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Arthritis and Rheumatology Clinics of Kansas

Prior Authorization Specialist

Career Insights for Medical Claims Processor / Representative

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What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$42,624 / year median in Kansas

-4% projected decline

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Job Description

Prior Authorization Specialist Arthritis and Rheumatology Clinics of Kansas - 3.7 Wichita, KS Job Details Full-time $17 - $20 an hour 22 hours ago Benefits Paid holidays 401(k) 3% Match Health insurance Dental insurance 401(k) Paid time off Vision insurance Retirement plan Qualifications Collaborate with healthcare professionals Research Pharmacy technician experience Patient financial aid assistance ICD-10 Pre-authorization review for utilization management Patient interaction Medical terminology Entry level
Full Job Description About Us:
At Arthritis and Rheumatology Clinics of Kansas (ARCK), our mission is to relieve pain and suffering by providing quality, compassionate care efficiently. We focus on accurately diagnosing and treating the underlying causes of symptoms for the best long-term results, supported by the expertise of our rheumatologists. Guided by our core value "We CARE" (Compassion, Acknowledgement, Respond, Efficient), we are dedicated to addressing patients' concerns with empathy, thoroughness, and the latest advancements in rheumatology.
Position Overview:
The Prior Authorization Specialist works in collaboration with clinical staff to ensure that the patient receives medication requiring prior authorization. Initiates prior authorization process upon notification from pharmacy or departmental staff to ensure patient care is not interrupted Researches payer and patient information to facilitate authorization Provides ongoing communication to the healthcare team and patient/family regarding the status of the prior authorization to ensure continuity of care Documents the status of the prior authorization throughout the request process Facilitates financial assistance as needed
Qualifications:
Education and Experience Experience with Insurance company preauthorization process preferred A general understanding of medical necessity and precertification policy requirements is strongly preferred. Understanding of prescription drug dosing strongly preferred. Drug prior authorization experience preferred. Pharmacy Technician experience preferred. Knowledge of ICD-10 and CPT coding and knowledge of medical terminology strongly preferred.
Benefits:
Blue Cross Blue Shield Health Insurance Delta Dental Insurance EyeMed Vision Insurance AFLAC coverage All insurance is effective first of the month following 30 days of service Paid time off (PTO) accrues each payroll with 3 weeks total earned each year 401K plan with 3% safe harbor employer contribution Holiday paid separately from PTO and 6 National Holidays are recognized
Job Type:
Full-time Pay:
$17.00 - $20.00 per hour
Benefits:
401(k) Dental insurance Health insurance Paid time off Retirement plan Vision insurance
Experience:
prior authorization: 1 year (Preferred)
Work Location:
In person