The Prior Authorization (PA) Tech works under the supervision of the HIM Manager and serves as a key liaison between providers, patients, and insurers. This role reviews requests for medical services, medications, and procedures to ensure they meet clinical criteria, payer rules, and regulatory requirements before approval. The position involves phone communication, record review, data entry, authorization tracking, and coordination across clinic and hospital departments.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent
- Associate's degree or certification in medical billing, coding, or healthcare administration preferred
- Preferred certifications: CPC, CCA, CMAA
- Previous experience in a healthcare setting preferred
Skills and Competencies
- Excellent written and verbal communication skills
- Strong critical thinking and problem-solving skills
- Strong organizational, planning, time management, and prioritization skills
- Proficiency in MS Office and patient management software/databases
- Understanding of medical terminology and coding is beneficial
- Administrative skills with attention to detail, data entry, and insurance verification/coordination
Location
Kansas, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago