Job Details
Job Location: PRIMARY - ELLSWORTH, KS 67439
Position Type: Full Time
Job Shift: Day Shift
Join a team that’s making a difference!
Ellsworth County Medical Center (ECMC) is looking for a detail-oriented and patient-focused Prior Authorization & Financial Counselor to join our team. If you thrive in a collaborative environment, enjoy helping patients navigate their financial and insurance responsibilities, and want to grow your career in a supportive workplace—this is the opportunity for you!
Compensation: $15.07-$25.00/hr based on experience
Why ECMC?
We’re not just a hospital—we’re a close-knit team committed to Improving Lives. As a 19-bed critical access hospital with four Rural Health Clinics in North Central Kansas, we provide top-quality care with a personal touch. At ECMC, you’re more than an employee—you’re family.
What You’ll Do
- Be a patient advocate—helping patients understand their financial responsibilities and available payment alternatives.
- Ensure accuracy in patient records, including demographics, insurance coverage, responsible guarantors, and registration details.
- Provide financial education to clarify out-of-pocket expenses and assist patients with financial assistance programs, payment alternatives, and marketplace insurance options.
- Manage prior authorizations by obtaining insurance approvals for prescribed treatments, services, and medications.
- Work closely with providers and insurance companies to ensure timely and accurate processing of prior authorization requests.
- Handle denials and appeals by troubleshooting authorization issues and working with insurance companies to resolve them.
- Maintain organized records of authorizations, approvals, and denials to ensure compliance with insurance guidelines and regulatory requirements.
- Collaborate across departments, including billing and medical coding, to ensure seamless insurance claims processing.
Why You’ll Love Working Here
- Work-Life Balance: Enjoy flexible scheduling in a patient-centered environment.
- Competitive Pay: Based on experience.
- Growth & Learning: Access educational opportunities to expand your expertise.
- Comprehensive Benefits:
- Health, dental, vision, and life insurance
- Paid Time Off (PTO) + Extended Illness Benefit
- Retirement plans with employer contributions
- Wellness Center membership (because your health matters too!)
- Supportive Team Culture: Work with people who genuinely care about each other and their community.
Is This You?
- You’re detail-oriented, organized, and passionate about helping patients.
- You thrive in a collaborative, fast-paced healthcare environment.
- You have strong knowledge of insurance procedures, medical terminology, and financial counseling.
- You’re a problem solver who enjoys working through insurance approvals and denials.
About Ellsworth County
In Ellsworth County, Kansas, you’ll find a perfect blend of tranquility and opportunity. Whether you enjoy scenic trails, outdoor recreation, or a close-knit community, this is a place to live, work, and thrive. Thinking about relocating? We offer community ambassador tours and spousal employment assistance to make your transition seamless.
Qualifications
Education
- High School Diploma is required; associate degree or the equivalent combination of education and experience is preferred.
Experience
- Minimum 1 year office experience required; experience specifically in high volume data entry, customer service call center, healthcare office, or hospital administration is preferred; insurance verification and medical billing/coding experience preferred.
Preferred Skills
- Knowledge of medical terminology and/or coding.
- Strong knowledge of network resources for referral and linkage to member and provider needs.
- Excellent customer service skills.
- Ability to prioritize workload, requests, turnaround timeframes, and communication with patients and providers.
- Excellent interpersonal skills and professionalism.
- Strong attention to detail.
- Excellent verbal and written communication skills with ability to explain diverse technical problems in easy-to-understand language.
- Strong independent problem solving and ability to make sound decisions.
Certifications/Registrations