Prior Authorization, Centralized Scheduler

This is a fully remote position, open to applicants in Kansas.

📋 Description

• Schedule patients and manage centralized appointments.

• Obtain and verify prior authorizations.

• Create service estimates.

• Conduct financial discussions with patients and/or guardians.

• Assist patients, guardians, and provider offices with courtesy and professionalism.

• Ensure the 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 CPT codes for prior authorization against ordered tests and resolve any discrepancies.

• Verify medical necessity and gather procedure-related diagnoses.

• Use a computerized encoding system to assign diagnosis codes.

• Input codes into medical necessity software to secure approval.

• Contact providers to confirm or obtain additional diagnoses.

• Create and process Advanced Beneficiary Notices when necessary.

• Verify insurance benefits, copays, deductibles, and coinsurance obligations.

• Inform patients or departments of their financial responsibilities.

• Direct patients to Financial Counselors for arranging payments or seeking financial assistance.

• Troubleshoot computer system issues and perform table maintenance if designated as a Super User.

• Maintain confidentiality and safeguard sensitive data.

• Deliver outstanding customer service.

• Execute other duties within the Patient Financial Services department as requested.

⛳️ Requirements

• High school education is required.

• Minimum experience in a healthcare office environment and/or customer service is necessary.

• Certification as a Medical Assistant or similar degree with relevant experience.

• Capability to work both independently and as part of a team.

• Ability to understand and adhere to safe work practices.

• Follow Amberwell procedures and established policies.

• Knowledge of cultural diversity is essential.

• Strong communication skills to effectively interact with patients, families, customers, physicians, nurses, staff, and medical departments.

• Ability to maintain confidentiality and protect sensitive data.

• Preferred: 2+ years of relevant experience.

• Preferred: Certification as a Medical Assistant.

🏝️ Benefits

• Full-time employment opportunities.

• 8-hour day shifts.

• No travel requirements.

• Employee appreciation events and activities.

• A professional environment that emphasizes consistency, collaboration, and patient-first decision-making.

• Servant leadership is both modeled and mentored.

• Regular expressions of appreciation.