Clinical Support Specialist / Medical Assistant
Hunter Health·Wichita, Kansas
Hunter Health·Wichita, Kansas
The Clinical Support Specialist manages prior authorizations, insurance verifications, and referral coordination to support medical providers and nursing staff. They also handle patient communications, prescription refills, and maintain accurate documentation within the electronic health record system.
Hunter Health provides all-encompassing care for the Wichita community, including medical, dental, behavioral, vision, laboratory, radiology and pharmacy services, all in one place.
We pride ourselves in providing the support patients need to take control of their health and their whole wellbeing.
Our Hunter Health team is at the heart of our operations.
From the initial interaction with a new patient to empowering individuals with the knowledge to manage their health - it begins with each member of our staff.
Regardless of role or responsibility, every team member is a valuable part of living our mission and upholding our positive work environment with our Standards of Culture.
We exist to improve the health and wellbeing of everyone in our community.
Coordinates prior authorizations for medications, imaging, procedures, durable medical equipment (DME), specialty services, and other payer-required services, ensuring requests are complete, accurate, and submitted within required timeframes. Monitors authorization requests, follows up with insurance carriers, communicates approval or denial outcomes to providers, staff, and patients, and coordinates appeals when appropriate. Assists with coordination of referrals to specialists, diagnostic testing, therapy services, and community resources, obtaining required authorizations, transmitting documentation, tracking referral completion, and ensuring records are incorporated into the electronic health record (EHR). Manages assigned telephone encounters, electronic messages, and provider inbox workflows by resolving appropriate administrative requests, routing clinical concerns to licensed staff, documenting patient communications, and maintaining established service standards. Assists with processing prescription refill requests in accordance with organizational procedures by reviewing requests for completeness, coordinating with pharmacies, and communicating refill status and follow-up instructions to patients. Verifies patient insurance eligibility, benefits, coverage, and authorization requirements while educating patients on insurance processes and collaborating with Revenue Cycle staff to resolve coverage or reimbursement issues. Coordinates and receives external medical record requests to further assist with scheduling diagnostic testing and specialty appointments Supports continuous improvement in quality, care coordination, and workflow initiatives through patient interactions, documentation management, and identification of opportunities to improve efficiency, provider support, and patient access. Maintain accurate and timely documentation of authorizations, referrals, patient communications, and clinical support activities. Develops and maintains collaborative working relationships with providers, nurses, Medical Assistants, Pharmacists, Integrated Care Consultants, Revenue Cycle staff, insurance carriers, and community partners, while providing exceptional patient care. Participates in departmental meetings, organizational initiatives, required education, and compliance training. Travels when necessary to meet organizational needs. Performs all other duties as assigned.
Experience with determining insurance eligibility, managing referrals and prior authorization is required. Knowledge of medical terminology and ambulatory clinical workflows is required. Proficiency in electronic health records and Microsoft Office applications is required. Basic knowledge in CPT and ICD-10 code preferred. Certified or Registered Medical Technician, Medical Assistant and/or Certified Nurse Assistant is preferred. Current Basic Life Support (BLS) is required, within 30 days of hire. 1-3 years of experience in healthcare is preferred, with experience in a community health center is also preferred. Bilingual abilities are preferred but not required.
The ability to speak clearly and effectively.
Average
Hearing: The ability to hear average conversations and respond accordingly.
Repetitive
Motion: The ability to sit, stand, walk and use hands to handle, feel and reach.
Finger
Dexterity: The ability to use fingers to make small movements such as typing, picking up objects and pinching fingers together.
Average
Visual
Abilities: The ability to focus on items clearly, including close vision, color vision and the ability to adjust focus.
Working
Conditions: The ability to work in a well-lit, climate-controlled environment, with a noise level that is occasionally high. There is potential exposure to infectious diseases.
Physical
Strength: The ability to occasionally lift and/or move up to 30 pounds.
Mathematical
Ability: The ability to add and subtract two-digit numbers and to multiply and divide with 10's and 100's. The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. This is not an exhaustive list of all duties and responsibilities associated with this job. Hunter Health Clinic Inc. reserves the right to amend and change responsibilities to meet business and organizational needs.
To learn more about Hunter Health, our services and our impact on the community, visit our website at www.hunterhealth.org.
Hunter Health provides equal employment opportunities to persons without regard to race, religion, color, ancestry, genetic information, sex, pregnancy, marital status, national origin, age, disability or veteran status, and any other status protected by federal, state, or local laws.
HHC is committed to taking affirmative action to employ, and advance in employment, disabled persons and veterans.
As an Urban Indian Health Program, Hunter Health Clinic, Inc. (HHC) adheres to the Indian Preference in Employment as stated in the Federal Acquisition Regulations System (48 C.F.R. § 326.501–505).
Training and employment preferences and opportunities shall be provided to Native Americans regardless of age (subject to existing laws and regulations), sex, religion, or tribal affiliation.
Applicants claiming Indian Preference may be asked to provide documentation of eligibility.
E-Verify statement Employer participates in the Electronic Employment Verification Program. Please click here for more information.
Candidates must have experience with insurance eligibility, referrals, and prior authorizations, along with proficiency in electronic health records and Microsoft Office. A certification as a Medical Assistant, Medical Technician, or Certified Nurse Assistant is preferred, and Basic Life Support (BLS) certification is required within 30 days of hire.
Market context
In Kansas, administration roles in human services and education-adjacent settings often draw steady interest because they support day-to-day operations that keep programs running. These positions can be competitive when they require a relevant degree, prior children and family services experience, and practical credentials like a valid driver’s license and auto insurance. Review the AI-summarized requirements and benefits here to save research time, then compare your experience with the role’s fieldwork and coordination demands before applying.
