Top 25 Insurance verification specialist Jobs in Nebraska

Authorization Management Specialist (Specialty Pharmacy)
Amber Specialty Pharmacy —Omaha, NE
- $19 - $20 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
8d
Pre-Authorization Specialist
Cancer Partners of Nebraska —Lincoln, NE
- Full-time
- Medical office experience
- Mid-level
- Office
Quick Apply
Non-Retail Pharmacy Technician - Intake (Specialty Pharmacy)
Amber Specialty Pharmacy —Omaha, NE
- $20 - $24 an hour
- Full-time
- Background check
- Microsoft Outlook
- Pass drug screening
- Paid training
- Paid holidays
8d
Insurance Verification and Authorization Specialist- BPN Clinics
Bryan Health —Lincoln, NE
- Full-time
- OSHA
- Customer service
- Medical office experience
3d
Ambulatory Authorization Specialist
Mary Lanning Healthcare —Hastings, NE
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
Prior Authorization Specialist
Saunders Medical Center —Wahoo, NE
- Part-time
- Customer service
- Basic math
- HIPAA
Quick Apply
Insurance Billing Specialist
Box Butte General Hospital —Alliance, NE
- Full-time
- Background check
- Hospital
- Pass drug screening
Prior Authorization Specialist
West Holt Medical Services —Atkinson, NE
- Full-time
- Mid-level
- Office
9d
Customer Success Payroll Specialist
PayPLUS, LLC —Omaha, NE
- $41,600 - $62,400 a year
- Full-time
- Background check
- Customer service
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
1d
Therapy Scheduler/Service Specialist, 40hrs/wk, Lincoln
Madonna Rehabilitation Hospital —Lincoln, NE
- Full-time
- Clean driving record
- High school
- Word processing
3d
CMN Coordinator
Kubat HealthCare —Omaha, NE
- $19 - $21 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Paid holidays
- Dental insurance
Quick Apply
10d
Outpatient Service Specialist/Therapy Scheduler, on-call, Lincoln
Madonna Rehabilitation Hospital —Lincoln, NE
- On call
- Clean driving record
- High school
- Word processing
Credentialing Specialist (Floater)
Prime Time Healthcare —Omaha, NE
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Billing Specialist
CIVIE —Grand Island, NE
- $22 - $25 an hour
- Full-time
- Spanish
- HIPAA
- English
- Profit sharing
- Health savings account
Quick Apply
Patient Financial Services Specialist - ON SITE
Regional West Health Services —Scottsbluff, NE
- Full-time
- Microsoft Excel
- Pass drug screening
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Billing Specialist
Right at Home Northeast & Central Nebraska —Norfolk, NE
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Dental insurance
Quick Apply
Full-time Centralized Scheduler
Lexington Regional Health Center —Lexington, NE
- Full-time
- Surgery
- Computer literacy
- Mid-level
5d
Customer Service Specialist
Amber Specialty Pharmacy —Omaha, NE
- From $19 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
8d
Patient Access Representative
CHI Health Saint Mary's —Nebraska City, NE
- $17.24 - $24.35 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Hospital
8d
Medical BIlling Specialist
Ear Nose & Throat Specialties PC —Lincoln, NE
- Full-time
- Background check
- HIPAA
- Mid-level
Quick Apply

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Authorization Management Specialist (Specialty Pharmacy)

Amber Specialty Pharmacy -
Omaha, NE

Apply Now

Job Details

Full-time
$19 - $20 an hour
8 days ago

Benefits

Paid holidays

Qualifications

HIPAA compliance
HIPAA
High school diploma or GED
Clinical confidentiality policies

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: 8 a.m. - 5 p.m. CST
Wages: Hourly $19.00 to $20.00
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: Authorization Management Specialist

Department: Operations

FLSA: Non-Exempt

General Function

Responsible for preparing appeal summaries and prior authorizations, correspondence with prescriber's offices, and documenting information in the electronic medical record. Gathers pertinent patient history and information, evaluates information, prepares responses, and completes appeals and prior authorizations accurately and timely .

Reporting Relations

Reports to: Authorization Management Specialist, Lead

Direct Reports: None

Primary Duties and Responsibilities :

Initiates and completes prior authorizations and appeals for specialty pharmacy
Work directly with providers, health plans, PBMs, and other specialty pharmacies to relay vital information and provide a high level of service
Communicates with providers, health plans, PBMs, and patients to obtain the status of pending prior authorizations and appeals
Submits prior authorization and/or appeal requests via electronic, phone , or fax on behalf of physicians/providers as allowed
Assures that all prior authorization and appeal documents, databases , and records are maintained accurately and timely
Evaluate and process claims rejected for prior authorization following company policies and procedures
Advocates on the patient' s behalf to identify and assess coverage issues
Assists licensed professional s in reviewing patient chart notes and payer requirements to determine why cases are an appropriate course of action
Assures timeliness and appropriateness of all PA requests and provider appeals according to state, federal, and company guidelines
Adheres to all company policies as indicated in the handbook and directives issued by management. Has reviewed Accreditation Policy and Procedure manual

Professional Competencies :

Proficient with MS Excel, Word, and Outlook
Understanding of insurance verification and online prescription adjudication
Strong oral, written, and interpersonal skills
Self-initiative
Demonstrated ability to meet tight deadlines
Ability to work with all levels of internal management and staff, as well as outside clients and vendors
Working knowledge of Medicare, Medicaid, Commercial Insurance, and renal programs related to pharmacy, billing, grants, co - pay cards, prior authorizations, and rejections
Prior PAP, PA, and co-pay card experience preferred
Previous experience troubleshooting rejected pharmacy claims preferred
Proficiently read and understand abstract information from handwritten patient medical records

Required Qualifications:

Working knowledge of the healthcare industry
HIPPA trained and/or the ability to work with and protect high ly confidential patient and employee information
Six months or less of similar or related work experience

Educational Requirements

High school diploma or equivalent

Licensure and Certification Requirement:

Nationally Certified Pharmacy Technician s preferred

Application for certification within state-specified criteria

Physical Requirements:

Must be able to remain in a stationary position up to 90% of the time
The person in this position must occasionally move inside the office to access file cabinets, 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 the 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, insurance providers, payers, vendors, and customers. This is not an exhaustive list of contacts and is subject to changes and alternatives.

Confidentiality :

The incumbent must maintain the confidentiality of personal information for the applications and licensing requirements, including any financial, strategic, or proprietary information. The Company does not consider this an exhaustive list of examples and may add or modify as deemed appropriate to the execution of the role.

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

insurance verification specialist jobs in nebraska

Authorization Management Specialist (Specialty Pharmacy)

Pre-Authorization Specialist

Non-Retail Pharmacy Technician - Intake (Specialty Pharmacy)

Insurance Verification and Authorization Specialist- BPN Clinics

Ambulatory Authorization Specialist

Prior Authorization Specialist

Insurance Billing Specialist

Prior Authorization Specialist

Customer Success Payroll Specialist

Therapy Scheduler/Service Specialist, 40hrs/wk, Lincoln

CMN Coordinator

Outpatient Service Specialist/Therapy Scheduler, on-call, Lincoln

Credentialing Specialist (Floater)

Billing Specialist

Patient Financial Services Specialist - ON SITE

Billing Specialist

Full-time Centralized Scheduler

Customer Service Specialist

Patient Access Representative

Medical BIlling Specialist

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