Top 35 Pre authorization Jobs in Omaha, Ne

Pre-Authorization Specialist
Think Whole Person Healthcare —Omaha, NE
- Full-time
- Mid-level
- 2 years
Quick Apply
Pre-Access Specialist I
Nebraska Methodist Health System —Omaha, NE
- Full-time
- Office
- High school diploma or GED
- Math
7d
Lead Medical Support Assistant
US Veterans Health Administration —Omaha, NE
- $50,964 - $66,255 a year
- Part-time
- Hybrid work
- Background check
- High school
- Pass drug screening
- Paid parental leave
- Paid holidays
12d
Insurance Coordinator
Oral Surgery Partners —Omaha, NE
- Full-time
- Dental office
- Surgery
- Mid-level
- Profit sharing
- Health savings account
Quick Apply
Referral Specialist
CHI Health Clinic —Omaha, NE
- $15.67 - $22.14 an hour
- Extended hours
- Google Workspace
- HIPAA
- High school diploma or GED
Licensed Practical Nurse
UroHealth Partners —Omaha, NE
- Full-time
- Private practice
- Vital signs
- Computer literacy
- Health savings account
- AD&D insurance
Quick Apply
Psychologist Pediatrics and Training Cardiology - Cardiology / General Outpatient
Children's Nebraska —Omaha, NE
- Part-time
- Management
- Hospital
- Adults
Psychologist Pediatrics and Training
Children's Nebraska —Omaha, NE
- Full-time
- Management
- Hospital
- Adults
Admissions Registered Nurse
Methodist Jennie Edmundson Behavioral Health Hospital —Council Bluffs, IA
- Full-time
- CPR Certification
- Nursing
- RN License
6d
Access Scheduler
Nebraska Methodist Health System —Omaha, NE
- Full-time
- HIPAA
- Mid-level
- Office
Medical Assistant
One to One Health —Council Bluffs, IA
- PRN
- Customer service
- Computer literacy
- Writing skills
Quick Apply
Paraprofessional, Health Aide (Starts at $18.90 per hour)
Omaha Public Schools —Omaha, NE
- From $18.90 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
Scheduler Outpatient Therapy - Omaha (On Call, Days)
Madonna Rehabilitation Hospital —Omaha, NE
- On call
- High school
- Computer literacy
- Basic math
Pre-Access Advocate
Nebraska Methodist Health System —Omaha, NE
- Full-time
- Medical office experience
- Office
- High school diploma or GED
- Health insurance
Patient Access Specialist
Boys Town National Research Hospital —Omaha, NE
- Full-time
- Surgery
- Clinic experience
- 3 years
- Health insurance
- Tuition reimbursement
6h
Referral Care Coordinator
ONEWORLD COMMUNITY HEALTH CENTERS INC —Omaha, NE
- Full-time
- Spanish
- Medical office experience
- English
- Health insurance
- Dental insurance
Patient Coordinator at Smile Station Pediatric Dentistry
Smile Station Pediatric Dentistry —Omaha, NE
- $18 - $20 an hour
- Full-time
- Dental office
- High school diploma or GED
- Pediatrics
Quick Apply
3d
Administrative Support Services Specialist
Heartland Family Service —Council Bluffs, IA
- $16.51 - $19.69 an hour
- Evenings as needed
- Office
- Administrative experience
- Cleaning
Quick Apply
Pre-Access Clinical Supervisor
Nebraska Methodist Health System —Omaha, NE
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
8h
Admissions Social Worker - Evenings
Methodist Jennie Edmundson Behavioral Health Hospital —Council Bluffs, IA
- Full-time
- Acute care
- CPR Certification
- Nursing
2d

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Pre-Authorization Specialist

Think Whole Person Healthcare -
Omaha, NE

Quick Apply

Job Details

Full-time

Qualifications

Mid-level
2 years

Full Job Description

CORE VALUE COMMITMENT:

In common mission, our teams work together with our patients at Think. We strive to continuously improve. We value one another’s diversity of talent, experience, and perspective. We each contribute to something bigger than ourselves while promoting integrity, belonging, and collaboration.

JOB SUMMARY:

Responsible for pre-authorization coordination on behalf of patients. This position will work as an advocate for patients by confirming and obtaining insurance authorization prior to certain medical services and treatments being provided.

ESSENTIAL JOB FUNCTIONS:

1. Contact insurance carriers to verify patient’s insurance eligibility, benefits, and requirements.

2. Request, track, and obtain pre-authorization from insurance carriers dependent on priority status given for medical and pharmaceutical services. Request follow-up and secure prior authorization prior to services being performed.

3. Work in collaboration with the medical and pharmacy staff to obtain any additional clinical documentation and communicate with appropriate insurance carrier.

4. Communicate any insurance changes or trends to leadership and recommend new and changes to processes and workflows as needed.

5. Clearly document all communication and prior authorization documentation, in standardized documentation requirements, and save in Electronic Health Record (EHR) as appropriate.

6. Communicate the approval or denial of the procedure/infusion to the patient and the provider team.

7. Professionally respond to all telephone calls, emails, internal messages, EHR requests in a timely manner to ensure patients’ needs are met prior treatment.

8. Communicate directly with patients to explain outcome of request and any monetary requirement they may be held responsible to. Schedule patient for specified medical or pharmaceutical service.

9. Work hours to mirror standard insurance carrier hours (Monday – Friday, 8am – 5pm).

KNOWLEDGE, SKILLS & ABILITIES

1. Knowledge of healthcare pre-authorization procedures and insurance claims processing.

2. Skill in using a computer and a variety of software, including Electronics Health Records (EHR) software, scheduling software, Word, Excel, Access, and Outlook.

3. Skill in communicating in a professional manner, both verbally and in writing.

4. Skill in managing multiple priorities and delegating as needed.

5. Ability to be a good representative of the Company.

6. Ability to maintain confidentiality regarding sensitive issues, patient care, privacy, and confidentiality.

EDUCATION & EXPERIENCE:

High School diploma or GED required. Minimum of two (2) years of experience working with Pre-Authorization and/or medical insurance, clinical setting ideal.

WORKING CONDITIONS AND PHYSICAL EFFORT:

This role operates in a healthcare setting. This position requires frequent sitting and computer work and allows employee to vary physical position or activity for comfort.

Must be able to:

Stand 5% or longer of workday.
Walk 10% or longer of workday workday.
Sit 85% or longer of workday workday.
Requires employee to: Bend, squat, kneel and reach above shoulder level occasionally.
Requires repetitive use of hands for: Simple grasping, fine manipulation, computer use
Requires all sensory skills (speech, vision, smell, touch, and hearing) corrected to near normal range.

NOTE: The information above is a reflection of the general nature of job duties. From time to time, additional duties may be assigned.

Quick Apply

Refine Your Search

pre authorization jobs in omaha, ne

Pre-Authorization Specialist

Pre-Access Specialist I

Lead Medical Support Assistant

Insurance Coordinator

Referral Specialist

Licensed Practical Nurse

Psychologist Pediatrics and Training Cardiology - Cardiology / General Outpatient

Psychologist Pediatrics and Training

Admissions Registered Nurse

Access Scheduler

Medical Assistant

Paraprofessional, Health Aide (Starts at $18.90 per hour)

Scheduler Outpatient Therapy - Omaha (On Call, Days)

Pre-Access Advocate

Patient Access Specialist

Referral Care Coordinator

Patient Coordinator at Smile Station Pediatric Dentistry

Administrative Support Services Specialist

Pre-Access Clinical Supervisor

Admissions Social Worker - Evenings

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