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Prior Authorization Jobs in Iowa (NOW HIRING)

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 ...

UM / Data Entry Tech

Des Moines, IA · On-site

$16.50 - $22.25/hr

Refers unresolved prior authorization process questions to the Lead Intake Specialist. * Assists the Lead Intake Specialist in identifying, planning and implementing staff training programs.

Pharmacy Technician Specialty

Urbandale, IA · On-site

$16.50 - $20/hr

Initiate and coordinate prior authorization requests; follow up with third-party payers. * Collect insurance information, run test claims, and obtain medical records for prior authorizations. * Re ...

Pharmacy Technician Specialty

Urbandale, IA · On-site

$16.50 - $20/hr

Initiate and coordinate prior authorization requests; follow up with third-party payers. * Collect insurance information, run test claims, and obtain medical records for prior authorizations. * Re ...

Pharmacy Technician Specialty

Urbandale, IA · On-site

$16.50 - $20/hr

Initiate and coordinate prior authorization requests; follow up with third-party payers. * Collect insurance information, run test claims, and obtain medical records for prior authorizations. * Re ...

Intake Clinician

Bettendorf, IA · On-site

$33K - $38K/yr

Facilitates intake, admission, and prior authorization process for incoming patients. * Performs insurance benefit verifications, disseminating the information gathered to patients, their families ...

Showing results 21-40

Prior Authorization information

See Iowa salary details

$12

$19

$30

How much do prior authorization jobs pay per hour?

As of Sep 9, 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.

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 cities in Iowa are hiring for Prior Authorization jobs?

Cities in Iowa with the most Prior Authorization job openings:

Infographic showing various Prior Authorization job openings in Iowa as of September 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 100% In-person job distribution, with an average salary of $40,820 per year, or $19.6 per hour.

Pre-Authorization Specialist- Physical Therapy (Full-Time)

Johnston, IA

Iowa Clinic
Health Care and Social Assistance • 501 - 1,000 employees

$17 - $22.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago


The Iowa Clinic rating

7.0

Company rating: 7.0 out of 10

Based on 16 frontline employees who took The Breakroom Quiz


Job description

Looking for a career where you love what you do and who you do it with?

You're in the right place. Healthcare here is different - we're locally owned and led by our physicians, and all decisions arealwaysmade right here in Central Iowa.By working at The Iowa Clinic, you'll get to make a difference while seeing a difference in our workplace. Because as one clinic dedicated to exceptional care, we're committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place.

Think you've got what it takes to join our TIC team? Keep reading...

A day in the life...

Wondering what a day in the life of a Pre-Authorization Specialist at The Iowa Clinic might look like?

What You'll Do:

    • Arrive at work in the morning and enjoystandard clinic hours with no night shifts (8:00-4:30 with a 30-minute lunch).
    • Obtain benefits and insurance prior-authorizations for physical therapy services as needed.
    • Verify insurance benefits and coverage to ensure accurate patient scheduling and authorization requirements are met.
    • Gather required clinical and insurance documentation, submit authorization requests, and follow up to ensure timely approvals.
    • Coordinate with patients, providers, and insurance companies regarding authorization status and scheduling needs.
    • During downtime, provide front desk support, including:
      • Patient check-in and registration
      • Greeting and assisting patients
      • Answering phones and directing calls
      • Scheduling appointments
      • General administrative support to help maintain efficient clinic operations
    • Strive to create The Iowa Clinic Experience with every patient and team interaction.

This job might be for you if you have...

Qualifications

  • High School diploma or equivalent required.
  • Highly organized
  • Excellent communication skills
  • Medical terminology necessary
  • Medical billing/coding experience or pre-authorization experience preferred.
  • Highly motivated to work in a healthcare setting.

Bonus points if...

  • You love exceeding people's expectations
  • You enjoy having fun where you work
  • Finding meaningful connections is what you live for

Know someone else who might be a great fit for this role? Share it with them!

What's in it for you

  • One of the best 401(k) programs in central Iowa, including employer match and profit sharing
  • Employee incentives to share in the Clinic's success
  • Generous PTO accruals and paid holidays
  • Health, dental and vision insurance
  • Quarterly volunteer opportunities through a variety of local nonprofits
  • Training and development programs
  • Opportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night... we could go on and on
  • Monthly departmental celebrations, jeans days and clinic-wide competitions
  • Employee rewards and recognition program
  • Health and wellness program with up to $350/year in incentives
  • Employee feedback surveys
  • All employee meetings, team huddles and transparent communication
Employment Type: Full-Time

What The Iowa Clinic employees say

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