Care Access Navigator: Insurance Verification & Authorization

Bryan Health; Lincoln (NE); In loco; USD 42.000 - 65.000; Tempo pieno

Descrizione del lavoro

Responsibilities include collecting documentation, submitting authorizations, and prioritizing urgent cases while supporting revenue integrity and access workflows. A high school diploma and healthcare-related experience are required.

Competenze

• High school diploma or equivalent required.
• Experience in healthcare patient access, insurance verification, billing, or related administrative support.

Mansioni

• Verify insurance eligibility and benefits for scheduled services, admissions, referrals, and medications.
• Obtain required precertifications, referrals, and prior authorizations per payer guidelines.
• Collect and submit clinical documentation to payers via phone, fax, web portals, and Real Time Authorization platforms.
• Document authorization activity, approval details, dates, and payer communications in designated systems.
• Communicate authorization status, noncoverage notices, and next steps to patients and ordering offices.
• Coordinate with revenue cycle, billing, and utilization management to support claim readiness.
• Provide service estimates or connect patients to financial estimate resources as appropriate.
• Prioritize urgent and emergent cases to meet turnaround expectations.
• Support patient access workflows and perform additional department functions as assigned.

Formazione

High school diploma or equivalent

Descrizione del lavoro

Responsibilities include collecting documentation, submitting authorizations, and prioritizing urgent cases while supporting revenue integrity and access workflows. A high school diploma and healthcare-related experience are required.