Top 14 Prior authorization Jobs in Lincoln Ne

Pre-Authorization Specialist
Cancer Partners of Nebraska —Lincoln, NE
- Full-time
- Medical office experience
- Mid-level
- Office
Quick Apply
5d
Patient Account Representative
Lincoln Orthopedic Physical Therapy —Lincoln, NE
- $20 - $24 an hour
- Full-time
- High school diploma or GED
- 1 year
- Associate's degree
- Health insurance
- Dental insurance
Quick Apply
Bryan Heart Pre-Authorization Specialist
Bryan Health —Lincoln, NE
- 8 hour shift
- Medical office experience
- Mid-level
- High school diploma or GED
Patient Registrar I- PT Night Shift (1900-0730)
Bryan Health —Lincoln, NE
- Part-time
- OSHA
- Hospital
- HIPAA
Student Assistant
Bryan Health —Lincoln, NE
- PRN
- Writing skills
- HIPAA
- High school diploma or GED
13d
Patient Registrar I- 12-hour shift
Bryan Health —Lincoln, NE
- 12 hour shift
- OSHA
- Hospital
- HIPAA
8d
Patient Registrar & Reimbursement Specialist, full-time, Lincoln
Madonna Rehabilitation Hospital —Lincoln, NE
- Full-time
- Microsoft Excel
- Microsoft Outlook
- High school
11d
Patient Care Coordinator
Lincoln Orthopedic Physical Therapy —Lincoln, NE
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
12d
Certified Professional Coder
Ear Nose & Throat Specialties PC —Lincoln, NE
- Full-time
- Background check
- HIPAA
- Clinic experience
Quick Apply
Pharmacy Technician - Lincoln On Call Days
Madonna Rehabilitation Hospital —Lincoln, NE
- On call
- Hospital
- Computer literacy
- High school diploma or GED
13d
Care Transitions RN
Bryan Health —Lincoln, NE
- Full-time
- CPR Certification
- RN License
- Hospital
Clinical Registered Nurse-Bryan Heart Failure Clinic
Bryan Health —Lincoln, NE
- Full-time
- Nursing
- RN License
- Customer service

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Patient Account Representative
Lincoln Orthopedic Physical Therapy —Lincoln, NE
Process patient payments, refunds, and account adjustments accurately and efficiently. Partner with patients to resolve billing, payment, and account-related…
$20 - $24 an hour
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Patient Account Specialist
Eye Surgical Associates —Lincoln, NE
Precision Billing: Managing accurate billing and payment entry to ensure a seamless patient experience. As a Patient Account Specialist, you are the "behind-the…
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3d

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Revenue Cycle Manager
TOTAL CARE THERAPY LLC —Dublin, OH
Ensure compliance with Medicare, commercial insurance, HIPAA, and all applicable federal and state regulations. Experience leading and developing teams.
$60,000 - $75,000 a year
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4d
Medical Assistant
Central Ohio Primary Care Physicians,Inc —Columbus, OH
Respond to patient phone calls, as appropriate. Assist in patient education with related educational tools, periodicals, flyers, and handouts.
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prior authorization jobs near lincoln ne

Pre-Authorization Specialist

Cancer Partners of Nebraska -
Lincoln, NE

Quick Apply

Job Details

Full-time
5 days ago

Qualifications

Customer communication
Medical insurance coverage verification
Medical office experience
High school diploma or GED

Full Job Description

Cancer Partners of Nebraska is seeking a detail-oriented, patient-focused Pre-Authorization Specialist to join our growing team. In this vital role, you will help ensure patients receive timely access to care by securing insurance authorizations, verifying benefits, and coordinating with providers, patients, and insurance carriers throughout the approval process.

The ideal candidate is highly organized, thrives in a fast-paced healthcare environment, enjoys solving complex insurance and scheduling challenges, and is committed to delivering exceptional service to both patients and colleagues.

Position Summary

The Pre-Authorization Specialist is responsible for obtaining prior authorizations and insurance approvals for procedures, diagnostic testing, medications, and treatments before services are rendered. Working collaboratively with physicians, nurses, referring clinics, scheduling teams, registration staff, and insurance carriers, this position plays a critical role in minimizing delays in patient care while ensuring accurate documentation and compliance with payer requirements.

This position manages a high volume of inbound and outbound communication, maintains accurate patient records, and supports efficient clinic operations through proactive coordination and attention to detail.

Essential Responsibilities

Verify patient insurance eligibility and benefits through electronic verification systems and direct communication with insurance carriers.
Obtain prior authorizations and pre-certifications for services across Medical Oncology, Radiation Oncology, and Surgical Oncology.
Ensure authorizations are secured for urgent and next-day services when required.
Maintain accurate authorization documentation within the Electronic Medical Record (EMR) and Practice Management System.
Communicate authorization status, updates, and payer requirements to nurses, providers, and other team members.
Work directly with insurance companies and third-party organizations to obtain approvals and resolve authorization issues.
Review denied services and assist with appeals or other resolution processes as appropriate.
Utilize payer portals, electronic tools, telephone, fax, and other communication methods to efficiently manage workload.
Coordinate with leadership and business office teams regarding payer policy updates, preferred product changes, and new service implementations.
Communicate payer changes and authorization requirements that impact patient care and clinic operations.
Participate in workflow improvements and process enhancement initiatives.
Answer incoming telephone calls professionally and promptly.
Perform additional duties and special projects as assigned.

Education

High school diploma or equivalent required.
Medical office, coding, insurance, case management training, or equivalent experience preferred.
Clinical or nursing education and experience preferred.

Experience

Minimum of two years of experience in a medical office setting involving prior authorizations, insurance verification, billing, or related functions.
Oncology experience preferred but not required.

Knowledge, Skills, and Abilities

Strong understanding of medical insurance, benefit verification, and prior authorization processes.
Working knowledge of ICD-10, CPT, and HCPCS coding concepts.
Excellent verbal and written communication skills.
Ability to manage a high volume of incoming and outgoing calls.
Strong customer service orientation with a commitment to patient-centered care.
Exceptional organizational skills and attention to detail.
Ability to prioritize competing demands and meet deadlines.
Proficiency with electronic medical records, practice management software, and Microsoft Office applications.
Ability to work independently while contributing effectively as part of a team.

Working Conditions

Professional office environment that is well-lit and climate controlled.
Frequent use of computers, telephones, and office equipment.
Extended periods of sitting, standing, reading, and computer work.
Regular communication with patients, providers, insurance carriers, and team members.
Occasional stress associated with high-volume workloads and time-sensitive patient care needs.

Why Cancer Partners of Nebraska?

At Cancer Partners of Nebraska, we are committed to providing exceptional cancer care through compassion, innovation, and teamwork. Every team member plays a vital role in supporting our patients throughout their treatment journey. If you are passionate about helping patients receive timely access to care and enjoy working in a collaborative healthcare environment, we encourage you to apply.

Cancer Partners of Nebraska is an Equal Opportunity Employer.

Quick Apply

Refine Your Search

prior authorization jobs in lincoln ne

Pre-Authorization Specialist

Patient Account Representative

Bryan Heart Pre-Authorization Specialist

Patient Registrar I- PT Night Shift (1900-0730)

Student Assistant

Patient Registrar I- 12-hour shift

Patient Registrar & Reimbursement Specialist, full-time, Lincoln

Patient Care Coordinator

Certified Professional Coder

Pharmacy Technician - Lincoln On Call Days

Care Transitions RN

Clinical Registered Nurse-Bryan Heart Failure Clinic