Prior Authorization Specialist: Full-time, Medical Clinic Job at Monroe County Hospital & Clinics, Albia, IA

aWN3T3pBNC9JVU9LdjBMMm9PVnYrMlZqZEE9PQ==
  • Monroe County Hospital & Clinics
  • Albia, IA

Job Description

Monroe County Hospital & Clinics is proud to be named a TOP Workplace by the Des Moines Register for the tenth year in a row, earning 5th place among mid-sized employers in 2025. We’re also honored to receive the #1 Overall Award for Employee Training, recognizing our commitment to staff growth and development, along with the prestigious USA Today Top Workplace award. At MCHC, we put people first – our patients, our employees, and our community. 

 

Do you want to let us know you are interested in this job without filling out an application?  Want more details on pay and benefits?  Would you rather email us your resume?  Go for it!  Email us at hr@mchalbia.com.  We would love to hear from you!

 

Job Schedule

Full-time: 36 – 40 hours per week.

Hours: hours can be flexible

Options for some remote work possible after training

Job description

Primary duties for this position include:

Submit prior authorizations in the Medical Clinic for medications, radiology studies, cardiology testing, specialty drugs, implantable devices, other tests as needed and specialty referrals using various appropriate methods including but not limited to websites, telephone, fax and portals.

Collaborate with ordering providers to gather necessary information.

Manage daily tracking for all prior authorizations.

Follow up and submit additional information as needed in a timely manner.

Set up phone calls or peer to peer meetings if needed and approved by provider.

Document all related information in medical record.

Regular and reliable attendance.

Ongoing compliance with MCHC educational and training requirements.

Adheres to the MCHC mission, vision, values, and Standards of Behavior.

Maintains patient and hospital confidentiality.

Promotes and maintains positive relationships with patients, visitors, coworkers, and providers.

Actively participates in department huddles, in-services, meetings, and educational opportunities.

Follows all departmental policies and procedures and adheres to departmental budget.

Job Requirements

Clinical or Medical billing/coding background (RN, LPN, CMA or other experienced clinical roles).

BLS – required for RN, LPN, and CMA

Mandatory Reporting Certified or within 90 days of hire.

Overall attention to detail, organizational ability, and ability to prioritize.

The ability to work in teams and communicate accurately and clearly.

Computer experience using Microsoft Office 2007 Excel, Word and Outlook.

Proficient in English in order to communicate with patients, families, and other caregivers.

Preferred Education and Experience

Experience in heathcare setting.

Monroe County Hospital & Clinics offers an excellent benefits package including but not limited to:

Medical, Dental, and Vision Insurance

Health Savings Account

Flexible Spending Accounts and Dependent Care Accounts

Reliance Standard Voluntary Benefit Plans (Accident, Critical Illness with Cancer, and Hospitalization)

Life Insurance

IPERS

Generous PTO Package (16 hours of PTO will be added to your PTO bank upon hire)

DCI checks required. E.O.E

 

Location

Monroe County Hospital & Clinics, 6580 165th St Albia, IA 52531
Phone: (641) 932-1756 | Fax: (641) 932-1671 | Web: www.mchalbia.com

Job Tags

16 hours, Full time, Work at office, Remote work, Flexible hours

Similar Jobs

C. F. Acri & Son

ACRI - Commercial Journeyman Plumber Job at C. F. Acri & Son

 ..., PA. About Us: Join a legacy of excellence at C.F. Acri! Since 1963, weve been a cornerstone in the HVAC and plumbing industry. Now, were looking for skilled Plumbing Mechanics to be part of our employee-owned team. At C.F. Acri, youre not just taking a... 

Drexel Building Supply

Order Picking Specialist Job at Drexel Building Supply

 ...Fulfillment: Accurately read pick tickets/scan guns; pull correct SKU/quantity from primary picking location. Load Building: Load trucks safely and efficiently in coordination with the Dispatchers route, organizing by delivery stop. Bottleneck Reduction:... 

International Leadership of Texas

School Nurse Job at International Leadership of Texas

 ...Education/Certification: Graduate of an accredited professional nursing education program Registered nurse license (RN) verified from...  ...and Duties: Nursing Services 1. Provide direct care using professional assessment skills, the nursing process, individualized... 

State of Florida

COMMUNITY HEALTH NURSING CONSULTANT - 64030550 Job at State of Florida

 ...Requisition No:874204 Agency: Department of Health Working Title: COMMUNITY HEALTH NURSING CONSULTANT - 64030550Pay Plan: Career Service Position Number:64030550 Salary: $54,000 to $56,000 Posting Closing Date: 07/02/2026 Total Compensation Estimator... 

Six Flags Great Adventure

Retail Supervisor Job at Six Flags Great Adventure

Overview: Role is responsible to assist in ensuring the successful and profitable operation of the assigned area within the Retail Department. Responsible to uphold department merchandising standards in assigned area. Retail Supervisors are required to actively approach...