Onsite Prior Authorization Specialist — Healthcare Benefits

Cherry County Hospital; Valentine (NE); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Group Life Insurance

Long-Term Disability

FSAs

HSA

Supplemental Insurance

Retirement Plan

Job summary

Cherry County Hospital in Valentine, Nebraska is hiring a Prior Authorization Specialist to join our team onsite. You will obtain pre-certifications and pre-authorizations for procedures and medications, ensuring timely approvals before services are rendered.

The ideal candidate will have strong communication skills, familiarity with HIPAA, and experience with medical terminology and office software, including Excel, Word and Windows. This is a full-time, onsite position with benefits.

Qualifications

• Excellent verbal and written communication.
• Proficient with computers and Microsoft Excel/Word.
• Strong organizational skills and data interpretation.
• Knowledge of HIPAA and confidentiality policies.

Responsibilities

• Verify patient eligibility, benefits, and requirements with insurers.
• Request, track, and obtain pre-authorizations for procedures and services.
• Follow up to ensure timely authorizations before services are performed.
• Maintain HIPAA compliance and confidentiality of information.
• Communicate insurance changes or trends to departments.
• Document all communications in a standardized format.

Skills

Communication

MS Excel

Organization

Problem Solving

Teamwork

HIPAA compliance

Confidentiality

Attention to detail

Job description

Cherry County Hospital in Valentine, Nebraska is hiring a Prior Authorization Specialist to join our team onsite. You will obtain pre-certifications and pre-authorizations for procedures and medications, ensuring timely approvals before services are rendered.

The ideal candidate will have strong communication skills, familiarity with HIPAA, and experience with medical terminology and office software, including Excel, Word and Windows. This is a full-time, onsite position with benefits.