Prior Authorization Specialist - Day Shift

HCA Healthcare; Overland Park (KS); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) match

Tuition assistance

Paid time off

Job summary

Kansas City Vascular & Gen Surgery, part of HCA Healthcare, is hiring an Authorization Coordinator for a full-time, Monday–Friday day shift with no nights, no weekends, and no on-call. You will manage prior authorizations, collect medical information, and coordinate with the referral team to secure approvals for procedures and tests.

Ideal candidates have at least one year of experience with insurance verification or Medicare benefits and are proficient with payor portals.

Qualifications

• High School Diploma or GED required.
• One year of related experience with medical insurance plans and/or Medicare benefits verification required.
• One-year medical clinic, urgent care, or hospital care setting experience preferred.
• Prior Authorization Experience Preferred.

Responsibilities

• Review and complete prior authorizations to ensure timeliness of appointments and claims filing.
• Obtain clinical information necessary to complete the Prior Authorization, including history and labs.
• Submit authorization requests in a timely manner and ensure documentation is entered into the billing system.
• Track status of prior authorizations via payor portals.
• Review denied claims for clinical accuracy and resubmit as needed.
• Communicate with insurance companies to pre-certify/authorize services.

Skills

Customer service

Communication

Attention to detail

Education

High School Diploma or GED equivalent

Job description

Kansas City Vascular & Gen Surgery, part of HCA Healthcare, is hiring an Authorization Coordinator for a full-time, Monday–Friday day shift with no nights, no weekends, and no on-call. You will manage prior authorizations, collect medical information, and coordinate with the referral team to secure approvals for procedures and tests.

Ideal candidates have at least one year of experience with insurance verification or Medicare benefits and are proficient with payor portals.