Prior Authorization Specialist
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Job Location:
Junction City, KS - USA
Monthly Salary:
Not Disclosed
Posted on:
8 days ago
Vacancies:
1 Vacancy
Job Summary
Konza Prairie Community Health Center is seeking a highly motivated Prior Authorization Specialist to join our team. This position plays a vital role in coordinating patient care by managing all aspects of prior authorizations referrals and medical record correspondence to ensure accuracy timeliness and continuity of care.
Essential Job Functions
- Collaborate with third parties (insurance companies hospitals imaging facilities) to obtain prior authorizations and schedule patient medical services.
- Process maintain and close prior authorization requests.
- Follow up with specialty provider offices and close referral loops upon receipt of consult notes or results.
- Categorize and assign incoming lab and diagnostic imaging results to the appropriate provider.
- Manage refill requests from outside pharmacies and ensure accurate communication with providers.
- Maintain third-party portals for shared medical records to ensure prompt referral closure.
- Prioritize and process referrals based on urgency or provider request.
- Complete prior authorizations for outbound referrals and diagnostic imaging.
- Sort file and manage medical records (admission slips lab/pathology reports operative notes clinic notes discharge summaries) ensuring proper sequencing and compliance.
- Retrieve and track missing medical records as needed.
- Review records for completeness and follow up on missing documentation.
- Manage incoming faxes by categorizing distributing and attaching documents to the correct records.
- Participate in quality improvement activities and other duties as assigned.
- High school diploma or GED required.
- Minimum 1 year of experience with electronic medical records required.
- At least 2 years of face-to-face experience with medical patients preferred.
- At least 4 years of customer service experience preferred.
- Knowledge of healthcare payment methodologies including Medicare Medicaid HMOs PPOs and secondary payers preferred.
- Minimum 1 year of experience in a family practice or hospital setting preferred.
- Completion of a certified medical office training course preferred.
Join our team and be part of a supportive patient-focused environment that values professional growth and collaboration. We offer competitive benefits and opportunities for ongoing development in the healthcare field Heres what you can expect:
- Medical Dental and Vision Coverage: Take advantage of our robust health plans to ensure you and your familys well-being.
- Paid Time Off (PTO): Generous PTO accrual of up to 7.71 hours per pay period for a healthy work-life balance.
- 403(b) Retirement Plan with Employer Match: Secure your financial future with our retirement savings plan complemented by employer contributions.
- Employee Discounts: Insured employees can enjoy exclusive discounts when utilizing Konzas in-house medical dental and pharmacy services.
- Early Friday Closure: Konza clinics close at 2:00 pm every Friday allowing you to kick off your weekend early.
At Konza we are committed to fostering a workplace that values the contributions of every individual. We believe in the power of different perspectives backgrounds and experiences to drive innovation and success. We are an Equal Opportunity Employer and all qualified applicants will be considered without discrimination.
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Medicaid and CHIP renewals are happening now. Be prepared when it’s your turn. Update your contact information, check your mailbox, and explore other healthcare options. New Konza Patients – Click Here High-Quality Care and Service for You and Your Family. Hablamos Español Medical De ... View more
