University Health KC
OMFS Prior Authorization Specialist
University Health KC, Kansas City, Missouri, United States, 64101
Job Title
OMFS Prior Authorization Specialist
Company University Health KC
Job Location 101 Truman Medical Center, University Health 4 (UH4), Kansas City, Missouri
Position Type Full time
Work Schedule 7:00 AM – 3:30 PM
Hours Per Week 40
Job Description The Oral Surgery Utilization Specialist is responsible for correctly and efficiently facilitating the prior authorization and scheduling process for Oral Maxillofacial Surgery patients, ensuring that authorization is obtained. The role communicates financial responsibility to the clinic scheduler and front desk personnel as needed, verifies Medicaid and other commercial insurance information, facilitates flow of information between provider, insurance company, and patient, documents pertinent information in the appointment area of the order, and performs clerical work using various applications.
Minimum Requirements
High school diploma or equivalent.
Experience in healthcare insurance verification and billing protocols.
Two years of face-to-face and/or customer service experience or equivalent field.
Working knowledge of medical terminology, CPT codes, and ICD10 codes.
Working knowledge of Microsoft Office products.
Typing speed of 30 words per minute.
Strong communication and customer service skills to gather and exchange information with patients, families, hospital staff, physicians, and third‑party payers.
Ability to work and think independently, handle sensitive information with discretion, pay attention to detail, and manage multi‑tasking and changing priorities.
Preferred Qualifications Experience in authorization of outpatient procedures. Coursework in medical terminology and coding.
Internal Application Instructions If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site. Please log into myWORKDAY to search for positions and apply.
Seniority Level Entry level
Employment Type Full-time
Job Function Other
Industries Hospitals and Health Care
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Company University Health KC
Job Location 101 Truman Medical Center, University Health 4 (UH4), Kansas City, Missouri
Position Type Full time
Work Schedule 7:00 AM – 3:30 PM
Hours Per Week 40
Job Description The Oral Surgery Utilization Specialist is responsible for correctly and efficiently facilitating the prior authorization and scheduling process for Oral Maxillofacial Surgery patients, ensuring that authorization is obtained. The role communicates financial responsibility to the clinic scheduler and front desk personnel as needed, verifies Medicaid and other commercial insurance information, facilitates flow of information between provider, insurance company, and patient, documents pertinent information in the appointment area of the order, and performs clerical work using various applications.
Minimum Requirements
High school diploma or equivalent.
Experience in healthcare insurance verification and billing protocols.
Two years of face-to-face and/or customer service experience or equivalent field.
Working knowledge of medical terminology, CPT codes, and ICD10 codes.
Working knowledge of Microsoft Office products.
Typing speed of 30 words per minute.
Strong communication and customer service skills to gather and exchange information with patients, families, hospital staff, physicians, and third‑party payers.
Ability to work and think independently, handle sensitive information with discretion, pay attention to detail, and manage multi‑tasking and changing priorities.
Preferred Qualifications Experience in authorization of outpatient procedures. Coursework in medical terminology and coding.
Internal Application Instructions If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site. Please log into myWORKDAY to search for positions and apply.
Seniority Level Entry level
Employment Type Full-time
Job Function Other
Industries Hospitals and Health Care
#J-18808-Ljbffr