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OMFS Prior Authorization Specialist

University Health KC
Full-time
On-site
Kansas City, Missouri, United States
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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