Average salary: $73,171 /yearly
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$56k - $70k
...and comprehensive benefits packages. Notice to Recruitment Agencies Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and/or its affiliates will not be responsible for any fees...SuggestedWork at officeLocal areaFlexible hours- ...healthcare facility in Sidney, Nebraska, seeks a full-time Clinic Utilization Review Specialist. This role focuses on ensuring timely authorization requests, analyzing medical justifications, and collaborating with medical staff to enhance patient care. Ideal candidates will...SuggestedFull time
$37.66 - $44.33 per hour
...exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payTemporary workLocal area- ...policies to ensure all the payer required guidelines are met prior to the service being rendered to ensure maximum reimbursment.... ...authorizaiton of services. Responsible for any required retro-authorizations as well as communicating any peer-to-peer review requirements...SuggestedWork experience placementWork at office
Bryan Health
Lincoln, NE1 day ago - ...for all positions. Empowers others by driving decision-making, authority, and resources to trusted employees and providing stretch assignments... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeCasual workLocal areaImmediate startRemote workWeekend work
Argonaut Management Services, Inc
Omaha, NE4 days ago $86k - $101.5k
...Working under technical direction and within significant limits and authority, adjudicate Garage Bodily Injury claims of higher technical... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal area$80k - $121k
...121,000.00 PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal areaArgonaut Management Services, Inc
Omaha, NE4 days ago$86.25k - $101.5k
...compensation claims of higher technical complexity within established authority. Investigate claims promptly and thoroughly, including... ...Agencies Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedLocal area- ...source or parent/caregiver. Completes insurance verification, authorizations, patient registration. Communicate proactively with ordering provider... ...eligibility check is documented. Obtains verbal or written prior authorizations for all services in a timely manner and records...Suggested
Childrens Nebraska
Omaha, NE20 hours ago - ...exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as a... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaImmediate start
- ...Counselor to assist with patient insurance benefits and procedural authorizations. This role requires at least 6 months of healthcare experience... ...and explaining benefits, creating estimates, and managing prior authorizations. The position offers a work from home option in...SuggestedRemote jobWork from home
$22.5 per hour
...experience. PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payWork at officeLocal areaArgonaut Management Services, Inc
Omaha, NE1 day ago$100k
...adjudicate general liability bodily injury claims at the highest authority limits on assignments reflecting the highest degree of... ...Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal area- ...program to submit their federal student loans for forgiveness. Responsibilities Provide excellent customer service. Ensure that prior authorization requests are completed in a timely fashion to meet contractual requirements. Ensure all reviews are conducted using...SuggestedFull time
- ...obtained through: A high school diploma (or equivalent) and 3 years' prior relevant work experience; or A vocational or technical... ...exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the...SuggestedFull timeWork experience placementLocal areaImmediate start
$80 per hour
...These notes must be completed within 24 hours of the patient’s last appointment. Completing and signing labs, letters, forms, prior authorization requests, or other medical records for patients. We seek people eager to bring their gifts and passions to this exciting...Hourly payFor contractorsLocal areaRemote workShift workAnywhere Clinic LLC
Lincoln, NE4 days ago- ...including insurance and demographics into the patients chart. The coordinator will also be responsible for helping with outside prior authorizations and approvals for infusion patients Qualifications: High School Diploma or equivalent. General secretarial experience...Full timeMonday to FridayFlexible hoursShift work
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER
Beatrice, NE26 days ago $49 per hour
...include: Conduct inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. Refer appropriate cases to Medical Directors and present them in a consistent and...Work experience placementRotating shift$75.28k - $101.18k
...276-$101,182 PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Work experience placementWork at officeLocal areaArgonaut Management Services, Inc
Omaha, NE3 days ago$90k - $100k
...compliance with the Medical Management Program Description of P3 Health Partners regarding Utilization Review, inclusive of prior authorization, concurrent and retrospective review, discharge planning and transitions of care to the appropriate level. The UM Nurse adheres...P3 Health Partners
Omaha, NE4 days ago- ...examinations and procedures as needed. Prepares patients for procedures per protocol. Arranges diagnostic procedures. Obtains prior authorizations. Participates in obtaining and meeting quality measures. Maintains a clean, safe patient environment. Monitors equipment to...
Bryan Health
Kearney, NE3 days ago $1,008 - $1,159 per week
...workflow Maintain and update health records with accurate patient information Handle insurance verifications, billing, and prior authorizations for procedures and medications Ensure exam rooms are clean, stocked, and prepared for each patient visit Perform other...Temporary workShift workFusion Medical Staffing
Lincoln, NE1 day ago$70.8k - $85k
...and attendee communication Support onsite execution with full authority to resolve issues Drive organization and process Build timelines... ...Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...Local area$112k - $168k
...verbal communication skills and be a polished meeting presenter. Prior experience working a large geography, based on market. Ability... ...with coverage determination facilitation OR extensive prior authorization experience. Proficient in Microsoft Office as well as prior...Full timeWork at officeNight shift- ...Pharmacy acquisition, payor policy, appropriate patient identification, clinical documentation, benefit investigation results, prior authorizations, billing, coding, patient tracking, claim submission, reconciliation management, patient financial savings programs, patient...Local areaNight shift
AbbVie
Omaha, NE13 days ago - ...Proactively reviews and verifies patients' drug benefit information to ensure reimbursement requirements are met. Conducts insurance prior authorization requests. Coordinates patient care related to medication infusions/injections. Identifies opportunities for improving...Work at office
Bryan Health
Lincoln, NE24 days ago - Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting processes....For contractorsWork at officeLocal areaWork from home
EXL
Omaha, NE2 days ago - ...Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary. Develop knowledge and understanding...Full timeTemporary workWork at officeMonday to FridayFlexible hours
Guardian Pharmacy
Omaha, NE1 day ago - A Berkshire Hathaway insurance firm is seeking candidates for an entry-level underwriting position. In this role, you will evaluate risk by reviewing applications and preparing insurance quotes. The ideal candidate should have a bachelor's degree, strong problem-solving...
- ...insurance firm located in Omaha, NE, is seeking an Entry Level Underwriter to evaluate insurance applications and prepare quotes. No prior insurance experience is required; just a Bachelor's degree and strong analytical skills. The role involves assessing risks, ensuring...
