Onsite Prior Authorization Specialist - Healthcare Impact

Cherry County Hospital & Clinic; Valentine (NE); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Group Life Insurance

Long-Term Disability

Flexible Spending Accounts

Health Savings Account

Supplemental Insurance

Retirement Plan

Job summary

Cherry County Hospital & Clinic in Valentine, NE seeks a dedicated Prior Authorization Specialist for full-time, onsite work. You will obtain pre-certifications for procedures and medications, verify patient eligibility with insurers, and ensure timely approvals before services.

The role emphasizes confidentiality and HIPAA compliance within a supportive healthcare team. Requirements include a high school diploma and medical terminology familiarity; experience with Excel/Word is preferred.

Qualifications

• High school diploma required.
• Prior medical-setting customer service preferred.
• Knowledge of medical terminology preferred.
• Experience with Microsoft Excel, Word, and Windows preferred.

Responsibilities

• Contact insurance carriers to verify eligibility and benefits.
• Request and obtain pre-authorizations for procedures.
• Follow up to ensure timely authorizations.
• Maintain HIPAA compliance and protect patient information.
• Communicate insurance changes to departments.
• Document communications in a standardized format.
• Assist with filing and record retrieval.
• Collaborate with staff, physicians, and the public.
• Notify department heads of staffing or equipment needs.
• Appeal denied claims when applicable.
• Follow corporate compliance policies.
• Perform additional duties as assigned.

Skills

Verbal communication

Written communication

HIPAA compliance

Data interpretation

Team collaboration

Confidentiality

Customer service

Medical terminology

Education

High School Diploma

Tools

Microsoft Excel

Microsoft Word

Windows

Job description

Cherry County Hospital & Clinic in Valentine, NE seeks a dedicated Prior Authorization Specialist for full-time, onsite work. You will obtain pre-certifications for procedures and medications, verify patient eligibility with insurers, and ensure timely approvals before services.

The role emphasizes confidentiality and HIPAA compliance within a supportive healthcare team. Requirements include a high school diploma and medical terminology familiarity; experience with Excel/Word is preferred.