Onsite Prior Authorization Pro

Healing Strides Counseling; Valentine (NE); On-site; USD 28,000 - 36,000; Full time

Benefits offered by this job

Health Insurance: Co-pay or HSA plan

Dental Insurance: 100% paid for?

Vision Insurance: 100% paid for

Group Life Insurance: $50,000 with AD&

Long-Term Disability: 100% paid for

Flexible Spending Accounts

Retirement Plan: 457 plan with Pre-Tax

Job summary

Cherry County Hospital in Valentine, NE, is hiring a Full-Time Onsite Prior Authorization Specialist to obtain pre-certifications for procedures and medications. You will verify eligibility with insurers, track pre-authorizations, and ensure timely approvals before services are rendered.

Strong communication, attention to detail, and knowledge of medical terminology and HIPAA are essential. Experience with Excel/Word is preferred; candidate should be able to work collaboratively in a team while

Qualifications

• High school diploma required.
• Prior customer service experience in a medical setting preferred.
• Knowledge of medical terminology preferred.
• Previous experience with Microsoft Excel, Word, and Windows.

Responsibilities

• Contact insurance carriers to verify patient eligibility, benefits, and requirements.
• Request, track, and obtain pre-authorizations for medical procedures and services.
• Follow up with insurance carriers to ensure timely authorizations before services are performed.
• Demonstrate knowledge of medical terminology, office procedures, and HIPAA regulations.
• Maintain a level of productivity appropriate for the department.
• Document all communications and contacts in a standardized format.

Skills

Excellent communication

Team collaboration

Organizational skills

Confidentiality

Attention to detail

Education

High school diploma

Tools

Microsoft Excel

Microsoft Word

Windows

Job description

Cherry County Hospital in Valentine, NE, is hiring a Full-Time Onsite Prior Authorization Specialist to obtain pre-certifications for procedures and medications. You will verify eligibility with insurers, track pre-authorizations, and ensure timely approvals before services are rendered.

Strong communication, attention to detail, and knowledge of medical terminology and HIPAA are essential. Experience with Excel/Word is preferred; candidate should be able to work collaboratively in a team while