Pre-Authorization Specialist — Flexible Healthcare Role

Exploreholton; Kansas; On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Health

Vision

Life

Retirement Savings with Employer Match

Health Savings Accounts, with Employer

Flexible Spending Accounts, Medical &

Paid Time Off

Employee Assistance Program

Flexible work environment

Job summary

Holton Community Hospital in Holton, KS is seeking a clerical professional to manage pre-registration, insurance verification and prior authorization coordination for outpatient and clinic services.

Responsibilities include screening requests, informing patients of financial liabilities and documenting all information in the system while communicating with patients, insurers and staff to ensure compliant, cost-effective care. Experience preferred is healthcare/billing related.

Responsibilities

• Screen prior-authorization and coordinate specialized services for outpatients, ancillary and clinic services.
• Perform patient pre-registration and insurance verification.
• Identify prior authorization/notification requirements and finalize patient financial information.
• Inform patient/guarantor of all financial liabilities and document information in the appropriate system.
• Communicate with patients, insurance companies and staff as necessary.
• Authorize certain services according to departmental guidelines.

Education

Associate’s degree in Health Information Management

Coding Certificate

technical degree program in healthcare or billing

Job description

Holton Community Hospital in Holton, KS is seeking a clerical professional to manage pre-registration, insurance verification and prior authorization coordination for outpatient and clinic services.

Responsibilities include screening requests, informing patients of financial liabilities and documenting all information in the system while communicating with patients, insurers and staff to ensure compliant, cost-effective care. Experience preferred is healthcare/billing related.