New

Prior Authorizations Coordinator

TEKsystems
$18.70 - $25.30 / hr
life insurance, sick time, 401(k), retirement plan
United States, Iowa, Grimes
May 16, 2025
Description The Prior Authorizations Coordinator is responsible for processing all prior authorization requests and maintaining all CMN renewals with established standards which includes but is not limited to coordination with insurance companies, physicians' offices, and patients. Individual shall clearly identify, analyze and rectify issues while maintaining confidentiality of all protected health information. Position requires strong telephone, verbal and written communication skills, knowledge of customer service principles and practices, and time management skills with the ability to multi-task. Initiate and complete prior authorizations within a timely manner Obtain medical records, lab reports, and other documentation when necessary. Maintain a thorough understanding of authorization requirements and health plan contracts. Appeal authorizations that have been denied by insurance carriers. Create, send and follow up on all CMNs (certificate of medical necessity) and other supporting medical documentation required for billing and ordering Review CMN's for accuracy prior to logging in system Collaborates with Supervisor and internal departments, as needed, to provide account status updates and coordinate the resolution of issues. Provides excellent customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. Answers the telephone and disburses calls in a friendly, prompt and professional manner. Conveys messages accurately and appropriately. Pay and Benefits The pay range for this position is $18.70 - $25.30/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Grimes,IA. Application Deadline This position is anticipated to close on May 29, 2025. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.