Prior Authorization Specialist (In-House)

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profile Job Location:

Junction City, KS - USA

profile Monthly Salary: Not Disclosed
Posted on: 22 hours ago
Vacancies: 1 Vacancy

Job Summary

Full-time
Description

Want to use your insurance and referral expertise to make a real impact in your community At Konza Prairie Community Health Center your work helps ensure patients receive timely specialty care and critical diagnostic services.


We are seeking a detail-oriented Prior Authorization Specialist to manage prior authorizations referrals and medical record coordination to support continuity of care and accurate reimbursement.


Pay & Schedule

  • Competitive starting wage of $16.68 per hour based on experience and qualifications.
  • Full-time MondayFriday - Clinics close at 2:00 pm every Friday.

In addition to competitive pay full-time employees accrue up to 200 hours (5 weeks) of PTO per year! Enjoy employer retirement match contributions and early Friday clinic closures supporting a strong work-life balance.


Responsibilities

  • Obtain process and track prior authorizations for referrals and diagnostic imaging
  • Coordinate with insurance companies hospitals and specialty providers
  • Close referral loops and follow up on consult notes and results
  • Manage incoming lab results imaging reports faxes and medical records within the EMR
  • Process pharmacy refill requests and provider communications
  • Review records for completeness and retrieve missing documentation
  • Participate in quality improvement initiatives
Requirements
  • High school diploma or GED required
  • Minimum 1 year of EMR experience required
  • 2 years of patient-facing medical experience preferred
  • Knowledge of Medicare Medicaid HMOs PPOs and insurance processes preferred
  • Family practice or hospital experience preferred

Benefits at Konza Prairie Community Health Center

  • Medical Dental & Vision Insurance Comprehensive coverage for you and your family
  • Generous PTO Accrue up to 200 hours (5 weeks) annually
  • 403(b) Retirement Plan with Employer Match Employer contributions to help secure your future
  • Employee Healthcare Discounts Insured employees receive discounts on Konzas in-house medical dental and pharmacy services
  • Early Friday Closures Clinics close at 2:00 pm every Friday

Join a team committed to expanding access to quality healthcare and strengthening the well-being of our communities.

Salary Description
$16.68/hr based on experience

Required Experience:

IC

Full-timeDescriptionWant to use your insurance and referral expertise to make a real impact in your community At Konza Prairie Community Health Center your work helps ensure patients receive timely specialty care and critical diagnostic services.We are seeking a detail-oriented Prior Authorization S...
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Key Skills

  • Abinitio
  • Environmental Safety
  • ICWA
  • Advisory
  • Fleet
  • Art

About Company

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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

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