Top 50 Pre access specialist i Jobs in Omaha, Ne

Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)
Amber Specialty Pharmacy —Omaha, NE
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
5d
Pre-Access Specialist I
Nebraska Methodist Health System —Omaha, NE
- Full-time
- Office
- High school diploma or GED
- Math
8d
Pre-Authorization Specialist
Think Whole Person Healthcare —Omaha, NE
- Full-time
- Mid-level
- 2 years
Quick Apply
Access Scheduler
Nebraska Methodist Health System —Omaha, NE
- Full-time
- HIPAA
- Mid-level
- Office
Referral Specialist
CHI Health Clinic —Omaha, NE
- $15.67 - $22.14 an hour
- Extended hours
- Google Workspace
- HIPAA
- High school diploma or GED
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
12d
Non-Retail Pharmacy Technician (Amber Specialty Pharmacy)
Amber Specialty Pharmacy —Omaha, NE
- $20 - $24 an hour
- Full-time
- Background check
- Microsoft Outlook
- Basic math
- Paid training
- Paid holidays
5d
Locum Physician (MD/DO) - Maternal-Fetal Medicine (MFM) in Nebraska
LocumJobsOnline —Nebraska
- Full-time
- Medicine
- Clinic
- Operating room
12h
Patient Access Specialist
Boys Town National Research Hospital —Omaha, NE
- Full-time
- Surgery
- Clinic experience
- 3 years
- Health insurance
- Tuition reimbursement
1d
Delivery Prep Specialist
Nebraska Furniture Mart —Omaha, NE
- $17.85 - $22.22 an hour
- Weekends as needed
- 18 years or older
- Criminal background check
- Warehouse experience
- Paid holidays
- Disability insurance
Quick Apply
4d
Medical Supply Tech (Sterile Processing)
US Veterans Health Administration —Omaha, NE
- $36,464 - $66,288 a year
- Part-time
- Background check
- Anatomy knowledge
- Surgery
- Paid parental leave
- Dental insurance
Recruitment Specialist
K2 Insurance Services —Omaha, NE
- $75,000 - $85,000 a year
- Full-time
- Remote
- Background check
- Mid-level
- Travel
- Health insurance
- Dental insurance
Quick Apply
12d
IT Support Specialist
Omaha's Henry Doorly Zoo and Aquarium —Omaha, NE
- From $18.62 an hour
- Weekends as needed
- Background check
- Computer science
- Computer Science
19h
Night Time Communications Specialist (Dispatcher)
EMS Unlimited —Omaha, NE
- 12 hour shift
- Pass drug screening
- English
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
IT Learning & Training Specialist
University of Nebraska System —Omaha, NE
- From $59,700 a year
- Full-time
- Hybrid work
- Mid-level
- University
- Continuous improvement
- Paid holidays
- Retirement plan
9d
Leasing Team Member
Cardinal Group Companies —Omaha, NE
- Weekends as needed
- Computer literacy
- Writing skills
- High school diploma or GED
- Opportunities for advancement
Workstation Support Associate
University of Nebraska System —Omaha, NE
- $49,000 a year
- Full-time
- Customer service
- Research
- Mid-level
- Paid holidays
- Retirement plan
Claim Specialist - Property Field Inspection
State Farm —Omaha, NE
- $59,059.65 - $90,000.00 a year
- Overtime
- Mid-level
- Residential
- Analysis skills
- Paid holidays
- Health insurance
Emergency Community Support Specialist
The Salvation Army Central Territory —Omaha, NE
- $19 an hour
- Full-time
- Microsoft Excel
- Mid-level
- High school diploma or GED
Quick Apply
Leasing & Marketing Team Leader
Cardinal Group Companies —Omaha, NE
- Weekends as needed
- Computer literacy
- Writing skills
- High school diploma or GED

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pre access specialist i jobs near omaha, ne

Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)

Amber Specialty Pharmacy -
Omaha, NE

Apply Now

Job Details

Full-time
5 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

pre access specialist i jobs in omaha, ne

Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)

Pre-Access Specialist I

Pre-Authorization Specialist

Access Scheduler

Referral Specialist

Authorization Management Specialist (Amber Specialty Pharmacy)

Non-Retail Pharmacy Technician (Amber Specialty Pharmacy)

Locum Physician (MD/DO) - Maternal-Fetal Medicine (MFM) in Nebraska

Patient Access Specialist

Delivery Prep Specialist

Medical Supply Tech (Sterile Processing)

Recruitment Specialist

IT Support Specialist

Night Time Communications Specialist (Dispatcher)

IT Learning & Training Specialist

Leasing Team Member

Workstation Support Associate

Claim Specialist - Property Field Inspection

Emergency Community Support Specialist

Leasing & Marketing Team Leader

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