Minimum Hiring Wage:

　　From $32.53 per hour

　　Job Details:

　　Scheduled Hours: Monday - Friday (8am - 4:30pm)

　　Job Description:

　　Responsible for all aspects of Pre-Access Services which includes pre-registration, verification of eligibility benefits, securing Medical Necessity and obtaining prior authorizations when required. Makes clinical decisions based on established criteria and regulatory requirements, assures compliance with all state and federal rules/regulations pertaining to insurance carriers. Maintains up-to-date, accurate information regarding which payors/exams require a prior-authorization and communicates that knowledge to clinicians and/or management for distribution. Communicates with payers regarding ongoing re-authorizations and requests for additional visits when necessary. Monitor and manage the KX modifier threshold and G-Codes attached to documentation. Other duties as assigned to ensure patient access management and to maximize the revenue cycle.

　　Qualifications:

　　Required

　　ADN or BSN degree

　　Minimum of five (5) years of health care experience in hospital or provider office

　　Registered Nurse with current license in the state of Iowa

　　Maintains current licensure/ certification/ registration

　　Computer experience

　　Medical Terminology

　　Preferred

　　Prior authorization experience

　　Benefits:

　　We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes:

　　Competitive base pay

　　Matching retirement programs

　　Health, Dental and Vision plans

　　Health Savings and Flexible Spending Accounts

　　Employee discounts including car rental, cell-phone plans

　　Employer-paid, Long-Term Disability, Life, and AD&D

　　Paid time off (PTO)

　　Education Assistance Program

　　Employee Assistance Program

　　Employee Referral Bonus Program

　　Discounted cafeteria meals

　　Paid Parental Leave

　　Employee Service Recognition program

　　Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity

　　Great River Health and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

　　If you would enjoy working in a dynamic environment and you are looking for an opportunity to become part of a stellar team of professionals, we invite you to apply online today. We are an equal-opportunity employer.

　　Contact a member of our Talent Acquisition team at [email protected] ([email protected])