ZipRecruiter

Log In

1

Pre Authorization Representative Jobs in Iowa (NOW HIRING)

Summit BHC

Intake RN-Acute

Bettendorf, IA · On-site

Communicates projected admissions to designated internal representative in a timely manner ... pre-authorization for treatment and admission. * Reviews patient charts to determine medical ...

Summit BHC

Intake RN-Acute

Bettendorf, IA · On-site

Communicates projected admissions to designated internal representative in a timely manner ... pre-authorization for treatment and admission. * Reviews patient charts to determine medical ...

previous pagenext page

Showing results 21-40

All JobsPre Authorization Representative JobsPre Authorization Representative Jobs in Iowa

Pre Authorization Representative information

Is prior authorization a stressful job?

A Pre Authorization Representative role can be stressful due to the need for accuracy, meeting deadlines, and handling complex insurance policies. The job often requires strong attention to detail, communication skills, and the ability to manage high workloads in a fast-paced environment.

How do I become a pre authorization representative?

To become a pre-authorization representative, candidates typically need a high school diploma or equivalent and strong communication and organizational skills. Relevant experience in healthcare, insurance, or customer service can be beneficial, and familiarity with medical terminology and authorization software is often required. Certification is not mandatory but can improve job prospects.

What is a pre authorization representative?

Pre Authorization Representatives are healthcare professionals responsible for obtaining approval from insurance companies before certain medical services or procedures are performed. They review medical documentation, communicate with providers and payers, and ensure all necessary information is submitted to support the authorization request. Their work helps patients avoid unexpected costs and ensures that healthcare providers are reimbursed for services rendered. Pre Authorization Representatives play a key role in the administrative side of healthcare, helping to streamline the insurance approval process.

What are the key skills and qualifications needed to thrive as a pre authorization representative?

To thrive as a Pre Authorization Representative, you need strong knowledge of insurance practices, healthcare terminology, and medical billing, typically supported by a high school diploma or equivalent and experience in a medical office setting. Familiarity with insurance verification systems, electronic health records (EHRs), and authorization management software is essential. Exceptional attention to detail, customer service orientation, and effective communication skills help you excel when interacting with patients, providers, and insurance companies. These skills ensure accurate and timely pre-authorization processing, minimize claim denials, and support a smooth patient care experience.

What are some common challenges faced by pre authorization representatives and how can they be managed?

Pre Authorization Representatives often encounter challenges such as navigating complex insurance requirements and managing high call volumes. Staying up-to-date on payer-specific guidelines and maintaining detailed documentation are key to overcoming these hurdles. Effective communication with providers, payers, and patients helps ensure timely approvals and reduces delays. Utilizing organizational tools and workflow management systems can also help representatives stay on top of multiple requests and deadlines.

What is the difference between Pre Authorization Representative vs Insurance Verification Specialist?

AspectPre Authorization RepresentativeInsurance Verification Specialist
CredentialsHigh school diploma; some roles may require certification in healthcare or insuranceHigh school diploma; often similar certifications in healthcare or insurance
Work EnvironmentHealthcare facilities, insurance companies, or third-party payersHospitals, clinics, or insurance companies
Job FocusSecuring prior approvals for procedures or treatmentsVerifying insurance coverage and eligibility

While both roles involve interaction with insurance processes, the Pre Authorization Representative primarily focuses on obtaining approvals before procedures, whereas the Insurance Verification Specialist verifies coverage details. Both positions require similar credentials and often work in healthcare or insurance settings, but their core responsibilities differ in the insurance process workflow.

What are popular job titles related to Pre Authorization Representative jobs in Iowa? For Pre Authorization Representative jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Pre Authorization Representative jobs in Iowa look for? The top searched job categories for Pre Authorization Representative jobs in Iowa are:
Pre Authorization Representative jobs near you
Infographic showing various Pre Authorization Representative job openings in Iowa as of August 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 72% Physical, 1% Hybrid, and 27% Remote job distribution.

Revenue Cycle Representative Department of Radiation Oncology

The University Of Iowa

Iowa City, IA • On-site

Full-time

Posted 14 days ago

University Of Iowa rating

6.9

Company rating: 6.9 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

459th of 617 rated colleges and universities

Job description

University of Iowa Health Care-recognized as one of the best hospitals in the United States-is Iowa's only 
comprehensive academic medical center and a regional referral center. Each day more than 12,000 
employees, students, and volunteers work together to provide safe, quality health care and excellent 
service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives. 
The Revenue Cycle Representative (RCR) is an entry-level customer service and financial related position in 
the healthcare industry. The RCR will provide exceptional customer service to our external customers: 
patients, insurance contacts, etc; as well as internal customers. Support UI Health Care "Service Excellence" 
standards to all our customer groups, utilize tools and processes to make independent decisions and will 
maintain integrity and treat internal and external customers respectfully. The RCR will work in a high 
volume web-based application environment and be part of an incoming and outbound call environment. 

Contact patients, insurance companies, pre-authorization, referrals, and to resolve patient account 
inquiries.
Ensure all patient appointments are financially secured by completing insurance notification if 
referral or preauthorization is required. Analyze and verify patient demographic, insurance 
eligibility and financial information/responsibility for accurate claim submission and 
reimbursement.
Provide financial counseling to patients and families; and/or determine if appropriate payment has 
been made by various entities; and/or work with patients and insurance companies to obtain 
correct payments; and/or appeal claim payments and/or denials.
Identify & report trends and reimbursement modeling errors and/or underlying causes of incorrect 
payment; review allowed variances from third party payers.
Be expected to maintain a high-level of accuracy to meet productivity and quality requirements. 
Identify trends and/or work processes for potential process improvements.
Review and analyze report data to provide status updates to leadership.
Communicate with providers, payers, patients, internal departments, co-workers and supervisor to 
resolve issues.
Work with PFS and payors to provide time sensitive documents and ensure that deadline dates are 
met and that UI Health Care is in compliance.
Maintain extensive working knowledge and expertise based around payer regulations/policies, 
financial classifications.
Build and maintain solid working relationships with clinical staff, referral sources, insurance 
companies, medical providers and public.
Work Epic-work queues related to referrals/pre-authorizations, and any associated denials and 
requested documentation.

Education Requirements
A Bachelor of Science degree or an equivalent combination of education and experience. 


Experience Requirements
Related customer service experience (typically 6 months or more) in a professional, financial, health 
care or medical related environment.
Strong attention to detail and proven ability to gather and analyze data and keep accurate records.
Proficiency with computer software applications, i.e. Microsoft Office Suite (Excel, Word, Outlook, 
PowerPoint) or comparable programs and an ability to quickly learn and apply new systems 
knowledge.
Demonstrated ability to handle complex and ambiguous situations with minimal supervision.
Self-motivated with initiative to seek out additional responsibilities, tasks and projects.
Ability to demonstrate the core competencies and commitments for the organization which 
includes striving for performance excellence to include a "Basic" proficiency of the Universal 
Competencies.
Must have demonstrated ability to prioritize, multi-task & quickly change focus in fast-paced team 
environment. 
Must have the ability to exhibit compassion and empathy when working directly with patients 
and/or their families.
Professional experience working effectively with individuals from a variety of backgrounds and
perspectives. 


Desired Qualifications
Experience maintaining professionalism while handling difficult situations with callers or customers.
Demonstrated ability to maintain or improve established productivity and quality requirements.
Familiarity with medical terminology.
Basic knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws.
Basic knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and 
state assistance programs.

Application Process: In order to be considered for an interview, applicants must upload the following documents and mark them as a "Relevant File" for the submission:

  • Resume
  • Cover Letter
     

Job openings are posted for a minimum of 7 calendar days and may be removed from posting and filled any time after the original posting period has ended. Applications will be accepted until 11:59 PM on the date of closing.

Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process.

Additional Information
  • Classification Title: Revenue Cycle Representative
  • Appointment Type: Professional and Scientific
  • Schedule: Full-time
  • Work Modality Options: Hybrid within Iowa
Compensation
  • Pay Level: 2B
  • Starting Salary Minimum: 41,264.00
  • Starting Salary Maximum: 75,203.00
Contact Information
  • Organization: Healthcare
  • Contact Name: Lauren Schmidt
  • Contact Email: lauren-schmidt@uiowa.edu

What University Of Iowa employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply