Insurance Verification and Authorization Specialist

Bryan Health; Kearney (NE); On-site; USD 25,000 - 34,000; Full time

Job summary

Bryan Health in Nebraska seeks a dedicated healthcare access professional to verify insurance coverage, obtain prior authorizations, and coordinate with payers to ensure services are financially cleared prior to care delivery.

You will collect documentation, communicate outcomes to patients and offices, and support revenue integrity through accurate record-keeping and timely follow-up. Prioritization of urgent cases is essential to meet turnaround targets.

Qualifications

• Experience in healthcare patient access, insurance verification, billing, or related administrative support.

Responsibilities

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

Skills

Insurance verification

Billing accuracy

Patient access

Education

High school diploma or GED

Job description

Verifies patient insurance coverage and benefits and obtains required prior authorizations to ensure services are financially cleared before care is delivered. Coordinates with payers, provider offices, and internal teams to collect documentation, submit authorization requests, and meet established turnaround requirements. Communicates authorization outcomes, financial responsibility, and coverage limitations to patients and stakeholders. Supports revenue integrity and patient access through accurate documentation and timely follow-up.

1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.
2. *Verifies insurance eligibility and benefits for scheduled services, admissions, referrals, and medications.
3. *Obtains required pre certifications, referrals, and prior authorizations in accordance with payer guidelines.
4. *Collects and submits clinical documentation and supporting information to payers using phone, fax, and web-based portals, and/or Real Time Authorization (RTA) platforms.
5. *Documents authorization activity, approval details, dates, and payer communications in designated systems.
6. *Communicates authorization status, non coverage notices, and next steps to patients and ordering offices.
7. *Coordinates with revenue cycle, billing, and utilization management teams to support claim readiness.
8. *Provides service estimates or connects patients to financial estimate resources as appropriate.
9. *Prioritizes urgent and emergent cases to meet defined turnaround expectations.
10. *Supports patient access workflows and performs additional department functions as assigned.
11. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
12. Participates in meetings, committees and department projects as assigned.

EDUCATION AND EXPERIENCE:

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