Prior Authorization Specialist - Healthcare Eligibility & Denials

Cherry County Hospital; Valentine (NE); On-site; USD 36,000 - 62,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Retirement Plan

Job summary

Cherry County Hospital is seeking a dedicated Prior Authorization Specialist to obtain pre-certifications for procedures and medications at our Valentine, NE facility. This onsite role requires accuracy, strong communication, and adherence to HIPAA guidelines.

You will verify eligibility, secure authorizations, and coordinate with departments to ensure timely services. Benefits are eligible, and the position is full-time with a competitive wage based on experience.

Qualifications

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

Responsibilities

• Verify patient eligibility and benefits with insurance carriers.
• Request, track, and obtain pre-authorizations for procedures/services.
• Follow up to ensure timely authorizations before services.
• Maintain HIPAA compliance and confidentiality of patient information.
• Document all communications in a standardized format.
• Collaborate with staff, physicians, and departments.

Skills

Verbal & written comms

Organizational skills

Confidentiality awareness

Team collaboration

Problem-solving

Multitasking

Education

High school diploma

Tools

Microsoft Excel

Microsoft Word

Windows OS

Job description

Cherry County Hospital is seeking a dedicated Prior Authorization Specialist to obtain pre-certifications for procedures and medications at our Valentine, NE facility. This onsite role requires accuracy, strong communication, and adherence to HIPAA guidelines.

You will verify eligibility, secure authorizations, and coordinate with departments to ensure timely services. Benefits are eligible, and the position is full-time with a competitive wage based on experience.