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Prior Authorization Associate Jobs in Kansas (NOW HIRING)

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 ...

Topgolf

Facilities Associate

Wichita, KS

$15.25 - $20.50/hr

Prior experience in a similar role is a plus. BENEFITS Free Play & 1/2 price food! Health, dental ... authorized to work in the U.S.

Topgolf

Facilities Associate

Wichita, KS

$15.25 - $20.50/hr

Prior experience in a similar role is a plus. BENEFITS Free Play & 1/2 price food! Health, dental ... authorized to work in the U.S. Employment Type: PART_TIME

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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 jobs pay 2000 a day?

Jobs that pay around $2,000 a day typically include high-level roles such as specialized medical professionals, senior corporate executives, or certain consulting and legal positions. These roles often require advanced skills, extensive experience, or professional certifications, and may involve high-pressure environments or significant responsibility.

What jobs in the US pay 300,000 a year?

Prior Authorization Associates typically do not earn $300,000 annually, as this salary level is uncommon for roles focused on administrative and insurance authorization tasks. High-paying jobs in the US that reach or exceed this level often include specialized medical professionals, executive roles, or certain technology and finance positions that require advanced skills, certifications, or extensive experience.

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 job makes $10,000 a month without a degree?

A Prior Authorization Associate typically earns between $3,000 and $6,000 per month, so earning $10,000 monthly without a degree is uncommon in this role. High-paying jobs that can reach this level often involve specialized skills, certifications, or experience in fields like sales, real estate, or entrepreneurship. Some self-employed or commission-based roles may also achieve this income without formal degrees.

Is prior authorization a stressful job?

Prior Authorization Associates often work in fast-paced healthcare environments, managing multiple requests and deadlines, which can be stressful. The role requires attention to detail, communication skills, and familiarity with insurance policies, which can contribute to job-related stress levels.

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.
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Prior Authorization Associate jobs near you
Bilingual Patient Access Specialist (English/Spanish)

Bilingual Patient Access Specialist (English/Spanish)

AssistRx

Overland Park, KS • On-site

$19 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

AssistRx rating

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

66th of 206 rated it services

Job description

Job Description: The purpose of this position is to help patients get access to the medications and therapies that they need.

About AssistRx: Voted Top Work Places in Orlando 3 years in a row, AssistRx understands that the key to success is our fantastic team members. AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to specialty therapies transforms lives and is achieved through the powerful combination of our people and technology. Want to know more? Follow us on LinkedIn to find out how our team members are #TransformingLives.

Why Choose AssistRx:

  • Work Hard, Play Hard: 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 a hybrid schedule after 120 days after training. 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!

A Day in the Life as a Bilingual Patient Access Specialist:

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 Bilingual 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
  • Act as a liaison for field representatives, health care providers and patients

Job Details Snapshot:

  • Compensation: $19-22/hr
  • Language Differential: In addition to your base hourly compensation, you will also receive a language skills differential of $2 per hour. This differential is pending a passing score on the certification test.
  • Location(s): 495 N. Keller Road, Maitland, FL 32751
    4551 W. 107th Street Suite 210, Overland Park, Kansas 66207
    9400 Southpark Center Loop, Orland, Florida 32819
  • Hybrid Opportunity: The opportunity to transition to a hybrid schedule will be made available after 120 days upon goals and quotas being met at the discretion of the manager.

Requirements

Qualifications to be a Bilingual Patient Access Specialist:

  • In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage
  • 2 to 3 years of benefit investigation involving the analysis and interpretation of insurance coverage
  • 2 to 3 years of experience interacting with healthcare providers in regard to health insurance plan requirements
  • Bilingual in both English and Spanish
  • Excellent verbal communication skills and grammar
  • Salesforce system experience preferred

Benefits

Want to learn more about what employee benefits AssistRx offers? Here are some additional benefits that our employees enjoy!

  • Medical, dental, vision, life, & short-term disability insurance
  • Teledoc services for those enrolled in medical insurance
  • Supportive, progressive, fast-paced environment
  • Competitive pay structure
  • Matching 401(k) with immediate vesting
  • Legal insurance

Wondering how we recognize our employees for delivering best in class results? Here are some of the awards that our employees receive throughout the year!

  • #TransformingLives Honor: This quarterly award program is a peer to peer honor that recognizes and highlights some of the amazing ways that our team members are transforming lives for patients on a daily basis.
  • Values Award: This quarterly award program recognizes individuals who exhibit one, or many, of our core company values; Excellence, Winning, Respect, Inspiration, and Teamwork.
  • Vision Award: This annual award program recognizes an individual who has gone above and beyond to support the AssistRx vision to transform lives through access to therapy.

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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