Healthcare Prior Authorization Specialist

Kansas Gastroenterology; Wichita (KS); On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

Kansas Gastroenterology in Wichita, KS seeks a dedicated Prior Authorization Specialist to manage the full authorization workflow for procedures and tests. You will collect documents, contact patients when needed, and ensure timely submission of pre-certifications and determinations.

The role requires knowledge of billing, insurance policies, and EMR systems, with strong communication and organizational skills to support our clinical operations in a busy office.

Qualifications

• High School graduate required.
• Clinical knowledge of insurance and terminology.
• Experience with billing and insurance processes.

Responsibilities

• Manage all aspects of the prior authorization process.
• Collect necessary documentation and contact patients for additional information.
• Submit required prior authorizations for procedures and tests ordered by providers.
• Enter referrals/authorizations into the EMR and document benefit details.
• Communicate status of prior authorizations with staff as needed.
• Verify benefits and obtain pre-payments when required prior to procedures.

Skills

Billing knowledge

Communication skills

Organizational skills

Calm under pressure

Education

High School Diploma

Tools

EMR software

Job description

Kansas Gastroenterology in Wichita, KS seeks a dedicated Prior Authorization Specialist to manage the full authorization workflow for procedures and tests. You will collect documents, contact patients when needed, and ensure timely submission of pre-certifications and determinations.

The role requires knowledge of billing, insurance policies, and EMR systems, with strong communication and organizational skills to support our clinical operations in a busy office.