Top 10 Referral specialist 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
6d
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
Home Health Intake Specialist
Children's Nebraska —Omaha, NE
- Full-time
- Writing skills
- 3 years
- Finance
8d
Pre-Authorization Specialist
Think Whole Person Healthcare —Omaha, NE
- Full-time
- Mid-level
- 2 years
Quick Apply
Information and Referral (I&R) Specialist
The Visiting Nurse Health Services —Omaha, NE
- $18.47 - $23.09 an hour
- Full-time
- Spanish
- Microsoft Outlook
- Computer literacy
Quick Apply
Customer Care Coordinator-Order Experience I
Numotion —Omaha, NE
- Overtime
- Microsoft Outlook
- Pass drug screening
- Office
- Disability insurance
- Health insurance
1d
Pre-Access Specialist I
Nebraska Methodist Health System —Omaha, NE
- Full-time
- Office
- High school diploma or GED
- Math
9d
X-Ray Technician/Referral Assistant
Charles Drew Health Centers —Omaha, NE
- Full-time
- Microsoft Excel
- Mid-level
- High school diploma or GED
Quick Apply
Insurance Coordinator
Oral Surgery Partners —Omaha, NE
- Full-time
- Dental office
- Surgery
- Mid-level
- Profit sharing
- Health savings account
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Authorization Management Specialist (Amber Specialty Pharmacy)
Amber Specialty Pharmacy —Omaha, NE
Application for certification within state-specified criteria. Must pass post-offer, pre-employment drug background tests as allowed by state, federal, local…
$19 - $20 an hour
12d
Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)
Amber Specialty Pharmacy —Omaha, NE
Notifies appropriate staff of relevant information gathered during calls to provider or patient that may affect a patient’s disease state, medication regimen or…
6d

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Referral Specialist
PrimaryOne Health —Columbus, OH
Utilizes internal software and telephone system to enter or retrieve data related to the referral/scheduling of appointments.
Referral Specialist
Equitas Health, Inc. —Columbus, OH
Answers, responds and documents phone calls, request and questions from patients in a timely manner. Routinely makes reminder phone calls, reminder to referral…
$18.13 - $21.78 an hour
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for referral specialist in omaha ne

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

referral specialist jobs near omaha ne

Benefit Specialist jobs in Omaha, NE

Patient Access Specialist jobs in Omaha, NE

Prior Authorization Specialist jobs in Omaha, NE

Referral Specialist jobs in Omaha, NE

Authorization Specialist jobs in Omaha, NE

Intake Specialist jobs in Omaha, NE

Benefit Specialist jobs in Chandler, AZ

Benefit Specialist jobs in New York, NY

Implementation Specialist jobs in Dallas, TX

Clinical Data Specialist jobs in Texas

Benefit Specialist jobs in Bridgeport, CT

Benefit Specialist jobs in Fort Lauderdale, FL

Operations Specialist jobs in New Jersey

Patient Access Specialist jobs in Springfield, IL

Patient Care Technician jobs in Township Of Hamilton, NJ

Identity Access Management jobs in Atlanta, GA

Patient Access Specialist jobs in San Jose, CA

Identity Access Management jobs in Seattle, WA

Patient Access Specialist jobs in Bloomfield, NJ

Patient Access Representative jobs in San Francisco, CA

Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)

Amber Specialty Pharmacy -
Omaha, NE

Apply Now

Job Details

Full-time
6 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

referral specialist jobs in omaha ne

Pharmacy & Medical Benefits Verification Specialist (Amber Specialty Pharmacy)

Authorization Management Specialist (Amber Specialty Pharmacy)

Home Health Intake Specialist

Pre-Authorization Specialist

Information and Referral (I&R) Specialist

Customer Care Coordinator-Order Experience I

Pre-Access Specialist I

X-Ray Technician/Referral Assistant

Insurance Coordinator

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for referral specialist in omaha ne

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected