Prior Authorization Specialist (In-House)

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    "region": "KS",
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    "html_title": "Konza Prairie Community Health Center - Prior Authorization Specialist (In-House)",
    "description_html": "<p>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.</p><p><br></p><p>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.</p><p><br></p><p><strong>Pay &amp; Schedule</strong></p><ul><li>Competitive starting wage of $16.68+ per hour, based on experience and qualifications.</li><li>Full-time, Monday–Friday - <em>Clinics close at 2:00 pm every Friday.</em></li></ul><p><strong>Responsibilities</strong></p><ul><li>Obtain, process, and track prior authorizations for referrals and diagnostic imaging</li><li>Coordinate with insurance companies, hospitals, and specialty providers</li><li>Close referral loops and follow up on consult notes and results</li><li>Manage incoming lab results, imaging reports, faxes, and medical records within the EMR</li><li>Process pharmacy refill requests and provider communications</li><li>Review records for completeness and retrieve missing documentation</li><li>Participate in quality improvement initiatives</li></ul>",
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      "description": "<p>Description</p><p>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.</p><p><br/></p><p>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.</p><p><br/></p><p><strong>Pay & Schedule</strong></p><ul><li>Competitive starting wage of $16.68+ per hour, based on experience and qualifications.</li><li>Full-time, Monday–Friday - <em>Clinics close at 2:00 pm every Friday.</em></li></ul><p><strong>Responsibilities</strong></p><ul><li>Obtain, process, and track prior authorizations for referrals and diagnostic imaging</li><li>Coordinate with insurance companies, hospitals, and specialty providers</li><li>Close referral loops and follow up on consult notes and results</li><li>Manage incoming lab results, imaging reports, faxes, and medical records within the EMR</li><li>Process pharmacy refill requests and provider communications</li><li>Review records for completeness and retrieve missing documentation</li><li>Participate in quality improvement initiatives</li></ul><p>Requirements</p><ul><li>High school diploma or GED required</li><li>Minimum 1 year of EMR experience required</li><li>2+ years of patient-facing medical experience preferred</li><li>Knowledge of Medicare, Medicaid, HMOs, PPOs, and insurance processes preferred</li><li>Family practice or hospital experience preferred</li></ul><p><strong>Benefits at Konza Prairie Community Health Center</strong></p><ul><li><strong>Medical, Dental & Vision Insurance</strong> – Comprehensive coverage for you and your family</li><li><strong>Generous PTO</strong> – Accrue up to 200 hours (5 weeks) annually</li><li><strong>403(b) Retirement Plan with Employer Match</strong> – Employer contributions to help secure your future</li><li><strong>Employee Healthcare Discounts</strong> – Insured employees receive discounts on Konza’s in-house medical, dental, and pharmacy services</li><li><strong>Early Friday Closures</strong> – Clinics close at 2:00 pm every Friday</li></ul><p>Join a team committed to expanding access to quality healthcare and strengthening the well-being of our communities.</p>",
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          "addressRegion": "KS",
          "streetAddress": "361 Grant Avenue",
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    "requirements_text": "High school diploma or GED required\n Minimum 1 year of EMR experience required\n 2+ years of patient-facing medical experience preferred\n Knowledge of Medicare, Medicaid, HMOs, PPOs, and insurance processes preferred\n Family practice or hospital experience preferred\n Benefits at Konza Prairie Community Health Center\n Medical, Dental & Vision Insurance – Comprehensive coverage for you and your family\n Generous PTO – Accrue up to 200 hours (5 weeks) annually\n 403(b) Retirement Plan with Employer Match – Employer contributions to help secure your future\n Employee Healthcare Discounts – Insured employees receive discounts on Konza’s in-house medical, dental, and pharmacy services\n Early Friday Closures – Clinics close at 2:00 pm every Friday\n Join a team committed to expanding access to quality healthcare and strengthening the well-being of our communities."
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