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Prior Authorization Associate Jobs in Kansas (NOW HIRING)

AssistRx

Patient Access Specialist

Overland Park, KS · On-site

$17 - $22.75/hr

Many associates earn the opportunity to work from home after 120 days. Enjoy a flexible and ... This position also provides support for Prior Authorizations (PA) for an assigned caseload and ...

Oral Surgery Partners

Patient Coordinator

Lenexa, KS

$16 - $21.25/hr

Oral & Facial Surgery Associates Location: 12208 W. 87th Street Pkwy Suite 150, Lenexa, KS 66215 US ... Verify patient insurance information and manage prior authorization processes. * Handle billing and ...

Oral Surgery Partners

Patient Coordinator

Lenexa, KS · On-site

$16 - $21.25/hr

Oral & Facial Surgery Associates Location: 12208 W. 87th Street Pkwy Suite 150, Lenexa, KS 66215 US ... Verify patient insurance information and manage prior authorization processes. * Handle billing and ...

Ascension

Patient Access Representative

Manhattan, KS

$15.25 - $19.50/hr

... and prior authorizations to ensure seamless coverage. * Counsel patients on pre-service ... We empower our 97,000+ associates to bring their skills and expertise every day to reimagining ...

Community Health Center (CT)

$56K - $78K/yr

... prior authorization request, progress notes, treatment plan documentation, and discharge ... required current Associate license (MLSW, PC-A, MFT-A) with ability to obtain full clinical ...

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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:
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Prior Authorization Associate jobs near you
Patient Access Specialist

Patient Access Specialist

AssistRx

Overland Park, KS • On-site

$17 - $22.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

AssistRx rating

7.2

Company rating: 7.2 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

138th of 230 rated it services

Job description

AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to therapy transforms lives and is achieved through the powerful combination of our people and technology. We leverage advanced custom software, data analytics, and a patient-centered approach to transform medication management into a seamless and efficient process.
***VOTED one of Orlando's BEST PLACES TO WORK two years in a row***
****WORK FROM HOME AVAILABLE AFTER 120 DAYS****
Job Details Snapshot
  • Location(s): 4500 W 107th St, Overland Park, KS 66207
  • Work from home: The opportunity to work from home will be made available after 120 days upon goals and quotas being met at the discretion of the manager.
  • Visit our Website: https://www.assistrx.com/

Why Choose AssistRx:
  • Competitive Compensation: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary. Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary.
  • Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications.
  • Flexible Culture: Many associates earn the opportunity to work from home after 120 days. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives.
  • Career Growth: We prioritize a "promote from within mentality". We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization.
  • Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry.
  • Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. Tell your friends about us! If hired, receive a $750 referral bonus!

The purpose of this position is to help patients get access to the medications and therapies that they need. This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications.
  • Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality
  • Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers
  • Verify patient specific benefits and document specifics including coverage, cost share and access/provider options
  • Identify any coverage restrictions and details on how to expedite patient access
  • Document and initiate prior authorization process and claims appeals
  • Report any reimbursement trends or delays in coverage to management

Requirements
  • In-depth understanding and experience with Buy & Bill, Major Medical & Pharmacy Benefit Coverage.
  • 2 to 5 years of benefit investigation involving the analysis and interpretation of insurance coverage
  • 3 to 5 years of experience interacting with healthcare providers in regard to health insurance plan requirements
  • Excellent verbal communication skills and grammar
  • Computer literacy/competence
  • Salesforce system experience preferred

Benefits
  • Supportive, progressive, fast-paced environment
  • Competitive pay structure
  • Matching 401(k) with immediate vesting
  • Medical, dental, vision, life, & short-term disability insurance

AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.
All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position.
AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire

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