Prior Authorization Specialist

Job overview

The Prior Authorization Specialist role is onsite in Pender, NE. Compensation is not specified. The position supports Pender Community Health’s prior authorization program and helps patients obtain timely approvals for medical services. The role exists to secure and document insurance approvals before services are provided. It contributes to efficient care workflows by coordinating with insurers, patients, physicians, hospital departments, and specialty providers, while tracking authorization outcomes and urgent cases.

What you'll do

• Verify patient insurance and benefits
• obtain and document prior authorizations in the electronic medical record
• submit supporting medical records and information to payers
• prioritize urgent cases
• communicate authorization needs to staff
• serve as a liaison for authorization and financial responsibility questions
• monitor approvals and denials.

What we're looking for

Skills & competencies

prior authorization specialist

pender community health

pender ne

insurance verification

prior authorizations

electronic medical record

cpt and icd-10

patient coordination

payer communication

monday–friday schedule

Work arrangement

• Weekend coverage required

Why this role

The posting specifies a Monday–Friday schedule, 8:00 a.m.–4:30 p.m., with a minimum of 40 hours per week. A high school diploma or equivalent is required; experience with insurance verification or prior authorizations is requested.

About the employer

Pender Community Health is hiring for this role. Industry: All Other Outpatient Care Centers. Sector: 62.