Prior Authorization Specialist

Job overview

The Prior Authorization Specialist role is onsite in Valentine, NE, for 40 hours per week; compensation is described as a competitive wage based on experience, with no numeric amount specified. The role supports Cherry County Hospital and its clinic in providing healthcare services to the community. The specialist obtains pre-certifications and authorizations for procedures, services, and medications, coordinating with insurers and internal departments so care can proceed with timely approvals. The role also documents communications, handles applicable appeals, and protects confidential patient information.

What you'll do

• Contact insurers to verify eligibility, benefits, and requirements
• request, track, and obtain authorizations
• follow up before services are performed
• appeal denials when applicable
• document communications
• communicate insurance trends to departments
• assist with filing and record retrieval
• maintain patient confidentiality and follow compliance policies.

What we're looking for

Skills & competencies

prior authorization specialist

healthcare administration

insurance verification

pre-certifications

patient records

hipaa

valentine ne

cherry county hospital

full-time

onsite

high school diploma required

health insurance

dental insurance

vision insurance

Work arrangement

• Weekend coverage required

Benefits & perks

• Employee health, dental, and vision insurance paid at 100%
• $50,000 group life insurance with AD&D
• long-term disability paid at 100%
• flexible spending accounts
• employer-contributed HSA
• supplemental insurance options
• 457 retirement plan.

Why this role

Full-time onsite position, 40 hours per week; high school diploma required. Medical-setting customer service and medical terminology are preferred.

About the employer

Cherry County Hospital and Clinic- Main CCHpage is hiring for this role. Industry: General Medical and Surgical Hospitals. Sector: 62.