Prior Authorization & Billing Support Specialist

Clay Center Kansas; Clay Center (KS); On-site; USD 42,000 - 62,000; Full time

Job summary

Clay Center Kansas is seeking a Prior Authorization Representative to review scheduled patient services for required prior authorizations and secure approvals. This role supports insurance billing and posting while ensuring payer contract compliance and HIPAA standards.

Responsibilities include identifying services needing authorization, collaborating with clinical staff and payers, and maintaining accurate account activity.

Qualifications

• High school diploma or GED required.
• Associate’s degree or equivalent coursework preferred.
• Minimum 1 year of healthcare financial services, registration, or related experience.
• Typing speed of 30 WPM or greater preferred.

Responsibilities

• Deliver professional, courteous service to patients, staff, and external partners.
• Handle inquiries and concerns with discretion, diplomacy, and confidentiality.
• Maintain a positive demeanor in high-pressure situations.
• Identify services requiring prior authorization and obtain timely approvals.
• Assist with billing, posting, and resolution of unbilled encounters.
• Identify and report billing issues, system errors, or process gaps to management.

Skills

Customer service

Communication

Prioritization

Basic math

Typing

Microsoft Office

Education

High School Diploma or GED

Associate’s Degree or equivalent coursework

1 year healthcare financial services experience

Tools

Word processing

Spreadsheets

Patient accounting systems

Email

Internet applications

Job description

Clay Center Kansas is seeking a Prior Authorization Representative to review scheduled patient services for required prior authorizations and secure approvals. This role supports insurance billing and posting while ensuring payer contract compliance and HIPAA standards.

Responsibilities include identifying services needing authorization, collaborating with clinical staff and payers, and maintaining accurate account activity.