About this opportunity
Cherry County Hospital lists this Prior Authorization Specialist - Onsite opportunity in city of valentine, Nebraska. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Description:Location: Cherry County Hospital, Valentine, NEPosition: Full-Time (40 hours/week) – OnsiteCompensation: Competitive wage based on experienceBenefits: Eligible for benefitsNow Hiring – Prior Authorization Specialist: About the PositionCherry County Hospital is seeking a dedicated and detail-oriented Prior Authorization Specialist to join our team. In this important role, you will be responsible for obtaining pre-certifications and pre-authorizations for medical procedures and medications at our hospital and clinic.Duties and ResponsibilitiesAs a Prior Authorization Specialist, you will:- Contact insurance carriers to verify patient eligibility, benefits, and requirements.- Request, track, and obtain pre-authorizations for medical procedures and services.- Follow up with insurance carriers to ensure timely authorizations before services are performed.- Demonstrate knowledge of medical terminology, office procedures, and HIPAA regulations.- Communicate insurance changes or trends to appropriate departments.- Maintain a level of productivity appropriate for the department.- Appeal insurance/payor denials when applicable.- Document all communications and contacts in a standardized format.- Notify department heads of additional staffing or equipment needs.- Assist with filing and record retrieval as needed.- Work cooperatively and effectively with staff, physicians, and the public.- Maintain strict confidentiality of patient medical, personal, and financial information.- Follow corporate compliance policies and procedures.- Perform additional duties as assigned by the supervisor.Skills and Abilities- Excellent verbal and written communication skills.- Proficiency with computers and Microsoft Excel, Word, and Windows.- Strong organizational skills and ability to interpret data.- Strong judgment, tact, diplomacy, and problem-solving skills.- Ability to work collaboratively in a team environment.- Strong attention to confidentiality of hospital and patient information.- Ability to perform repetitive tasks with minimal independent judgment.- Familiarity with state and federal confidentiality laws, including HIPAA, and the ability to follow policies regarding the privacy and security of health information.Physical Demands and Working Conditions- Sedentary work involving periods of sitting, talking, typing, and listening.- Repetitive use of hands, arms, and eyes, which may cause strain.- Significant manual dexterity required to operate business office machines and equipment.Job Requirements- High school diploma required.- Prior customer service experience in a medical setting preferred.- Knowledge of medical terminology preferred.- Previous experience with Microsoft Excel, Word, and Windows.Comprehensive Benefit Package- Health Insurance: Co-pay or HSA plan options;
100% paid for employee.- Dental Insurance: 100% paid for employee.- Vision Insurance: 100% paid for employee.- Group Life Insurance: $50,000 with AD&D.- Long-Term Disability: 100% paid for employee.- Flexible Spending Accounts: Medical and dependent care options.- Health Savings Account: Includes employer contribution.- Supplemental Insurance: Short-Term Disability, Supplemental Life and AD&D, Critical Illness, Hospital Indemnity, and Accident.- Retirement Plan: 457 plan with Pre-Tax and Roth options.Why Cherry County Hospital?- Be part of a dedicated and compassionate healthcare team.- Enjoy competitive pay and excellent benefits.- Work in a collaborative and supportive environment.- Make a meaningful contribution to healthcare in our community.Apply Now!Join our team at Cherry County Hospital and help us provide exceptional healthcare services to our community.
Requirements:
- High school diploma required- Prior customer service experience in a medical setting preferred- Knowledge of medical terminology preferred- Previous experience with Microsoft Excel, Word, and WindowsPIdb58c14d70fd-
Who can apply
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