Top 38 Patient access 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
10d
Medical Billing Specialist
ruralMED Management Resources —Holdrege, NE
- Full-time
- Clinic experience
- Research
- Mid-level
- Health insurance
- Work from home
Appointment Scheduler
CHI Health Clinic —Omaha, NE
- $16.42 - $23.19 an hour
- Extended hours
- Mid-level
- Clinic
- 2 years
Hospital Outpatient Coder
ruralMED Management Resources —Holdrege, NE
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
Medical Support Assistant
US Indian Health Service —Winnebago, NE
- $37,193 - $59,031 a year
- Online Application
- Background check
- High school
- Hospital
11d
Admissions Specialist Clinic
Kimball County Hospital —Kimball, NE
- Holidays
- Computer literacy
- Basic math
- Inpatient
Patient Portal Specialist
Bryan Health —Lincoln, NE
- Part-time
- Hospital
- Writing skills
- HIPAA
Clinic Receptionist
CHI Health Clinic —Papillion, NE
- $15.67 - $22.14 an hour
- Extended hours
- Clinic
- Organizational skills
- 1 year
10d
Inbound Dental Call Center Representative - Bilingual
Emergency Dental Care USA, Inc —Omaha, NE
- Full-time
- Bilingual
- Entry level
Quick Apply
Patient Access/Registration Specialist (Full-Time)
Gothenburg Memorial Hospital —Gothenburg, NE
- Full-time
- Hospital
- High school diploma or GED
- Entry level
- Disability insurance
- Health insurance
Quick Apply
3d
Medical Billing Specialist
GO PHYSICAL THERAPY LLC —Kearney, NE
- Full-time
- Clinic
- Analysis skills
- Communication skills
Quick Apply
Patient Customer Service Representative
Revco Solutions —Omaha, NE
- $16 an hour
- Full-time
- Customer service
- Computer literacy
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
10d
Experience Specialist/Receptionist
UnityPoint Health —South Sioux City, NE
- Full-time
- Bilingual
- High school diploma or GED
- Clinic
- Paid holidays
- Disability insurance
Patient Registrar & Reimbursement Specialist, full-time, Lincoln
Madonna Rehabilitation Hospital —Lincoln, NE
- Full-time
- Microsoft Excel
- Microsoft Outlook
- High school
Billing Specialist
CIVIE —Grand Island, NE
- $22 - $25 an hour
- Full-time
- Spanish
- HIPAA
- English
- Profit sharing
- Health savings account
Quick Apply
Patient Access Representative
Winnebago Comprehensive Healthcare System —Winnebago, NE
- Weekends as needed
- Acute care
- Ability to walk for extended periods
- Writing skills
Quick Apply
2d
Medical Office Specialist (Front Office)
East Central District Health Department/Good Neighbor Community Health Center —Fremont, NE
- $18 - $21 an hour
- Full-time
- Spanish
- English
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Medical Office Specialist
East Central District Health Department/Good Neighbor Community Health Center —Columbus, NE
- $16.12 - $21.61 an hour
- Full-time
- Spanish
- English
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Electronic Health Information Medical Records Technician
Box Butte General Hospital —Alliance, NE
- Full-time
- Background check
- Anatomy knowledge
- Hospital
Pre-Authorization Specialist
Cancer Partners of Nebraska —Lincoln, NE
- Full-time
- Medical office experience
- Mid-level
- Office
Quick Apply
10d

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Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)

Amber Specialty Pharmacy -
Omaha, NE

Apply Now

Job Details

Full-time
10 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

patient access specialist jobs in nebraska

Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)

Medical Billing Specialist

Appointment Scheduler

Hospital Outpatient Coder

Medical Support Assistant

Admissions Specialist Clinic

Patient Portal Specialist

Clinic Receptionist

Inbound Dental Call Center Representative - Bilingual

Patient Access/Registration Specialist (Full-Time)

Medical Billing Specialist

Patient Customer Service Representative

Experience Specialist/Receptionist

Patient Registrar & Reimbursement Specialist, full-time, Lincoln

Billing Specialist

Patient Access Representative

Medical Office Specialist (Front Office)

Medical Office Specialist

Electronic Health Information Medical Records Technician

Pre-Authorization Specialist

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