Prior Authorization, Centralized Scheduler

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🔥 0 minutes ago

🌪️ Kansas – Remote

🌪️ Kansas – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Amberwell Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1912

🏥 Healthcare

Healthcare

Amberwell Health is an integrated regional healthcare system based in northeast Kansas that operates hospitals, clinics, and a range of clinical services aimed at sustaining and strengthening rural healthcare organizations. Amberwell provides emergency and inpatient care, primary care, maternal care, orthopedics and sports medicine, surgical care, radiology and imaging, pharmacy, rehabilitation, occupational health, and home health services across multiple locations (Atchison, Hiawatha, Lansing, Horton, Troy, and others). The organization runs community education, patient portal and billing services, and a foundation to support its mission.

📋 Description

• Schedule patients and coordinate centralized scheduling • Obtain and verify prior authorizations • Create estimates of services • Conduct financial conversations with patients and/or guardians • Assist patients, guardians, and provider offices courteously and professionally • Ensure accuracy and integrity of patient information and test orders • Coordinate with physicians, nurses, staff, patients, and medical departments • Confirm appointments, prior authorizations, and medical orders • Validate prior authorization CPT codes against ordered tests and troubleshoot discrepancies • Verify medical necessity and obtain procedure-related diagnoses • Assign diagnosis codes using a computerized encoding system • Enter codes into medical necessity software to obtain approval • Contact providers to validate or obtain additional diagnoses • Create and process Advanced Beneficiary Notices when applicable • Verify insurance benefits, copays, deductibles, and coinsurance • Inform patients or departments of financial responsibilities • Direct patients to Financial Counselors for payment arrangements or financial assistance • Troubleshoot computer-system issues and perform table maintenance if designated as a Super User • Maintain confidentiality and protect sensitive data • Provide exceptional customer service • Perform other duties within the Patient Financial Services department as requested

🎯 Requirements

• High school education level is listed • Minimum required experience in a health care office setting and/or customer service • Certified Medical Assistant or similar degree with experience • Ability to work independently and as a member of a team • Ability to understand and follow safe work practices • Ability to follow Amberwell procedures and established policies • Knowledge of cultural diversity • Communication skills necessary to interact effectively with patients, families, customers, physicians, nurses, staff, and medical departments • Ability to maintain confidentiality and protect sensitive data • Preferred: 2+ years of experience • Preferred: Certified Medical Assistant certification

🏖️ Benefits

• Full-time employment • 8-hour day shift • No travel required • Employee appreciation events and activities • Professional environment focused on consistency, collaboration, and patient-first decision making • Servant leadership modeled and mentored • Regular appreciation