Authorization Coordinator

About the role

Join Kansas City Vascular & Gen Surgery, part of HCA Healthcare, as an Authorization Coordinator. The position focuses on timely and accurate pre‑certification, obtaining and certifying authorizations, and assisting with appeals while collaborating with the referral coordinator to ensure all approvals are obtained.

Schedule

Full‑time (Monday – Friday, day shift). No nights, no on‑call, no weekends, no holidays.

Responsibilities

• Review and complete prior authorizations to ensure timeliness of appointments, testing, procedures, and claims filing.
• Obtain clinical information (medical history, diagnosis, lab reports, etc.) needed for prior authorizations and insurance requirements.
• Follow criteria for all services requiring prior authorizations and submit requests promptly.
• Enter appropriate documentation into the standard billing system and ensure entry across all required systems.
• Track status of prior authorizations via payer authorization portals.
• Review denied claims for clinical accuracy and correct errors for resubmission.
• Support patient experience through patient‑centered communications and excellent customer service.
• Communicate with insurance companies to pre‑certify, authorize, or amend services.
• Recommend new approaches, policies, and procedures to improve departmental efficiency and services.
• Participate in problem identification and coordinate resolution between appropriate parties.
• Utilize communication systems to facilitate interaction with hospital partners.
• Ensure documentation is entered in standard format in the Health Information System and any subsidiary systems as needed.
• Research patient visit history to ensure compliance with payer‑specific payment window rules and guide patients on payment responsibilities.
• Perform other related job functions as assigned.
• Practice and adhere to the organization’s Code of Conduct, Mission, and Value Statements.

Qualifications

• Education: High School Diploma or GED equivalent (required).
• Experience: One year of related experience with medical insurance plans and/or Medicare benefits verification (required); one‑year experience in a medical clinic, urgent care, or hospital setting (preferred); prior authorization experience (preferred).
• Certification/License: None required.

Benefits

• Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage.
• Well‑being support, including free counseling and referral services.
• Paid time off, paid family leave, long‑ and short‑term disability coverage, and other leave of absence programs.
• Retirement resources: 401(k) plan with a 100 % match on 3 %–9 % of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support, and financial well‑being counseling.
• Education support: tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Additional benefits: fertility and family‑building assistance, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, and consumer discounts.
• Eligibility for benefits may vary by location.