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Prior Authorization Jobs in Iowa (NOW HIRING)

Accenture

Health Provider Revenue Cycle Manager

Des Moines, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment ...

Vera French

Certified Medical Assistant

Davenport, IA

$14 - $18.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Submit authorizations for drug refills to the pharmacy as directed and complete drug prior authorization forms as needed * Prepare samples and document in record; contact patient as directed

QuickVisit Urgent Care

Remote Receptionist (PRN)

Alleman, IA · On-site +1

$15 - $19.75/hr

Completes prior authorizations as needed for referrals * Contacts patients regarding upcoming or missed appointments * Answers and triages phone calls from patients * Utilizes EMR functionality to ...

Walgreens

Specialty Billing Technician

Iowa City, IA · On-site

$20.25 - $26/hr

Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens locations, and proactively identifying copay assistance opportunities. * Responsible for ...

Family Access Center

Behavioral Health Biller

Sioux City, IA · On-site

$22 - $28/hr

  • Medical

  • Life

  • Retirement

  • PTO

Investigate the root causes of claim denials (e.g., prior authorization issues, coordination of benefits, coding errors) and submit formal appeals with necessary medical documentation. * Payment ...

Family Access Center

Behavioral Health Biller

Sioux City, IA · On-site

$22/hr

  • Medical

  • Life

  • Retirement

  • PTO

Investigate the root causes of claim denials (e.g., prior authorization issues, coordination of benefits, coding errors) and submit formal appeals with necessary medical documentation. * Payment ...

Family Access Center

Behavioral Health Biller

Sioux City, IA

$22 - $28/hr

  • Medical

  • Life

  • Retirement

  • PTO

Investigate the root causes of claim denials (e.g., prior authorization issues, coordination of benefits, coding errors) and submit formal appeals with necessary medical documentation. * Payment ...

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Showing results 41-60

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 19, 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.

Field Reimbursement Manager (Great Plains Region)

Axsome Therapeutics

Des Moines, IA • On-site

$130K - $170K/yr

Full-time

Re-posted 2 days ago

Job description

Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain's biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X.
About This Role
Axsome Therapeutics is seeking a a dynamic and skilled Field Reimbursement Manager (FRM). This field-based role will collaborate with internal and external stakeholders to eliminate access barriers, educate on prior authorization processes, and address roadblocks for eligible patients while enhancing conversion rates and treatment adherence.
The Field Reimbursement Manager will have responsibilities at a territory level and exhibit business knowledge of the local landscape. This is a field-based role and candidates must in their assigned geography.
Job Responsibilities and Duties include, but are not limited to, the following:
  • Educate customers and staff regarding payer policies and processes supporting patient access (i.e., eligibility and benefit verification, prior authorization, and appeals/denials)
  • Ability to develop strong relationships with customers by understanding their needs and delivering solutions to overcome obstacles
  • Expert on Axsome Therapeutics patient support programs, payer utilization management, access issue resolution, and financial assistance
  • Collaborate effectively with Managed Markets and Sales to address challenges and opportunities with patient access
  • Assist in educating sales colleagues on product access and patient support programs, as needed
  • Develop and keep updated knowledge of the local and national payer landscape
  • Proficient in both virtual and live customer engagements
  • Communicate territory activity in an accurate and timely manner as directed by management
  • Overnight travel as indicated by the needs of the business
  • All reimbursement activities must be conducted and managed within all appropriate legal and regulatory guidelines and require continuous monitoring of compliance with such guidelines and laws
  • Additional responsibilities as assigned

Requirements / Qualifications
  • Bachelor's Degree required; graduate degree preferred
  • Minimum of 8 years of healthcare, field customer, and/or account management experience in the pharmaceutical industry with a minimum of 2 years as an FRM or RAM working specifically with retail medications (preferably with neurology experience)
  • Must live in the territory's geography
  • Ability to travel up to 50-75% required, which may include overnight travel

Experience, Knowledge and Skills
  • Current or recent CNS experience strongly preferred
  • Experience and expertise working with multiple cross-functional teams
  • Previous experience working in an entrepreneurial environment with launch experience is preferred
  • Pharmacy benefit knowledge required, identifying, and educating to payer criteria for prior authorization
  • Knowledge and understanding of payer segments (e.g., Commercial, Medicare Part D) required
  • Ability to successfully manage multiple tasks concurrently under aggressive timelines in a dynamic environment
  • Demonstrated experience delivering outstanding results
  • Ability to work independently, manage travel schedules, and schedule visits (territory management)
  • Proficient in both virtual and live customer engagements

Salary & Benefits
The anticipated salary range for this role is $130,000 - $170,000. We encourage candidates of all levels to apply as there may be flexibility on final job title and responsibilities. The salary offer will be based on a variety of factors, including experience, qualifications, internal equity and location. Axsome offers a competitive employment package that includes an annual bonus, significant equity and a generous benefits package.
Axsome is committed to equal employment opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities. We value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, sexual orientation, gender identity, ancestry, citizenship, marital status, physical or mental disability, medical condition, veteran status, genetic information, or any other characteristic protected by federal, state, or local law.
Axsome Therapeutics does not accept unsolicited resumes from recruiters or third-party recruitment agencies and will not pay placement fees for unsolicited candidates that are sent to hiring managers, the HR team or other Axsome team members. Only approved vendors who have been explicitly asked to support a specific search will receive access to our Applicant Tracking System to submit candidates for consideration.

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