Admissions and Authorization Specialist

Paycom - ATS; Mission, Northern (KS, KY); Hybrid; USD 42,000 - 56,000; Full time

Benefits offered by this job

Competitive salary

Health, dental and vision insurance

403(b) retirement plan

Lifestyle Savings Account

Tuition Assistance and Student Loan Re

Job summary

Speare Memorial Hospital seeks an Admissions & Authorization Specialist to support our patient access team. You will help streamline authorization workflows, verify insurance, and submit NOAs, ensuring timely processing and minimizing financial risk for the hospital.

You will review services, obtain documentation, initiate authorizations, and communicate outcomes to clinical and billing staff while maintaining HIPAA compliance and delivering strong customer service.

Qualifications

• 1-2 years healthcare experience.
• Knowledge of insurance authorization workflows.
• Proficiency with EMR systems and payer portals.
• Ability to multitask in a fast-paced environment.
• Strong attention to detail and accuracy.
• Excellent communication and organizational skills.
• HIPAA compliance and confidentiality.

Responsibilities

• Review scheduled services to determine authorization requirements based on payer guidelines.
• Submit timely Notice of Admission (NOA) to CMS and private payers within 24-48 hours.
• Initiate and complete prior authorizations via payer portals, phone, or fax.
• Obtain and verify required clinical documentation to support medical necessity.
• Track and follow up on authorization and NOA status to prevent delays or denials.
• Communicate authorization outcomes to clinical and billing departments.
• Register patients for hospital services and verify demographics.
• Perform real-time insurance eligibility verification and obtain signatures.

Skills

Healthcare experience

Insurance authorizations

EMR systems

Payer portals

Attention to detail

Communication skills

Organizational skills

Multitasking

Independent work

Education

High School Diploma

Associate's degree

Job description

## Description**Job Title: Admissions & Authorization Specialist**We're seeking a detail-oriented and efficient Admissions & Authorization Specialist to join our Patient Access team. In this role, you'll play a crucial part in facilitating financial reimbursement and minimizing the organization's financial risk. Your work will directly support our mission by helping us operate efficiently and sustainably.**About Speare Memorial Hospital**Speare Memorial Hospital is a 25-bed critical access hospital serving dozens of communities in the Lakes Region. We are passionately committed to providing exceptional, local care to our friends, families, neighbors, and communities at large.*Mission*: To work together to serve the needs of our patients and community.*Vision*: A community where all can achieve optimal health.*Values*: Kindness, Collaboration, Patient & Family-Centered, Safety, Excellence, Efficiency, and Professionalism.**What You'll Do:**Authorization & NOA Responsibilities:* Review scheduled services to determine authorization requirements based on payer guidelines* Submit timely Notice of Admission (NOA) to CMS and private payers within the required 24-48 hour regulatory window to avoid reimbursement penalties* Initiate and complete prior authorizations via payer portals, phone, or fax* Obtain and verify required clinical documentation to support medical necessity for both authorization forms and NOA submissions* Track and follow up on authorization and NOA status to prevent delays, denials, or \"untimely filing\" reductions* Communicate authorization outcomes and NOA-related issues to clinical and billing departmentsPatient Access/Registrar Backup Responsibilities:* Greet and direct patients and visitors appropriately* Register patients for hospital services* Verify demographic and insurance information* Perform real-time insurance eligibility verification* Obtain required patient signatures and provide \"Important Message from Medicare\" (IM) or \"Notice of Medicare Non-Coverage\" (NOMNC) where applicableGeneral Responsibilities* Maintain patient confidentiality and HIPAA compliance* Participate in training and continuing education* Support revenue cycle process improvements* Demonstrate strong customer service and professionalism## Qualifications**What We're Looking For:**Required:* High School Diploma* 1-2 years healthcare experience required* Knowledge of insurance authorization workflows* Attention to detail and accuracy* Strong communication and organizational skills* Ability to multitask in a fast-paced environment* Proficiency in EMR systems and payer portals* Ability to work independently and escalate appropriatelyPreferred:* Associate's Degree* Prior authorization Notice of Admission filing, and Meditech experience highly preferred* *Community Connection*: Be part of an organization deeply invested in local health and wellness.* *Collaborative Culture:* Work alongside dedicated professionals who genuinely care about their work and each other.* *Professional Growth:* Opportunities for continuing education and career development.* *Comprehensive Benefits:*+ Competitive salary+ Health, dental and vision insurance+ Health savings accounts with employer contributions+ 403(b) retirement plans with generous employer contributions+ Lifestyle Savings Account reimbursement program+ Tuition Assistance and Student Loan Repayment programs+ Employee recognition and appreciation programs+ Generous Earned Time accrual+ Short-Term & Long-Term Disability+ Life insurance**Our Commitment**Speare Memorial Hospital is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that a diverse workforce strengthens our ability to serve our equally diverse community.Join us in our mission to provide compassionate, high-quality healthcare to our community.