family gym membership; Bonus/Equity: Not specified

Skills & Requirements

Must-have

  • Prior authorization coordination
  • Medical necessity criteria compliance
  • Provider communication skills
  • Claim denial appeal assistance

Nice-to-have

  • High ethical standards
  • Adaptable to workload demands
  • Excellent organizational skills
  • Professional interaction with staff

Key Requirements

  • Current active LPN license in Iowa or NLC multi-state license
  • Eligible to practice in Iowa
  • Prior hospital or clinical authorization experience preferred

Work Rights

Must be eligible to practice in Iowa

Tailored Resume

Cover Letter