Part-Time Prior Authorization Specialist

Pender Community Health; Pender (NE); On-site; USD 21,000 - 34,000; Part time

Benefits offered by this job

Health Insurance

Life Insurance

PTO

403(b) Retirement

Savings Accounts

GIP bonus

Job summary

Pender Community Health is seeking a Part-Time Prior Authorization Specialist to verify insurance, obtain authorizations, and liaise with departments and providers. The role emphasizes accuracy, timely processing, and clear communication within an ambulatory care setting.

Ideal candidates have familiarity with ICD/CPT coding, EMR systems, and strong organizational skills. Minimum 20 hours/week, Monday–Friday, 8:00am–4:30pm, with competitive benefits.

Qualifications

• High school diploma or equivalent
• Experience in insurance verification or prior authorizations
• Familiarity with health insurance plans, ICD/CPT coding, and EMR systems
• Strong organizational and customer service skills
• Proficient in computer navigation, word processing, and email

Responsibilities

• Contact patient insurance companies to verify patient insurance and benefits for scheduled services and hospital admissions
• Obtain, process and document prior authorizations in the EMR including authorization numbers, CPT codes, diagnosis, and approval dates
• Submit supporting medical records and necessary information to payer authorization representatives via fax, phone, or online portals
• Stay up to date with payer trends for prior authorizations
• Prioritize workload to ensure urgent cases are handled in a timely manner
• Ensure timely and accurate insurance authorizations are in place prior to services being rendered
• Maintain accurate payer website information and logins
• Communicate regularly with other departments and educate staff on authorization needs
• Develop and maintain working relationships with external agencies and specialty providers

Skills

Insurance verification

Prior authorizations

Customer service

Organizational skills

Computer literacy

Education

High school diploma

Tools

EMR systems

ICD/CPT coding

Job description

Pender Community Health is seeking a Part-Time Prior Authorization Specialist to verify insurance, obtain authorizations, and liaise with departments and providers. The role emphasizes accuracy, timely processing, and clear communication within an ambulatory care setting.

Ideal candidates have familiarity with ICD/CPT coding, EMR systems, and strong organizational skills. Minimum 20 hours/week, Monday–Friday, 8:00am–4:30pm, with competitive benefits.