Description
**Join the team at Lakes Regional Healthcare!**
**Award Winning Health Care:** We take our work seriously and are proud to be in the Top 100 Rural and Community Hospital by iVantage Health Analytics and Chartis Center for Rural Health since 2019, in the Top 20 Rural and Community Hospital by the National Rural Health Association, to earn the Outstanding Patient Experience Award 2022 by Healthgrades, and the list goes on.
**Culture:** Be a part of a multi-disciplinary team built on Compassion, Hospitality, and Stewardship, and the mission of improving the health and well-being of people in the Iowa Great Lakes region.
**Position Highlights:**
**Paid Time Off (PTO) available on Day 1!**
**Positive Work Environment:** Be part of an organization where we practice our mission & values in our daily operations and demonstrate our pride by delivering excellent care.
**Lake Regional Healthcare is currently seeking a Pre-Authorization RN to deliver the best possible service promoting the aid of LRH's Central Scheduling Team and LRH.**
**SUMMARY:**
Pre-Authorization RN will coordinate with Pre-Registration and Scheduling staff in order to complete prior authorization for all services and procedures in an accurate, timely and sequential manner. Maintains overall responsibility for assuring receipt and processing of provider orders by Pre-Registration staff. Ensures that all supporting documentation is available and shared with payers to expedite authorizations. Coordinates with providers or nurse manager to ensure treatment/services meet medical necessity criteria. Processes appeals for claim denials due to the authorization process.
**EDUCATION and EXPERIENCE:**
RN degree required. Knowledge of medical terminology, clinical interpretations, regulatory standards and compliance requirements preferred. Knowledge of medical coding and billing procedures preferred. Minimum 2-4 years of nursing or pre-authorization experience.
The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at.
Additional Notices:
For TTY, dial 711
Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
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