"Alerted.org

+ Area of Interest: Allied Health

+ FTE/Hours per pay period: 1.0

+ Department: Administration- DM

+ Shift: 40

+ Job ID: 175990

Overview

UnityPoint Clinic

Regional Certified Medical Assistant

West Des Moines, IA (this position can work from home or in office)

Monday-Friday 8AM-5PM

Full-time + benefits

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.   Here are just a few:

+ Expect paid time off, parental leave, 401K matching and an employee recognition program .

+ Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

+ Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family .

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

This role provides medication prior authorization support for assigned clinics in the Des Moines region using the Epic In Basket system. The Certified Medical Assistant (CMA) is responsible for managing prior authorizations from clinic to pharmacy, including processing requests, coordinating with pharmacies and insurance payers, and ensuring timely approvals to support patient access to medications.

This position is primarily remote. Limited on-site workspace may be available upon request.

+ Provide medication prior authorization support for assigned clinics in the Des Moines region using the Epic In Basket system.

+ Manage prior authorizations from clinic to pharmacy, including submission, tracking, approval, denial, and follow-up.

+ Monitor and process Epic In Basket work queues related to medication authorization requests and approvals.

+ Communicate with clinics, pharmacies, and insurance payers to obtain required clinical documentation and approvals.

+ Follow up on pending prior authorizations to prevent delays in patient access to medications.

+ Escalate urgent, complex, or denied authorizations to providers or leadership as appropriate.

+ Perform all duties within Certified Medical Assistant (CMA) certification, competency, and provider delegation.

+ Document all authorization activity, phone calls, and communications in Epic using standardized workflows.

+ Maintain accurate electronic health records in accordance with office policies and compliance standards.

+ Respond to patient questions regarding medication authorization status as directed by providers.

+ Maintain knowledge of medications and related clinical information necessary to support authorization workflows.

+ Comply with all CLIA, OSHA, Safety, Risk Management, Compliance, and HIPAA policies.

+ Demonstrate reliable attendance, strong organization, teamwork, and a commitment to quality and customer service.

+ Perform other duties as assigned by the Clinic Administrator.

Qualifications

+ Previous medical prior authorization and clinic experience highly desired!

+ Valid and current certification in the state of Iowa for Medical Assisting

+ Certified Medical Assistant (CMA) – accredited program with certification (AAMA, NCCT, AMT, NHA, NCMA, NAHP, AAH, ARMA or NHCA)

+ Prior experience in a clinical or outpatient setting preferred

+ Familiarity with EPIC a plus !