Prior Authorization Specialist — Onsite

Job overview

The Prior Authorization Specialist role is full-time and onsite in Valentine, Nebraska, at Cherry County Hospital. Compensation is described as competitive based on experience, with no numeric amount specified. The hospital and clinic serve the local community with healthcare services. The specialist obtains and tracks pre-certifications and authorizations for procedures and medications, coordinating with insurers and hospital departments so services can proceed with required approvals. The role also documents communications, handles applicable denials, and protects confidential patient information.

What you'll do

• Contact insurers to verify patient eligibility, benefits, and requirements
• request, track, and obtain authorizations
• follow up before services are performed
• communicate insurance changes or trends to departments
• appeal denials when applicable
• document contacts in a standardized format
• 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-certification

medical procedures

patient records

hipaa

full-time

onsite

valentine ne

cherry county hospital

high school diploma required

Work arrangement

• Weekend coverage required

Benefits & perks

• Benefits include employee-paid health insurance options, dental and vision insurance, group life insurance, long-term disability, flexible spending accounts, an employer-contributed health savings account, supplemental insurance, and a 457 retirement plan.

Why this role

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

About the employer

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