Prior Authorization Specialist at Cherry County Hospital – Valentine, Nebraska

Location: Cherry County Hospital, Valentine, NE
Position: Full-Time (40 hours/week) - Onsite
Compensation: Starting at $21.08/hr (Based on Experience)
Benefits: Eligible for benefits

Cherry County Hospital is seeking a dedicated and skilled Prior Authorization Specialist to join our team. In this vital role, you will be responsible for obtaining pre-certifications and pre-authorizations for medical procedures and medications at our hospital and clinic.

As a Prior Authorization Specialist, you will:

• Contact insurance carriers to verify patient insurance 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 a solid understanding of medical terminology and office procedures, including HIPAA regulations
  
• Communicate any insurance changes or trends to relevant departments
  
• Maintain a level of productivity suitable for the department
  
• Appeal insurance/payor denials when applicable
  
• Document all communications and contacts in a standardized format
  
• Notify department heads of any additional staffing or equipment needs
  
• Assist with occasional filing or record retrieval as needed
  
• Cooperate and work effectively with staff, public, and physicians
  
• Ensure the confidentiality of all patient medical, personal, and financial records
  
• Practice and adhere to corporate compliance policies and procedures
  
• Perform additional duties as assigned by the supervisor
  

• Excellent verbal and written communication skills
  
• Proficiency with computers and related software (Microsoft Excel, Word, and Windows)
  
• Strong organizational skills and the ability to interpret data
  
• Strong judgment, tact, diplomacy, and problem-solving skills
  
• Ability to work collaboratively in a team environment
  
• Strong attention to maintaining 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
  

• Sedentary work involving periods of sitting, talking, typing, and listening
  
• Repetitive use of hands, arms, and eyes, which may cause strain
  
• Significant manual dexterity to operate business office machines and equipment
  

• Be part of a dedicated, compassionate healthcare team
  
• Competitive pay and excellent benefits
  
• Work in a collaborative and supportive environment
  

Apply Now!
Join our team at Cherry County Hospital and contribute to the delivery of exceptional healthcare services in our community.

• 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