Truman Medical Centers Prior Authorization Specialist-Physician Billing in Kansas City, Missouri

Prior Authorization Specialist-Physician Billing

Tracking Code

13653-124

Job Description

Truman Medical Centers, a two-hospital, 600-bed, not-for-profit healthcare system, is the largest and most comprehensive safety net healthcare provider in Jackson County and Kansas City, Mo. TMC serves as the pri­mary teaching hospital for the University of Missouri-Kansas City Schools of Medicine, Nursing, Dentistry and Pharmacy.

Our Hospital Hill campus is located in the UMKC Health Sciences District: a premier academic health district engaging in cutting-edge biomedical research and entrepreneurship, delivering state-of-the science health care, and educating the next generation of health care professionals. Recognized as a critical area resource for advanced specialized healthcare, TMC is constantly working to deliver the best pos­sible medical care for our patients. Quality, innovation, team­work and attention to detail are at the heart of all we do. TMC’s tagline is: “Better. For Everyone.” It is a simple state­ment, but it has profound significance. It is what we stand for, it is the focus of our work, and it is our promise to our patients.

The Account Management Rep is responsible for the management of physician service accounts, providing timely follow up on accounts that have not been paid in a manner meeting the expectations of TMC Provider Billing Solutions. Will maintain open and clear communication with co-workers to ensure a consistent and efficient workflow of patient accounts. Shall pass on items of significance learned during the course of normal work, such as; charge entry changes identified during account follow up; payment processing changes identified during account follow up; specific health plan changes of any kind that effect the manner in which any subsection of PBS are operated.

Required Skills

  • High school diploma or GED required.

  • A basic understanding of the health care industry and a willingness to learn the primary operations of physician practice operations.

  • Will be expected to become familiar with current CPT-4 and ICD-9 terminology to effectively process patient accounts.

  • Must be capable of identifying CPT-4 usage via the current CPT-4 manual, and familiar with the use of detailed ICD-9 extended digit requirements for proper claim processing.

  • This position requires a minimum of 1-3 years of successful work experience in work environment.

  • Familiarity with a computer, 10 key, and basic software applications, such as EXCEL and WORD, is preferred.

Job Location

Kansas City, Missouri, United States

Position Type

Full-Time/Regular

Shift Schedule

8:00AM - 4:30PM