Top 36 prior authorization Jobs in omaha, ne

Authorization Management Specialist
Amber Specialty Pharmacy —Omaha, NE
- $19 - $20 an hour
- Full-time
- Background check
- Microsoft Outlook
- Customer service
- Paid holidays
10d
Medical Assistant/LPN
Essential Family Medicine of Omaha, LLC —Omaha, NE
- $23 - $35 an hour
- Full-time
- Nursing
- Vital signs
- Medication administration
- Health insurance
- Dental insurance
Quick Apply
Prior Authorization Specialist
UroHealth Partners —Omaha, NE
- Full-time
- Surgery
- Medical office experience
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Medical Assistant - Outpatient Part Time
Madonna Rehabilitation Hospital —Omaha, NE
- Part-time
- CPR Certification
- Vital signs
- High school
- Free parking
- Health insurance
Quick Apply
Medical Records Technician (Release of Information)
US Veterans Health Administration —Omaha, NE
- $37,193 - $59,621 a year
- Online Application
- Background check
- High school
- Word processing
- Paid parental leave
- Paid holidays
9d
Customer Success Manager
paypal —Omaha, NE
- $94,000 - $134,750 a year
- Full-time
- Hybrid work
- Office
- 3 years
- Bachelor's degree
- Health insurance
- Paid time off
Access Scheduler
Nebraska Methodist Health System —Omaha, NE
- Full-time
- HIPAA
- Mid-level
- Office
Administrative Assistant II - Human Resources Admin
City of Omaha, NE —Omaha, NE
- $23.33 an hour
- Part-time
- Computer literacy
- Basic math
- English
- Vision insurance
Medical/Clinical Assistant - Omaha (Part time, 27 hrs, Mon-Fri)
Madonna Rehabilitation Hospital —Omaha, NE
- Part-time
- CPR Certification
- Clean driving record
- Patient monitoring
3d
Pre-Access Specialist I
Nebraska Methodist Health System —Omaha, NE
- Full-time
- Office
- High school diploma or GED
- Math
5d
Sr Associate Patient Coordinator
Nebraska Medicine —Omaha, NE
- Part-time
- Mid-level
- High school diploma or GED
- Clinic
- Tuition reimbursement
- Opportunities for advancement
14d
Laboratory Authorization and Outreach Specialist / Lab Administration
Children's Nebraska —Omaha, NE
- Full-time
- Medical office experience
- Research
- Mid-level
Patient Coordinator
Oral Surgery Partners —Omaha, NE
- Full-time
- Dental office
- Surgery
- HIPAA
- Profit sharing
- Health savings account
Quick Apply
Patient Access Representative FT and PRN
Nebraska Hospital —Papillion, NE
- Part-time
- Computer literacy
- BLS Certification
- HIPAA
- AD&D insurance
- Health insurance
Patient Support Specialist
Total Respiratory & Rehab —Omaha, NE
- Overtime
- Background check
- Microsoft Outlook
- Ability to walk for extended periods
Quick Apply
Customer Service Representative
QUIPT HOME MEDICAL INC —Omaha, NE
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Workers’ Compensation Specialist
OrthoNebraska —Omaha, NE
- Full-time
- HIPAA
- High school diploma or GED
- Computer skills
Quick Apply
Sr. Specialist, Customer Solutions
First National Bank of Omaha —Omaha, NE
- Email
- Microsoft Excel
- Writing skills
- Mid-level
- Health savings account
- Disability insurance
1d
Client Support Specialist II
Farm Family —Omaha, NE
- Overtime
- Mid-level
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
11d
Admissions Coordinator Inpatient Rehab
CHI Health Immanuel —Omaha, NE
- $36.94 - $53.56 an hour
- Full-time
- RN License
- Physical & Rehabilitation Medicine
- Inpatient

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Authorization Management Specialist

Amber Specialty Pharmacy -
Omaha, NE

Apply Now

Job Details

Full-time
$19 - $20 an hour
10 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: Dedicated Authorization Management Specialist

Department: Operations

FLSA: Non-Exempt

General Functions:

Responsible for preparing prior authorizations and appeals, correspondence with prescriber’s offices, and documenting information in the electronic medical record for an assigned product program. Gathers pertinent patient history and information, evaluates, responds, and completes appeals and prior authorizations accurately and timely. Provides exceptional customer service in all interactions.

Reporting Relations

Reports to: Program Management Lead

Direct Reports: None

Primary Duties and Responsibilities:

Initiates and completes prior authorizations and appeals for specialty pharmacy for all patients of an assigned product program.
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, Pharma partners, and patients to obtain 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.
Collaborates with program team members on other aspects of the product program, not limited to intake and patient access functions and patient communications and onboarding.
Advocates on the patient’s behalf to identify and assess coverage issues.
Assists licensed professionals 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.
This is an office-based position.

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, copay cards, prior authorizations, and rejections
Prior PAP, PA, and copay card experience preferred
Prior experience troubleshooting rejected pharmacy claims preferred
Proficiently read and understand abstract information from handwritten patient medical records

Educational and Experience Requirements:

High school diploma or equivalent
Working knowledge of the healthcare industry
HIPPA trained and/or the ability to work with and protect highly confidential patient and employee information
Six months or less of similar or related work experience

Licensure and Certification Requirement:

Nationally Certified Pharmacy Technicians Preferred

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 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, vendors, insurance carriers, government entities, such as Medicare/Medicaid, and customers.

Confidentiality:

The position Interactions with medical personnel and patients and access proprietary and medical (HIPAA) information in various interactions and matters.

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

prior authorization jobs in omaha, ne

Authorization Management Specialist

Medical Assistant/LPN

Prior Authorization Specialist

Medical Assistant - Outpatient Part Time

Medical Records Technician (Release of Information)

Customer Success Manager

Access Scheduler

Administrative Assistant II - Human Resources Admin

Medical/Clinical Assistant - Omaha (Part time, 27 hrs, Mon-Fri)

Pre-Access Specialist I

Sr Associate Patient Coordinator

Laboratory Authorization and Outreach Specialist / Lab Administration

Patient Coordinator

Patient Access Representative FT and PRN

Patient Support Specialist

Customer Service Representative

Workers’ Compensation Specialist

Sr. Specialist, Customer Solutions

Client Support Specialist II

Admissions Coordinator Inpatient Rehab

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

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