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Prior Authorization Jobs in Iowa (NOW HIRING)

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Appropriately document prior authorization and communicate information to performing facility, physician, clinic staff and patient can/or patient's family as necessary. * Utilization of electronic ...

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Appropriately document prior authorization and communicate information to performing facility, physician, clinic staff and patient can/or patient's family as necessary. * Utilization of electronic ...

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Appropriately document prior authorization and communicate information to performing facility, physician, clinic staff and patient can/or patient's family as necessary. * Utilization of electronic ...

UnityPoint Health

Insurance Verifier

Fort Dodge, IA · On-site

  • Medical

  • Dental

  • Retirement

  • PTO

Job ID: 185469 Overview LPN or CMA - Medication Prior Authorization Specialist Full-time postion with benefits (40 hours per week) Daytime hours The Medication Prior Authorization Specialist ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Iowa

Prior Authorization information

See Iowa salary details

$12

$19

$30

How much do prior authorization jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for prior authorization in Iowa is $19.62, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $21.68 per hour, depending on experience, location, and employer.

What is prior authorization?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.

What are the key skills and qualifications needed to thrive as a prior authorization specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

What is the difference between Prior Authorization vs Medical Billing Specialist?

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent, along with knowledge of medical billing and coding. Relevant skills include attention to detail, communication, and familiarity with insurance policies and electronic health record systems. Certification in medical billing or coding can enhance job prospects.

What career paths follow prior authorization?

Careers following prior authorization include roles such as medical billers, claims processors, healthcare administrators, and utilization review specialists. These positions often require knowledge of insurance policies, medical coding, and healthcare regulations, and may involve certifications like CPC or CCS. Advancement can lead to supervisory or managerial roles within healthcare administration or insurance companies.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.
More about Prior Authorization jobs

What are the most commonly searched types of Prior Authorization jobs in Iowa?

The most popular types of Prior Authorization jobs in Iowa are:

What are popular job titles related to Prior Authorization jobs in Iowa?

For Prior Authorization jobs in Iowa, the most frequently searched job titles are:

What job categories do people searching Prior Authorization jobs in Iowa look for?

The top searched job categories for Prior Authorization jobs in Iowa are:

What cities in Iowa are hiring for Prior Authorization jobs?

Cities in Iowa with the most Prior Authorization job openings:

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Iowa as of August 2026, with employment types broken down into 2% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $40,820 per year, or $19.6 per hour.

Prior Authorization Representative

Avera Health

Le Mars, IA • On-site

$16 - $19.25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Job description

Location:
Le Mars, IA
Worker Type:
Regular
Work Shift:
Day Shift (United States of America)
Floyd Valley Healthcare is proud to offer a positive and fulfilling work environment that supports a healthy work-life balance. We understand that our employees have choices, and we strive to be an employer of choice for our team.
Position Highlights
Come join our award-winning team at Floyd Valley Healthcare as a Centralized Authorization Department Representative.
Floyd Valley Healthcare in Le Mars, IA has a full-time Centralized Authorization Representative position (40 hours per week). The ideal candidate will have a degree in the medical field (i.e. RN, LPN, Medical Assistant) and/or medical experience of 2+ years with a strong understanding of medical terminology.
Floyd Valley offers a positive culture that supports a healthy work-life balance. Our Mission is to be a progressive healthcare partner serving with compassion, integrity and excellence.
Responsibilities:
  • Determine eligibility for all applicable payors by obtaining prior authorization from insurers for medical tests, procedures, surgeries and any other prior authorizations required by the patient's insurance carrier or Local Coverage Determination (LCD) if needed.
  • Appropriately document prior authorization and communicate information to performing facility, physician, clinic staff and patient can/or patient's family as necessary.
  • Utilization of electronic medical record to efficiently process required prior authorizations and communication with in the organization.
  • Communication with Nurse Manager and/or RN status of denials and appeals. Assist in the coordination of medical records retrieval to support appeal process.
  • Hours are Monday-Friday, 8:00am-4:30pm.
Requirements:
  • Degree in the medical field and/or 2+ years working in a medical environment.
  • Strong understanding of medical terminology.
  • Knowledge in ICD-10 and CPT is preferred.
  • Previous prior authorization and coding experience is preferred.
  • General computer knowledge is required.
  • Mandatory Reporter training certificate a plus; certification is required as an employee.
We are proud to offer:
  • Student Debt Program
  • IPERS Retirement
  • Medical, Dental, and Vision insurance
  • Flexible Spending Account (FSA)
  • Short-term and Long-term Disability Insurance
  • Life Insurance
  • Fitness Center
  • Paid Time Off
  • Competitive pay based on experience

About Floyd Valley Healthcare:
Floyd Valley Healthcare is a 25-bed critical access hospital and is located in Le Mars, Iowa, home of "The Ice Cream Capital of the World!" Floyd Valley Healthcare has had a rich history of serving the healthcare needs of people in Le Mars, Iowa and the surrounding communities. Today, Floyd Valley includes the hospital, family medicine clinics in Le Mars, Marcus and Remsen, and public health. We serve people in their homes through home health and home medical services. Floyd Valley Healthcare is licensed by the State of Iowa, affiliated with the Avera System of Sioux Falls, South Dakota and is a member of the Iowa and American Hospital Associations.
Pre-employment drug screen, background check, and employee health review including required immunizations are required. FVH participates in E-Verify.
Floyd Valley Healthcare is an Equal Opportunity Employer committed to providing an environment of opportunities to all applicants and employees without regard to race, color, religion, marital status, age, national origin, physical or mental disability, pregnancy, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected by law.
Avera Health logo

About Avera Health

Sourced by ZipRecruiter

Avera Health, based in Sioux Falls, SD, US, is a significant player in the healthcare industry. This notable network of healthcare providers, hospitals, and health facilities serves over a million people across five Midwestern states. The health network was formed with the 1994 partnership of the Benedictine and Presentation Sisters, with its roots in compassionate service dating back to the late 1800s. Renowned for its commitment to providing excellent care and improving the health of individuals and communities, it has made significant strides in the medical field. Notable achievements include consistently high rankings in the top 15% of U.S. hospitals for clinical performance and patient outcomes.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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