Role Description
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
-
Ensuring timely approvals to support patient access to medications
This position is primarily remote. Limited on-site workspace may be available upon request.
Responsibilities
-
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) β 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!
Benefits
-
Paid time off
-
Parental leave
-
401K matching
-
Employee recognition program
-
Dental and health insurance
-
Paid holidays
-
Short and long-term disability
-
Pet insurance for your four-legged family members
-
Early access to earned wages with Daily Pay
-
Tuition reimbursement to help further your career
-
Adoption assistance to help you grow your family