Average salary: $80,172 /yearly

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  •  ...hours/week) – Onsite Compensation: Competitive wage based on experience Benefits: Eligible for benefits Now Hiring – Prior Authorization Specialist: About the Position Cherry County Hospital is seeking a dedicated and detail-oriented Prior Authorization... 
    Suggested
    Full time
    Temporary work
    Work at office
    Immediate start
    Flexible hours

    Cherry County Hospital

    Valentine, NE
    18 days ago
  •  ...information of patients at KHS, Making information available to authorized users timely. Maintain storage and retrieval of health...  ...including, but not limited to, the following: Receive requests for prior authorizations through the electronic health record (EHR) and/or... 
    Suggested

    Kimball County Hospital

    Kimball, NE
    1 day ago
  • Pender Community Health is seeking a Part-Time Prior Authorization Specialist to verify insurance, obtain authorizations, and liaise with departments and providers. The role emphasizes accuracy, timely processing, and clear communication within an ambulatory care setting... 
    Suggested
    Part time
    Monday to Friday

    Pender Community Health

    Pender, NE
    1 day ago
  • Pender Community Health is seeking an entry-level Prior Authorization Specialist to support timely patient care by securing insurance approvals for procedures and hospital admissions. This role requires knowledge of health insurance plans, ICD/CPT coding, and EMR systems... 
    Suggested
    Full time

    Pender Community Health

    Pender, NE
    1 day ago
  •  ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate patients and caregivers on regimens and disease-state management.... 
    Suggested
    Remote work

    Pharmacy Careers

    Omaha, NE
    2 days ago
  •  ...Communicate information to patients as requested by providers when clinical judgment and knowledge is not required. · Perform Prior-Authorizations for Medication · Comply with federal and state standards and laws · Maintain accurate documentation · Report any... 
    Suggested
    Full time

    Sidney Regional Medical Center

    Sidney, NE
    11 days ago
  • Authorization Specialist Full Time Clerical/Admin Regional West Medical Center, SCOTTSBLUFF, NE, US Regional West Medical Center is seeking an Authorization Specialist to support timely, accurate prior authorization for patient services. This role is responsible for obtaining... 
    Suggested
    Full time

    Regional West Medical Services

    Scottsbluff, NE
    1 day ago
  • # Prior Authorization SpecialistCozad Community Hospital - Cozad, NE 69130## OverviewSalary Range$18.75 - $31.25 HourlyLevelEntryPosition TypeFull Time## Description**Our Mission:** To improve the health and well-being of the communities we serve demonstrating compassionate... 
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    Work at office
    Local area

    cozadhealthcare.com

    Lincoln, NE
    1 day ago
  • $19 - $20 per hour

     ...accreditation requirements. Amber Specialty Pharmacy Job Title: Authorization Management Specialist Department: Operations FLSA: Non...  ...Function Responsible for preparing appeal summaries and prior authorizations, correspondence with prescriber's offices, and... 
    Suggested
    Hourly pay
    Full time
    Work experience placement
    Work at office
    Local area
    Remote work
    Monday to Friday

    Hy-Vee, Inc.

    Omaha, NE
    9 hours agonew
  • $120 per hour

     ...Stephen Center serves approximately 250 people daily in all programs. Purpose: The primary purpose of the Pre-Authorization Specialist is to obtain prior authorizations from Nebraska Medicaid to ensure timely reimbursement for services provided within the HERO program... 
    Suggested
    Permanent employment
    Temporary work
    Work experience placement
    Work at office

    Thewillowoaksacademy

    Lincoln, NE
    4 days ago
  • $26.01 - $62.32 per hour

     ...schedules will include holidays and evening hours · Associate Degree in Nursing Nice to Have · Utilization Management or Prior Authorization experience · Managed care background · Familiarity with MedCompass · Ambulatory surgery experience · BSN preferred... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Work from home
    Monday to Friday
    Afternoon shift
    Weekday work

    CVS Health

    Central City, NE
    4 days ago
  • $17 - $22 per hour

     ...information Verify insurance eligibility, benefits, referrals, and authorizations Collect co-pays, deductibles, and outstanding balances...  ...diploma or GED required ~ Insurance verification and/or prior authorization experience required ~ Associate degree or healthcare... 
    Suggested
    Local area

    Addison Group

    Lincoln, NE
    4 days ago
  • $27.02 - $48.55 per hour

     ...the Ambetter / Marketplace brand by reviewing behavioral health authorizations requests for the following settings: inpatient, residential...  ...in either central or eastern time zone United States and have prior utilization management or review experience. Evaluates member’... 
    Suggested
    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    Centene Corporation

    Lincoln, NE
    3 days ago
  •  ...Job Description Job Description Job Title:  Prior Authorization LPN/RN Location:  Johnson County Hospital, Tecumseh, NE Department:  Nursing Reports To: DON   Position Summary:  The Precertification Specialist is responsible for obtaining prior authorizations... 
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    Johnson County Hospital

    Tecumseh, NE
    14 days ago
  •  ...appropriate guidance and demonstrating a respectful rapport with all staff and patients. 4) Clinical Support: Performs medication prior authorizations, refill requests, patient requested paperwork, and reviews imaging, labs, and pathology reports. Acts as a liaison between... 
    Suggested

    UroHealth Partners

    Omaha, NE
    16 hours ago
  •  ...lists in compliance with health-plan, PBM, and regulatory standards. Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring Education: PharmD or Bachelor of Pharmacy. Licensure: Active... 
    Remote work

    Pharmacy Careers

    Lincoln, NE
    1 day ago
  •  ...lanes and maintaining order work areas. Sending prescriptions to patients’ pharmacies as requested by the doctor, and handling prior authorization requests as needed. Participating in regular team meetings and reporting team progress to ensure effective team and inter‑... 
    Full time
    Live out
    Shift work

    Vance Thompson Vision Clinic Prof L

    Omaha, NE
    4 days ago
  • $54.1k - $142.58k

     ...download / 3 Mbps upload) Preferred Qualifications Hospital-based behavioral health experience Utilization Management or Prior Authorization experience Managed Care experience Education Behavioral Health Clinicians: Master's degree in Social Work,... 
    Hourly pay
    Full time
    Temporary work
    Local area
    Remote work
    Shift work
    Night shift
    Weekend work

    CVS Health

    Nebraska
    13 days ago
  • $74k

    Cherry County Hospital seeks a detail-oriented Prior Authorization Specialist to secure timely approvals for medical services and procedures. Responsibilities include verifying insurance coverage, submitting and tracking authorization requests, interpreting medical necessity... 

    Cherry County Hospital

    Valentine, NE
    18 days ago
  •  ...organize patient medical records, ensuring accurate documentation of all procedures, treatments, and medications. Perform prior authorizations and appeals Triage incoming phone calls and messages Perform basic medical procedures such as collecting vital signs... 
    Full time

    LovelyGroup

    Omaha, NE
    4 days ago
  •  ...Medication Access Pharmacist Serve as a patient advocate by navigating prior authorizations, insurance requirements, and financial assistance programs. Many roles offer remote or hybrid work so you can focus on reducing access barriers and improving patient outcomes... 
    Remote work

    Pharmacy Careers

    Omaha, NE
    16 hours ago
  • $695 - $799 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 work
    Shift work
    Afternoon shift

    Fusion Medical Staffing

    Albion, NE
    1 day ago
  • $26.01 - $62.32 per hour

     ...Proficiency in Microsoft Office (Outlook, Teams, Excel) ~ Associates degree in nursing Nice to Have Utilization Management or Prior Authorization experience Managed care and/or Medicare experience MedCompass or similar system experience Ambulatory surgery... 
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Work from home
    Monday to Friday
    Afternoon shift
    Weekday work

    CVS Health

    Central City, NE
    2 days ago
  • $300k

     ...Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Patient Acquisition: Unlike with a private practice, we'll work to fill your schedule, so... 
    Remote job
    Weekly pay
    Full time
    Part time
    For contractors
    Private practice
    Immediate start
    Work from home

    Legion Health

    Columbus, NE
    2 days ago
  • $75k - $165k

     ...Make decisions that matter with clear accountability and broad authority This market-facing role will be within the West region and...  ...formulating fact based conclusions and recommendations. Prior experience managing/growing profitable portfolio of customers... 
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich NA

    Lincoln, NE
    16 hours ago
  •  ...thorough, accurate and timely manner in the EMR. Gathers necessary information and facilitates the process for obtaining prior authorization of psychotropic medications. Provides relevant patient education. Responds to questions from patients, relays information... 
    Part time
    Immediate start

    Boys Town

    Omaha, NE
    2 days ago
  • $75k - $115k

     ...Maintain accuracy and quality of policy documentation and underwriting records. ~ Negotiate terms and conditions within authority to balance profitability and competitive positioning. ~ Build and maintain effective working relationships with agents, brokers... 
    Full time
    Work at office
    Local area
    Flexible hours

    American Indemnity

    Omaha, NE
    3 days ago
  •  ...and survey readiness activities. Demonstrates behaviors consistent with Radiology service standards. Obtains insurance prior authorizations for CT and MRI studies Provides patient care and education according to the patient population served. Required... 
    Full time

    Boys Town

    Omaha, NE
    2 days ago
  • The Senior Underwriter at Front Porch Investments is responsible for leading the financial and credit analysis of affordable housing loans. This role will independently evaluate and structure transactions, conduct due diligence, prepare credit recommendations, and coordinate...
    Permanent employment

    SelectLeaders

    Omaha, NE
    1 day ago
  •  ...request and/or renewal policies from agents for acceptability prior to quoting. Follows up with agent or broker for additional information...  ...routine insurance risks and refers risks outside underwriting authority to appropriate referral underwriting resource, as appropriate.... 
    Full time
    Casual work
    Work at office
    Immediate start

    National Indemnity Company

    Omaha, NE
    1 day ago