Prior Authorization Specialist

Gundersen Health System • Stanfold, IA

1d • Hybrid

About The Position

Emplify Health by Gundersen is looking to add a Prior Authorization Specialist to our team! In this role you will work with hospital departments and insurance companies to obtain the necessary pre-certifications and authorizations for services ordered/scheduled from insurance. Attention to detail, strong communication, and computer and phone skills are important! In this role, You will: Secure prior authorizations from insurance companies for all hospital and clinical scheduled procedures acting as a liaison between patients, physicians, and insurance providers. Navigate complex insurance regulations and advocate for patients' needs Process paperwork effectively and efficiently to ensure all documentation is completed Maintain strong communication both verbally and written Specialize in prior authorization for Retail Medications or Neurosciences Injection

Requirements

• High School Diploma or equivalency
• 1-2 years' experience in healthcare with insurance or prior authorization experience required
• Excellent problem-solving abilities and strong attention to detail
• Strong communication skills, both verbal and written

Nice To Haves

• Coding experience and certifications is a plus!

Responsibilities

• Secure prior authorizations from insurance companies for all hospital and clinical scheduled procedures acting as a liaison between patients, physicians, and insurance providers.
• Navigate complex insurance regulations and advocate for patients' needs
• Process paperwork effectively and efficiently to ensure all documentation is completed
• Maintain strong communication both verbally and written
• Specialize in prior authorization for Retail Medications or Neurosciences Injection

Benefits

• Top-rated retirement plan and healthcare benefits
• Support to grow in your career with access to our Career Development Center and Tuition Investment Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED