Top 111 Patient services representative Jobs in Omaha, Ne

Authorization Management Specialist (Amber Specialty Pharmacy)
Amber Specialty Pharmacy —Omaha, NE
- $19 - $20 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
7d
Patient Financial Services Representative
REVCO SOLUTIONS —Omaha, NE
- Computer literacy
- High school diploma or GED
- Communication skills
- Paid holidays
- Disability insurance
Quick Apply
15h
Clinic Receptionist
CHI Health Clinic —Omaha, NE
- $15.67 - $22.14 an hour
- Extended hours
- No experience needed
- Clinic
- 1 year
Medical Receptionist - Patient Experience Specialist
Sono Bello —Omaha, NE
- Email
- Basic math
- Microsoft Office
- Cleaning
- Paid holidays
- Health insurance
Quick Apply
10d
Patient Access Representative FT and PRN
Nebraska Hospital —Papillion, NE
- Part-time
- Computer literacy
- BLS Certification
- HIPAA
- AD&D insurance
- Health insurance
Medical Receptionist - Family Practice
Nebraska Methodist Health System —Omaha, NE
- Full-time
- BLS Certification
- High school diploma or GED
- Clinic
Medical Receptionist/Call Center
Advanced Dermatology of the Midlands —Omaha, NE
- $18 - $21 an hour
- Part-time
- Private practice
- Customer service
- Clinic
- Free parking
- Paid training
Quick Apply
7d
Clinical Scheduler
Think Whole Person Healthcare —Omaha, NE
- Full-time
- Hybrid work
- US work authorization
- Entry level
- Work from home
Quick Apply
14d
Patient Access Representative
Think Whole Person Healthcare —Omaha, NE
- Full-time
- Ability to lift 25 pounds
- Entry level
Quick Apply
Administrative Assistant/Receptionist
Above and Beyond Therapy —Omaha, NE
- $15 - $25 an hour
- 8 hour shift
- Clinic
- Travel
- Communication skills
- Paid parental leave
- Paid holidays
Quick Apply
Receptionist - Bergan Mercy Surgery Center
SCA Health —Omaha, NE
- $16.00 - $25.25 an hour
- Full-time
- Bilingual
- High school diploma or GED
- Computer skills
- Disability insurance
- Health insurance
10d
Appointment Scheduler
CHI Health Clinic —Omaha, NE
- $16.42 - $23.19 an hour
- Extended hours
- Clinic experience
- Mid-level
- Clinic
1d
Patient Access Representative / Medical Receptionist - Emergency (Casual/PRN, Day Shift)
OrthoNebraska —Omaha, NE
- PRN
- OSHA
- Mid-level
- High school diploma or GED
Quick Apply
Patient Access Professional - Casual
Nebraska Methodist Health System —Omaha, NE
- Part-time
- Microsoft Outlook
- Computer literacy
- BLS Certification
Medical Receptionist
UroHealth Partners —Omaha, NE
- Full-time
- Customer service
- Medical office experience
- High school diploma or GED
- Health savings account
- AD&D insurance
Quick Apply
Medical Lab Client Service Representative
University of Nebraska Medical Center —Omaha, NE
- $18.41 - $27.64 an hour
- Full-time
- Microsoft Outlook
- Customer service
- Pass drug screening
4d
Patient Access Representative / Medical Receptionist - Council Bluffs (9:30a - 6p)
OrthoNebraska —Council Bluffs, IA
- Full-time
- OSHA
- Mid-level
- High school diploma or GED
Quick Apply
11d
Patient Access Coordinator
Nebraska Spine Center LLP —Omaha, NE
- Full-time
- HIPAA
- Clinic
- Telehealth
Quick Apply
Medical Receptionist
Midwest Eye Care —Omaha, NE
- Full-time
- Background check
- High school diploma or GED
- Clinic
- Health savings account
- Paid holidays
Quick Apply
3d
Bilingual Medical Receptionist - Family Practice
Nebraska Methodist Health System —Omaha, NE
- Full-time
- Bilingual
- High school diploma or GED
- Clinic
2d

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Authorization Management Specialist (Amber Specialty Pharmacy)

Amber Specialty Pharmacy -
Omaha, NE

Apply Now

Job Details

Full-time
$19 - $20 an hour
7 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

patient services representative jobs in omaha, ne

Authorization Management Specialist (Amber Specialty Pharmacy)

Patient Financial Services Representative

Clinic Receptionist

Medical Receptionist - Patient Experience Specialist

Patient Access Representative FT and PRN

Medical Receptionist - Family Practice

Medical Receptionist/Call Center

Clinical Scheduler

Patient Access Representative

Administrative Assistant/Receptionist

Receptionist - Bergan Mercy Surgery Center

Appointment Scheduler

Patient Access Representative / Medical Receptionist - Emergency (Casual/PRN, Day Shift)

Patient Access Professional - Casual

Medical Receptionist

Medical Lab Client Service Representative

Patient Access Representative / Medical Receptionist - Council Bluffs (9:30a - 6p)

Patient Access Coordinator

Medical Receptionist

Bilingual Medical Receptionist - Family Practice

I want to receive the latest job alert for patient services representative in omaha, ne

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