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Prior Authorization Associate Jobs in Kansas (NOW HIRING)

Adecco

Pharmacist Pipeline Wichita KS

Wichita, KS · On-site +1

$52 - $54.70/hr

... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

Adecco

Pharmacist Pipeline Kansas City KS

Kansas City, KS · On-site +1

$58 - $60.75/hr

... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

Adecco

Pharmacist Pipeline Lawrence KS

Lawrence, KS · On-site +1

$52 - $54.70/hr

... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

Adecco

Pharm Tech Pipeline Lawrence KS

Lawrence, KS · Remote

$18 - $20.70/hr

Respond to Prior Authorization Requests: Answer inbound calls (up to 50 to 70 calls per day) from ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

Adecco

Pharm Tech Pipeline Wichita KS

Wichita, KS · Remote

$18 - $20.70/hr

Respond to Prior Authorization Requests: Answer inbound calls (up to 50 to 70 calls per day) from ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

Adecco

Pharm Tech Pipeline Kansas City KS

Kansas City, KS · Remote

$18 - $20.70/hr

Respond to Prior Authorization Requests: Answer inbound calls (up to 50 to 70 calls per day) from ... In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other ...

NMC Health

Surgery Scheduler Assistant

Newton, KS

$16.50 - $21.25/hr

Associate Degree or greater preferred * Physician office experience including coding and prior authorization preferred * Surgical scheduling experience preferred Experience: * 1-2 years of relevant ...

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Prior Authorization Associate information

What is the difference between Prior Authorization Associate vs Medical Billing Specialist?

AspectPrior Authorization AssociateMedical Billing Specialist
CredentialsHigh school diploma or equivalent; certification in medical billing or coding often preferredHigh school diploma or equivalent; certification in medical billing or coding often preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsHealthcare offices, billing companies, hospitals
Primary ResponsibilitiesObtain prior authorizations from insurance for procedures and treatmentsProcess and submit medical claims, handle billing and payments

The main difference is that a Prior Authorization Associate focuses on securing insurance approvals before procedures, while a Medical Billing Specialist manages the billing process after services are rendered. Both roles require similar credentials and often work in healthcare settings, but their core functions differ in the patient care and revenue cycle process.

What are the key skills and qualifications needed to thrive as a Prior Authorization Associate, and why are they important?

To thrive as a Prior Authorization Associate, you need a strong understanding of medical terminology, insurance processes, and prior authorization requirements, often backed by a high school diploma or associate degree. Familiarity with healthcare management software, electronic health record (EHR) systems, and payer portals is typically required. Excellent attention to detail, organizational skills, and effective communication are essential soft skills for this role. These skills ensure timely and accurate processing of prior authorizations, minimizing delays in patient care and supporting efficient healthcare operations.

What are Prior Authorization Associates?

Prior Authorization Associates are professionals who handle the process of obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. They review clinical documentation, communicate with healthcare providers and insurers, and ensure all necessary information is submitted for timely authorization. Their work helps reduce claim denials and ensures patients receive the care they need while adhering to insurance requirements.

What are some common challenges faced by a Prior Authorization Associate, and how can they be effectively managed?

Prior Authorization Associates often encounter challenges such as navigating complex insurance requirements, handling high volumes of authorization requests, and managing tight turnaround times. Staying organized, keeping up-to-date with payer policies, and using robust tracking systems can help manage these difficulties. Collaborating closely with clinical staff and insurance representatives is also essential for resolving issues quickly and ensuring approvals are processed efficiently. Developing strong communication and problem-solving skills is key to success in this role.
What are the most commonly searched types of Prior Authorization jobs in Kansas? The most popular types of Prior Authorization jobs in Kansas are:
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What job categories do people searching Prior Authorization Associate jobs in Kansas look for? The top searched job categories for Prior Authorization Associate jobs in Kansas are:
What cities in Kansas are hiring for Prior Authorization Associate jobs? Cities in Kansas with the most Prior Authorization Associate job openings:
Prior Authorization Associate jobs near you
Admissions - Prior Authorization Clerk FT Days

Admissions - Prior Authorization Clerk FT Days

Coffeyville Regional Medical Center

Coffeyville, KS • On-site

$14.75 - $17.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago

Coffeyville Regional Medical Center rating

4.3

Company rating: 4.3 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

995th of 1,022 rated hospitals

Job description

Coffeyville Regional Medical Center, or "CRMC", is a 25-bed, non-profit, critical access hospital serving Southeast Kansas and Northeast Oklahoma since 1949. As a rural hospital, CRMC is surprising because of its large size and wide variety of services. Although we can provide many of the same services you will find in a big city, we take great pride in our friendly and caring staff.
The Prior Authorization Clerk performs all tasks necessary for processing insurance pre authorizations while providing the highest level of service.
JOB DUTIES:
  • Collect all necessary documentation to perform proper authorizations
  • Verify prior authorization and/or pre-service requirements are met
  • Manage and maintain all outstanding authorizations accounts to increase billing of clean claims
  • Research patient accounts due to invalid and/or missing authorization information to resolve denials
  • Document eligibility, benefit and authorization information in accordance with established guidelines
  • Contact the patient or provider, as needed, for additional information and completion of required documentation to obtain prior authorization
  • Interact with providers, patients, insurance companies and others as necessary to request prior authorizations
  • Document account activity; update patient and claim information; and demonstrate proficiencies within the billing system for efficient processing of claims
  • Maintain confidentiality of all information according to HIPAA and company policy

The Prior Authorization Clerk assumes other responsibilities as assigned.
JOB REQUIREMENTS:
  • Analytical ability to apply criteria and evaluate information to make decisions
  • Strong verbal and written communication skills; and excellent interpersonal skills in teaming with patients, medical staff and the public
  • Detail oriented with proven ability to multitask
  • Computer skills including MSOffice, Outlook, Meditech, preferred

EDUCATION AND EXPERIENCE:
  • H.S. Diploma, G.E.D. or equivalent work experience in field, required
  • Medical billing certification, preferred
  • 1-2 years' experience in medical billing or insurance claims, preferred

CRMC BENEFITS OVERVIEW
Our comprehensive compensation plan includes, the following benefits.
  • Generous paid time off
  • Medical/Dental/Vision
  • Kansas Public Employees Retirement System (KPERS)
  • 403B Retirement Savings
  • Additional Voluntary Insurance
  • Federal Student Loan Public Service Loan Forgiveness Eligible Employer
  • Voluntary Short Term Disability
  • Employee Assistant Program
  • Free Indoor Walking Track & Gym

We are excited to learn about you and hope you join us on a shared mission serving every generation with patient centered, compassionate care. Please take a moment to visit our website http://https://www.crmcinc.org/ to learn how we make an impact through collaboration, innovation, and stewardship.
Coffeyville Regional Medical Center is an Equal Opportunity Employer. We are committed to creating a diverse environment. We believe that diversity and inclusion among our associates is critical to our success. All qualified applicants will receive consideration of employment without regard to race, color, religion, gender, gender identify, sexual orientation, national origin, genetics, disability, age, or veteran status. If you need assistance or a reasonable accommodation, please contact Human Resources at HR@crmcinc.org or 620-252-1662.

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