Care Coordination Authorization Specialist

Great Plains Health; North Platte (NE); On-site; USD 40,000 - 56,000; Full time

Job summary

Great Plains Health in North Platte, NE seeks an Authorization Specialist for Financial Counseling to coordinate patient care and manage utilization of resources. You will work with physicians, nurses, schedulers and the patient financial services team to ensure timely pre-authorizations and care alignment with payer requirements.

In this role, you will assess plans of care, document progress, and communicate findings across the care continuum, helping to optimize clinical, financial and

Qualifications

• Education: High School Diploma or Equivalent Degree preferred in Secretarial Administration, Health Care Administration, Business, and/or Accounting.
• Knowledge of Medical Terminology, CPT and IDC codes required.

Responsibilities

• Manages individual patients across the health care continuum to optimize outcomes.
• Evaluates medical necessity and appropriateness of care; communicates with payers.
• Educates internal staff on pre-authorizations and managed care concepts.
• Collaborates with physicians, payers and health care team to fulfill regulatory requirements.

Skills

Medical Terminology

CPT codes

IDC codes

Education

High School Diploma or Equivalent

Secretarial Administration

Health Care Administration

Business

Accounting

Job description

Great Plains Health in North Platte, NE seeks an Authorization Specialist for Financial Counseling to coordinate patient care and manage utilization of resources. You will work with physicians, nurses, schedulers and the patient financial services team to ensure timely pre-authorizations and care alignment with payer requirements.

In this role, you will assess plans of care, document progress, and communicate findings across the care continuum, helping to optimize clinical, financial and