Prior Authorization & Insurance Verification Specialist

Bryan Health; Lincoln (NE); On-site; USD 36,000 - 60,000; Full time

Job summary

Bryan Health is seeking an Insurance Verification Specialist to verify coverage, obtain prior authorizations, and support financial clearance before care is delivered. You will coordinate with payers, provider offices, and internal teams, and communicate outcomes to patients and stakeholders.

The role supports revenue integrity and timely follow-up. Essential responsibilities include documenting authorization activity, providing service estimates, and prioritizing urgent cases to meet turnaround

Qualifications

• Experience in healthcare patient access, insurance verification, billing, or related administrative support.
• Strong communication and organizational skills.

Responsibilities

• Verify insurance eligibility and benefits for scheduled services, admissions, referrals, and medications.
• Obtain precertifications, referrals, and prior authorizations per payer guidelines.
• Collect and submit clinical documentation to payers via phone, fax, and web-based portals.
• Document authorization activity, approval details, dates, and payer communications in designated systems.
• Communicate authorization status, noncoverage notices, and next steps to patients and ordering offices.
• Coordinate with revenue cycle, billing, and utilization management to support claim readiness.
• Provide service estimates or connect patients to financial estimate resources.
• Prioritize urgent and emergent cases to meet defined turnaround expectations.
• Support patient access workflows and perform additional department functions as assigned.

Skills

Insurance verification

Precertifications

Billing coordination

Documentation

Patient communication

Education

High school diploma or equivalent

Job description

Bryan Health is seeking an Insurance Verification Specialist to verify coverage, obtain prior authorizations, and support financial clearance before care is delivered. You will coordinate with payers, provider offices, and internal teams, and communicate outcomes to patients and stakeholders.

The role supports revenue integrity and timely follow-up. Essential responsibilities include documenting authorization activity, providing service estimates, and prioritizing urgent cases to meet turnaround