Full employer posting
Cass Health is looking for a detail-oriented, organized, and motivated Prior Authorization Specialist to join our team! In this role, you'll help patients access the care they need by coordinating insurance prior authorizations for medical services, procedures, imaging, and specialty care. You'll work closely with providers, clinical staff, and insurance companies to help ensure services are appropriately authorized and minimize delays in patient care.
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. What We're Looking For 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. Clinical licensure or certification is not required.
Candidates with relevant healthcare experience, particularly in medical coding, insurance authorization, or other areas of of the revenue cycle, are encouraged to apply. 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
About the role
In this role, you'll help patients access the care they need by coordinating insurance prior authorizations for medical services, procedures, imaging, and specialty care. You'll work closely with providers, clinical staff, and insurance companies to help ensure services are appropriately authorized and minimize delays in patient care.