Top 34 Pre authorization 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
11d
Pre-Authorization Specialist
Think Whole Person Healthcare —Omaha, NE
- Full-time
- Mid-level
- 2 years
Quick Apply
Pre-Access Specialist I
Nebraska Methodist Health System —Omaha, NE
- Full-time
- Office
- High school diploma or GED
- Math
8d
Lead Medical Support Assistant
US Veterans Health Administration —Omaha, NE
- $50,964 - $66,255 a year
- Part-time
- Hybrid work
- Background check
- High school
- Pass drug screening
- Paid parental leave
- Paid holidays
13d
Referral Specialist
CHI Health Clinic —Omaha, NE
- $15.67 - $22.14 an hour
- Extended hours
- Google Workspace
- HIPAA
- High school diploma or GED
Scheduler Outpatient Therapy - Omaha (On Call, Days)
Madonna Rehabilitation Hospital —Omaha, NE
- On call
- High school
- Computer literacy
- Basic math
Paraprofessional, Health Aide (Starts at $18.90 per hour)
Omaha Public Schools —Omaha, NE
- From $18.90 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
Referral Care Coordinator
ONEWORLD COMMUNITY HEALTH CENTERS INC —Omaha, NE
- Full-time
- Spanish
- Medical office experience
- English
- Health insurance
- Dental insurance
Pre-Access Advocate
Nebraska Methodist Health System —Omaha, NE
- Full-time
- Medical office experience
- Office
- High school diploma or GED
- Health insurance
Access Scheduler
Nebraska Methodist Health System —Omaha, NE
- Full-time
- HIPAA
- Mid-level
- Office
Medical Assistant
One to One Health —Council Bluffs, IA
- PRN
- Customer service
- Computer literacy
- Writing skills
Quick Apply
Insurance Coordinator
Oral Surgery Partners —Omaha, NE
- Full-time
- Dental office
- Surgery
- Mid-level
- Profit sharing
- Health savings account
Quick Apply
Patient Access Specialist
Boys Town National Research Hospital —Omaha, NE
- Full-time
- Surgery
- Clinic experience
- 3 years
- Health insurance
- Tuition reimbursement
23h
Admissions Registered Nurse
Methodist Jennie Edmundson Behavioral Health Hospital —Council Bluffs, IA
- Full-time
- CPR Certification
- Nursing
- RN License
6d
Pre-Access Clinical Supervisor
Nebraska Methodist Health System —Omaha, NE
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
1d
Licensed Practical Nurse
UroHealth Partners —Omaha, NE
- Full-time
- Private practice
- Vital signs
- Computer literacy
- Health savings account
- AD&D insurance
Quick Apply
Psychologist Pediatrics and Training Cardiology - Cardiology / General Outpatient
Children's Nebraska —Omaha, NE
- Part-time
- Management
- Hospital
- Adults
Psychologist Pediatrics and Training
Children's Nebraska —Omaha, NE
- Full-time
- Management
- Hospital
- Adults
Patient Coordinator at Smile Station Pediatric Dentistry
Smile Station Pediatric Dentistry —Omaha, NE
- $18 - $20 an hour
- Full-time
- Dental office
- High school diploma or GED
- Pediatrics
Quick Apply
3d
Administrative Support Services Specialist
Heartland Family Service —Council Bluffs, IA
- $16.51 - $19.69 an hour
- Evenings as needed
- Office
- Administrative experience
- Cleaning
Quick Apply

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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
11 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

pre authorization jobs in omaha, ne

Authorization Management Specialist (Amber Specialty Pharmacy)

Pre-Authorization Specialist

Pre-Access Specialist I

Lead Medical Support Assistant

Referral Specialist

Scheduler Outpatient Therapy - Omaha (On Call, Days)

Paraprofessional, Health Aide (Starts at $18.90 per hour)

Referral Care Coordinator

Pre-Access Advocate

Access Scheduler

Medical Assistant

Insurance Coordinator

Patient Access Specialist

Admissions Registered Nurse

Pre-Access Clinical Supervisor

Licensed Practical Nurse

Psychologist Pediatrics and Training Cardiology - Cardiology / General Outpatient

Psychologist Pediatrics and Training

Patient Coordinator at Smile Station Pediatric Dentistry

Administrative Support Services Specialist

I want to receive the latest job alert for pre authorization in omaha, ne

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