Find & Apply For Insurance Claims / Policy Clerk Jobs in Washington, Iowa

DUTIES/RESPONSIBILITIES

(include but are not limited to the following)

• Reviews and processes all assigned prior authorization requests to completion. Diligently reviews patient health care data, diagnostic testing and treatment information for completeness for insurance requirements and prior authorization process.
• Communicates with providers, and clinical staff as needed to obtain and understand clinical documentation requirements. Provide required clinical documentation to payers via phone, faxed forms, and/or website.
• Maintains documentation of authorization approvals and denials, including authorization numbers and associated codes, dates, and other relevant data
• Communicates effectively with clinical staff, payor representatives, and providers
• Recommends process improvements for increased efficiencies
• Display and promote company values
• Regular attendance
• Other projects as needed