**Location:** Sioux Center, IA **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) Sioux Center Health is seeking a qualified individual to join our team! Sioux Center Health has been designated a Top 100 Critical Access Hospital by The Chartis Center for Rural Health, awarded a Top Workplace honor by The Des Moines Register, and won Best of the Northwest in 12 healthcare categories. Sioux County also ranked #6 in the nation for being one of the Healthiest Communities according to U.S. News & World Report and CVS. There’s a reason we are a recognized healthcare leader. **Position Highlights** **Summary** + The Preadmissions Representative is responsible for determining eligibility for all applicable payors by facilitating and overseeing Local Coverage Determinations (LCDs) as well as obtaining timely prior authorization from insurers for medical tests, procedures, surgeries and specialty appointments ordered by the provider. **General Hours of Work** + Monday through Friday, call-in extra as needed **Education and/or Experience** + Knowledge in ICD-10 and CPT coding preferred. Minimum of 2 years of healthcare experience and/or coding certification is recommended. General computer knowledge required. Bi-lingual experience preferred but not required. **Essential Functions** + Determines eligibility for all applicable payors by obtaining prior authorizations 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 documents prior authorization and communicates information to performing facility, physician, clinic staff and patient and/or patient’s family as necessary. + Obtains information (including written or verbal physician orders) from physician offices for scheduling tests, procedures and admissions in an accurate, timely and sequential manner. + Demonstrates good rapport, continual education updates and cooperative working relationships with physician office staff, all hospital departments, physicians and co-workers. + Provides timely information to the supervisor regarding the prior authorization process, staffing, customer service (physician office staff, all hospital departments, physicians and co-workers). + Serves as a resource to assist non-licensed staff in problem solving, medical necessity, non-covered service and medical terminology. + Assists with collection, sharing and maintenance of records and orders per Sioux Center Health guidelines. + Demonstrates technological knowledge and skills sufficient to integrate the use of health care technology and/or information management systems as it pertains to prior authorizations. + General clerical duties to include, but not limited to ordering supplies, making copies, faxing documents, greeting, answering/ monitoring phones, making appointments, relaying messages. + Performs other duties and responsibilities as assigned. At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward. 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 605-504-4444. Additional Notices: For TTY, dial 711 Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.