Prior Authorization Specialist (In-House)

Konza Prairie Community Health Center, Inc Junction City, Kansas, United States Medical

About this position

Description:

Want to use your insurance and referral expertise to make a real impact in your community? At Konza Prairie Community Health Center, your work helps ensure patients receive timely specialty care and critical diagnostic services.


We are seeking a detail-oriented Prior Authorization Specialist to manage prior authorizations, referrals, and medical record coordination to support continuity of care and accurate reimbursement.


Pay & Schedule

  • Competitive starting wage of $16.68+ per hour, based on experience and qualifications. 
  • Full-time, Monday–Friday - Clinics close at 2:00 pm every Friday.

In addition to competitive pay, full-time employees accrue up to 200 hours (5 weeks) of PTO per year! Enjoy employer retirement match contributions and early Friday clinic closures — supporting a strong work-life balance. 


Responsibilities

  • Obtain, process, and track prior authorizations for referrals and diagnostic imaging
  • Coordinate with insurance companies, hospitals, and specialty providers
  • Close referral loops and follow up on consult notes and results
  • Manage incoming lab results, imaging reports, faxes, and medical records within the EMR
  • Process pharmacy refill requests and provider communications
  • Review records for completeness and retrieve missing documentation
  • Participate in quality improvement initiatives
Requirements:
  • High school diploma or GED required
  • Minimum 1 year of EMR experience required
  • 2+ years of patient-facing medical experience preferred
  • Knowledge of Medicare, Medicaid, HMOs, PPOs, and insurance processes preferred
  • Family practice or hospital experience preferred

Benefits at Konza Prairie Community Health Center

  • Medical, Dental & Vision Insurance – Comprehensive coverage for you and your family
  • Generous PTO – Accrue up to 200 hours (5 weeks) annually
  • 403(b) Retirement Plan with Employer Match – Employer contributions to help secure your future
  • Employee Healthcare Discounts – Insured employees receive discounts on Konza’s in-house medical, dental, and pharmacy services
  • Early Friday Closures – Clinics close at 2:00 pm every Friday

Join a team committed to expanding access to quality healthcare and strengthening the well-being of our communities.