Prior Authorization Specialist

Nebraska Urology is looking for a Prior Authorization Specialist to assure authorization is obtained for all procedures, diagnostic testing and meds prior to services being rendered. Come join our Billing Department for the best specialty practice in town!

Wage starting at $17.00-20.00 an hour based on experience.

Essential Duties and Responsibilities:

• Answer/place telephone calls in a timely and professional manner
• Securing authorization on all patients for ancillary, surgical, and out-patient testing/procedures/admissions
• Obtains accurate insurance information and communicates with patient and/or physician office staff
• Keeps accurate worklists and documentation
• Uploading medical record information to insurance carriers as requested
• Runs & ensures medical necessity is complete with proper CPT and ICD-10 codes
• Calls, faxes and communicates with insurance carriers and or providers
• Maintains and communicates knowledge of the scheduling reports for the next day to ensure each department’s readiness for the day’s appointments and/or in the event of any down-time
• Works closely with the physician office staff to ensure that pre-cert/pre-authorization numbers are obtained & entered
• Selects the correct patient medical record number consistently and pays close attention to detail
• Acknowledge, file, and send messages keeping an ongoing line of communication
• Updates patient’s demographics and insurance information as necessary

Education and Training:

• High School Education
• Medical office/Coding/Insurance or Case Management training or equivalent experience preferred

Experience:

• Minimum of two years’ experience working in a medical office with billing and collection preferred, or an equivalent combination of education and/or experience

Nebraska Urology does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.

Job Type: Full-time

Pay: $18.00 - $22.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Ability to Relocate:

• Lincoln, NE 68516: Relocate before starting work (Required)

Work Location: In person

Salary : $17 - $20