Community Health, Consulting, Critical Care, Detail Oriented, Documentation, Electronic Medical Records, Family Medicine, Fax Machines, Health Maintenance Organization (HMO), Healthcare Quality, Healthcare Reimbursement, High School Diploma, Hospital, Insurance, Laboratory Management, Medicaid, Medical Imaging, Medical Records, Medicare, Pharmacy, Preferred Provider Organization (PPO), Quality Assurance, Quality Management, Time Management
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Job Type
Full-time
Description
Want to use your insurance and referral expertise to make a real impact in your community? At Konza Prairie Community Health Center, your work helps ensure patients receive timely specialty care and critical diagnostic services.
We are seeking a detail-oriented Prior Authorization Specialist to manage prior authorizations, referrals, and medical record coordination to support continuity of care and accurate reimbursement.
Pay & Schedule
- Competitive starting wage of $16.68+ per hour, based on experience and qualifications.
- Full-time, Monday-Friday - Clinics close at 2:00 pm every Friday.
Responsibilities
- Obtain, process, and track prior authorizations for referrals and diagnostic imaging
- Coordinate with insurance companies, hospitals, and specialty providers
- Close referral loops and follow up on consult notes and results
- Manage incoming lab results, imaging reports, faxes, and medical records within the EMR
- Process pharmacy refill requests and provider communications
- Review records for completeness and retrieve missing documentation
- Participate in quality improvement initiatives
Requirements
- High school diploma or GED required
- Minimum 1 year of EMR experience required
- 2+ years of patient-facing medical experience preferred
- Knowledge of Medicare, Medicaid, HMOs, PPOs, and insurance processes preferred
- Family practice or hospital experience preferred
Benefits at Konza Prairie Community Health Center
- Medical, Dental & Vision Insurance - Comprehensive coverage for you and your family
- Generous PTO - Accrue up to 200 hours (5 weeks) annually
- 403(b) Retirement Plan with Employer Match - Employer contributions to help secure your future
- Employee Healthcare Discounts - Insured employees receive discounts on Konza's in-house medical, dental, and pharmacy services
- Early Friday Closures - Clinics close at 2:00 pm every Friday
Join a team committed to expanding access to quality healthcare and strengthening the well-being of our communities.
Salary Description
$16.68+/hr based on experience
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KONZA PRAIRIE COMMUNITY HEALTH CENTER INC