Prior Authorization Representative

Citizens Health is recruiting a prior authorization representative to work full-time at Citizens Health.  

Our Mission: Enhancing the lives of those we serve.

About Us: Citizens Health is a community based, private, not-for-profit organization. It is comprised of:

Citizens Medical Center - a 25 bed critical access hospital

Family Center for Health Care - an outpatient rural health clinic

Prairie Senior - a skilled nursing facility

Citizens Clubhouse - an onsite childcare center that cares for children 6 weeks to school age for our workforce

Citizens Medical Equipment - our durable medical equipment business

We strive to be progressive, dependable and knowledgeable, while providing compassionate, evidence-based care to the residents of northwest Kansas.

Location: 100 E College Ave, Colby, Kansas

Position Information:  Works with a variety of insurance companies to obtain authorizations and benefit information for patients receiving services at Citizens Medical Center.

Responsible to the Scheduling Supervisor

Days: Monday through Friday

Hours:  8 am to 5 pm

Pay Range:  Dependent upon experience.

What you’ll do:

• Coordinate communications between patients and medical staff
• Call insurance companies to verify benefits and obtain authorizations
• Scan orders and other documents into the correct systems
• Assist registration representatives with patient registration and accounts
• Contact patients on the status of their order
• Compile insurance and benefit information for patients that explains financial responsibilities
• Strict adherence to HIPAA, PHI, and confidentiality
• Complete other duties as assigned

What you bring to the table: 

• Required - High School Diploma/GED
  Preferred - Medical terminology and 2 years related clerical experience in health care setting
• Customer and personal service to include meeting needs, assess and resolve issues, meet quality standards for services, and evaluate satisfaction
• Ability to maintain good working relationship with all personnel
• Ability to communicate clearly 
  

To be successful within our organization you will need to: 

• Self-starter who takes initiative, is open minded and a team player
• Maintain a positive attitude with good energy
• Create a positive, supportive working atmosphere
• Display integrity and accountability
• Accept and respond to constructive criticism and suggestions and strives for self-improvement
• Adhere to organization policies and procedures
• Arrive at work on time and when scheduled
• Demonstrate flexibility, initiative and ingenuity in performing job tasks
• Demonstrate professional conduct and maintains professional appearance
• Demonstrate behavior that reflects the image of the institution
  
• Knowledge of common safety hazards and precautions to establish a safe work environment

Typical Working Conditions: 

Requires sitting at a desk while answering the telephone, placing phone calls and scheduling appointments on a computer.  

Available Benefits

• Medical, dental and vision insurance available
• Pre-Tax and Roth Contributions
  • Automatic 6% salary deferral upon employment
  • Regular and matching contributions after one-year and 1,000 hours worked
• Provides Life, Accidental Death and Dismemberment Insurance
  • Full-time coverage - equal to two times employees annual income
  • Part-time coverage - one-time annual income
• Differential and Certification Pay
  • Eligible employees receive shift, weekend and holiday differential pay
• Other Benefits
  • On-site child care services
  • Funeral leave
  • Health Savings Account
  • Dependent, Medical and Limited Purpose Flexible Spending Accounts
  • The Standard Group Insurance
  • Discounted membership rate for MASA
  • Many More!

Citizens Medical Center, Inc. is an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or discharge history, or any other characteristic protected by law.  

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for CMCI to hire me.  If I am hired, I understand that either CMCI or I can terminate my employment at any time and for any reason, with or without cause and without prior notice.  I understand that no representative of CMCI has the authority to make any assurance to the contrary. 

Citizens Medical Center, Inc. implements a Drug Free Workplace Program.  Drug testing is required of applicants in accordance with relevant laws.  

If you need assistance to complete this application or during any phase of the application, interview, or employment process, please notify the Human Resources Department (785) 460-4842, or visit their office located at 100 E. College Drive in the Annex building.  Every reasonable effort will be made to accommodate your needs in a timely manner.