Top 292 Eligibility specialist Jobs in Nebraska

Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)
Amber Specialty Pharmacy —Omaha, NE
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
7d
Training & Development Specialist Health Center Associate – NE
Planned Parenthood North Central States —Lincoln, NE
- $23 - $29 an hour
- Full-time
- Microsoft Word
- Customer service
- BLS Certification
- Travel reimbursement
- Paid training
Quick Apply
9d
Senior Claim Benefit Specialist - Remote
CVS Health —Nebraska
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
12d
Outreach and Engagement Specialist
University of Nebraska —Lincoln, NE
- From $56,400 a year
- Full-time
- Mid-level
- Master's degree
- Driver's License
- Health insurance
- Dental insurance
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Nebraska
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
10d
Leave Specialist - REMOTE
Ryder System —Lincoln, NE
- $55,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Disability insurance
- Health insurance
Research Specialist I or II
University of Nebraska —Lincoln, NE
- $44,700 - $53,600 a year
- Full-time
- Mid-level
- Master's degree
- Driver's License
Project Specialist
State of Nebraska —Lincoln, NE
- $31.25 an hour
- Full-time
- Microsoft Word
- School experience
- High school
- Paid time off
4d
Home Health Intake Specialist
Children's Nebraska —Omaha, NE
- Full-time
- Writing skills
- 3 years
- Finance
10d
Social Studies Education Specialist (Education Specialist III)
State of Nebraska —Lincoln, NE
- $33.95 an hour
- Email
- School experience
- Teaching Certification
- Office
- Health savings account
- Paid holidays
10d
Client Accounting Specialist (Meritain Health)
CVS Health —Lincoln, NE
- $18.50 - $42.35 an hour
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- Office
- Health insurance
- Dental insurance
Sr. Program Lead, Professional Education, CKMH
American Heart Association —Omaha, NE
- $84,400 - $113,000 a year
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Fair chance
- Wellness program
- Paid holidays
Assessment Community Engagement Specialist (Education Specialist II)
State of Nebraska —Lincoln, NE
- $30.98 an hour
- Email
- School experience
- Customer service
- Teaching Certification
- Health savings account
- Paid holidays
10d
Fleet Optimization Specialist
Jet Linx Aviation —Omaha, NE
- $53,000 - $74,000 a year
- On call
- Customer service
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Sr Project Specialist (Sponsor Dedicated/Remote)
サイネオス・ヘルス —Nebraska
- $47,000 - $79,900 a year
- Remote
- English
- Senior level
- Employee stock purchase plan
- Health insurance
4d
Building Program Specialist
State of Nebraska —Lincoln, NE
- $27.21 an hour
- Full-time
- Customer service
- Mid-level
- Office
- Paid holidays
- Health insurance
Public Works Specialist II - Parking - Administration
City of Omaha, NE —Omaha, NE
- $62,275.20 - $91,145.60 a year
- Online Application
- Computer literacy
- English
- Mid-level
- Dental insurance
- Vision insurance
14d
Benefits Specialist - Vetter Senior Living
Vetter Senior Living —Elkhorn, NE
- Mid-level
- Office
- Continuous improvement
- Dental insurance
- Benefits from day one
Payroll Specialist
Legence —Nebraska
- $70,000 - $85,000 a year
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- AD&D insurance
- Disability insurance
Quick Apply
Backend Capability Product Specialist
CVS Health —Nebraska
- $106,605 - $284,280 a year
- Full-time
- Remote
- HIPAA
- High school diploma or GED
- AWS
- Health insurance
- Dental insurance

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eligibility specialist jobs near nebraska

Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)

Amber Specialty Pharmacy -
Omaha, NE

Apply Now

Job Details

Full-time
7 days ago

Benefits

Paid holidays

Qualifications

High school diploma or GED

Full Job Description

Additional Considerations (if any):

At Amber Specialty Pharmacy, our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the opportunity to make a positive impact on patients with complex and chronic conditions.

Monday-Friday (NO WEEKENDS!)
Hours: 7 am - 7 pm CST; varied shifts (to equal 40 hours per week)
Six paid holidays
Must pass post-offer, pre-employment drug background tests as allowed by state, federal, local ordinance, statutes and licensing/accreditation requirements.

Amber Specialty Pharmacy

Job Title : Benefits Specialist

Department: Operations

FLSA: Non-Exempt

General Function:

Responsible for ensuring accurate insurance information is received, stored and current benefits are verified upon receipt of new and/or renewal referrals for patients. This is inclusive of a thorough pharmacy and medical benefits investigation to determine appropriate and accurate coverage of the prescribed medication to ensure the Company will be reimbursed at maximum allowable rates and in a timely manner.

Reporting Relations:

Accountable and Reports to: Lead Benefits Specialist, Senior Manager - Revenue Cycle

Positions that Report to you: None

Primary Duties and Responsibilities:

This is an office-based position.
Working knowledge of all necessary computer software to perform job duties. Enters data requirements accurately and efficiently into tracking software.
Maintains documentation of calls to and from patients, caregivers, insurance companies, providers and Pharma (if applicable).
Notifies appropriate staff of relevant information gathered during calls to provider or patient that may affect a patient’s disease state, medication regimen or method of funding.
Knowledge of primary code classifications: ICD-10, CPT and HCPCS.
Knowledge of general Commercial insurance benefits, Medicare Part D benefit structure, Medicaid FFS and Managed Care Organizations and medical insurance benefit designs.
Must be able to perform complete benefits investigation, including prior authorization and medical vs pharmacy determination. The individual will also need to complete all payer documentation including Medicare Certificates of Medical Necessity and DME Information Forms.
Knowledge of pharmacy processing system to prepare and transmit eligibility inquiries to determine coverage.
Acts as a liaison between the Company, insurance companies, co-pay assistance sources and provider’s offices via phone, fax and e-mail communications.
Creates patient’s estimated cost of benefits with all pertinent information and attaches to record for use by Customer Care Center of Excellence.
Must maintain the established workflow within the Benefits Department and adhere to the company/department’s Policy and Procedure manual.
Responsible for coordinating manufacturer or nursing agency support when home teaching is required.
Contacts referring nurses/coordinators according to assigned team regarding insurance verification findings and patient issues and status updates.
Adheres to all company policies as indicated in the handbook and directives issued by management. Has reviewed Policy and Procedure manual.
Preferred knowledge in State Renal Programs and their application to transplant and specialty patients.

Knowledge, Skills, Abilities, and Worker Characteristics:

Proficient with MS Excel, Word, and Outlook Demonstrated ability to meet tight deadlines.
Must be detail oriented with a high degree of accuracy and efficiency.
Ability to work as a team and with all levels of internal management and staff, as well as outside clients and vendors.

Education and Experience:

Working knowledge of the healthcare industry, specifically the pharmacy industry
HIPAA trained and /or the ability to work with and protect extremely confidential patient and employee information.
One (1) year experience in Benefits
High school diploma or equivalent

Physical Requirements:

Must be able to remain in a stationary position –up to 90% of the time
The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., and traverse conferences, meetings, and remote events.
Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer.
The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.
The ability to observe details at close range (within a few feet of the observer).

Working Conditions:

Normal office environment.

Equipment Used to Perform Job:

Computers, keyboards, mouse, monitors, fax, and/or headsets for phone work. Software specific to the position, including but not limited to Microsoft Outlook and Skype. Must lift and traverse the area to move paper and supplies to use the equipment.

Contacts:

Frequently interact with co-workers, intradepartmental staff of the Company, managers, leaders, Vendors, and customers.

Confidentiality:

The position Interactions with medical personnel, patients, and accesses proprietary and medical (HIPAA) information in various interactions and matters.

This position is required to complete background checks, including drug testing, criminal conviction history, references, OIG, and other relevant information as allowed by city, state, agency, organizations, or federal requirements/law.

Candidates must be able to pass a pre-employment drug test, background check, and health screening (if applicable).

Apply now and join our mission to provide exceptional patient care!

Apply Now

Refine Your Search

eligibility specialist jobs in nebraska

Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)

Training & Development Specialist Health Center Associate – NE

Senior Claim Benefit Specialist - Remote

Outreach and Engagement Specialist

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Leave Specialist - REMOTE

Research Specialist I or II

Project Specialist

Home Health Intake Specialist

Social Studies Education Specialist (Education Specialist III)

Client Accounting Specialist (Meritain Health)

Sr. Program Lead, Professional Education, CKMH

Assessment Community Engagement Specialist (Education Specialist II)

Fleet Optimization Specialist

Sr Project Specialist (Sponsor Dedicated/Remote)

Building Program Specialist

Public Works Specialist II - Parking - Administration

Benefits Specialist - Vetter Senior Living

Payroll Specialist

Backend Capability Product Specialist

I want to receive the latest job alert for eligibility specialist in nebraska

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