Average salary: $73,171 /yearly
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- ...GENERAL SUMMARY: Responsible for verifying patient insurance and benefits and obtaining prior authorization for scheduled medical services and hospital admissions following payer specific guidelines. Responsible for ensuring urgent/emergent cases are worked within...SuggestedWork experience placementWork at office
Bryan Health
Lincoln, NE4 days ago - ...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. Provides coordination and processing of pharmacy prior authorization requests and/or appeals. Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedWork at office
Molina Healthcare
Omaha, NE1 day ago $26.41 - $61.79 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate...SuggestedHourly payWork experience placementWork at officeRotating shiftGeorgia Staffing
Grand Island, NE15 hours ago- ...conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file prior to authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members,...SuggestedFull timeContract workLocal areaRemote work
Cherokee Federal
Offutt Air Force Base, NE2 hours agonew - ...Property. Responsibilities Underwriting and Program Management Underwrite new accounts based on underwriting guidelines and authority granted Manage production to achieve premium goals. Effectively communicate information to both internal and external...SuggestedFull timeLive in
Ategrity Specialty Insurance Company
Omaha, NE4 days ago - Job Description 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...SuggestedFor contractorsWork at officeLocal areaWork from home
EXL
Red Willow County, NE24 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...Suggested
Bryan Health
Kearney, NE15 hours ago - ...including FMLA, work comp, pre-op, newborn, and preparing new patient packet documentation. * Provides backup support for prior authorizations, medication refills, referral review, and ER follow-ups as needed. * Provides guidance to patients and staff regarding navigation...SuggestedFull timeImmediate startFlexible hours
HEARTLAND HEALTH CENTER INC
Grand Island, NE11 hours agonew $19.01 per hour
...and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication...SuggestedFor contractorsLocal areaHighmark Health
Lincoln, NE2 days ago$22 - $25 per hour
Personal Lines Customer Service Representative The Personal Lines Customer Service Representative at Gretna Insurance Agency is responsible for maintaining solid customer relationships by handling personal lines insurance coverage inquiries and concerns with speed and...SuggestedHourly payWork experience placementIIAN
Gretna, NE1 day ago- Proactively connect with prospective clients to assess life insurance needs and recommend appropriate coverage solutions Operate as a performance-driven consultant, setting and tracking personal sales goals and activity metrics Educate clients on life insurance products...SuggestedRemote jobFull time
Zuzick Organization of Globe Life
Grand Island, NE2 days ago - Division Summary: DPI is an independent insurance agency based in Omaha, Nebraska, serving clients across the nation. We offer innovative solutions, unmatched expertise and a dedicated team of professionals who are focused on providing exceptional quality in every...SuggestedWork at officeRemote work
NP Dodge
Omaha, NE1 day ago - ...Responsibilities: Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local...SuggestedPermanent employmentFull timeWork at officeLocal area
Johnson & Johnson
Grand Island, NE4 days ago - Job Description Job Quick Facts: • Specialty: CRNA • Job Type: Locum Tenens • Facility Location: Lincoln, NE • Service Setting: Inpatient • Reason For Coverage: Supplemental • Coverage Period: Feb 2026 - Ongoing • Coverage Type: Clinical ...SuggestedLocumShift work
Adelphi Medical Staffing, LLC
Lincoln, NE19 days ago $40k - $87k
...be new to the Auto Club Group (not applied in the last 180 days). There is a 1-year payback clause if your employment is terminated prior to completing 12 months of employment. Additional details can be provided by our Recruiting Team at the time of application. Ready...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeRelocation packageACS Auto Club Services, Inc.
Grand Island, NE2 hours agonew- ...medications for use, ensuring proper documentation is completed prior to medication administration. 2. Responsible for all aspects... ...entry, referral tracking, insurance verifications and prior authorizations. 10. Completes monthly inventory counts and audits for all sites...Work at office
Midtown Health Center Inc
Norfolk, NE4 days ago $20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...Remote jobFull timeSummer workInternshipImmediate startQBE North America
Lincoln, NE4 days ago$20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...Remote jobFull timePart timeSummer workInternshipWork at officeImmediate startWork from homeQBE North America
Omaha, NE15 hours ago$15.48 - $19.23 per hour
...throughout the US and Canada. As a leading insurance wholesaler and program manager, One80 offers placement services and binding authority for property and casualty, life, travel/accident and health, affinity and administrative services, and warranty business. In 2024,...Hourly payImmediate startOne80 Intermediaries
Omaha, NE15 hours ago- Job Description Farmers National Company is an employee-owned company headquartered in Omaha, NE. We are the Nation's leading landowner services company and have been in business for 95 years. We pride ourselves in meeting and exceeding goals and objectives of our clients...Seasonal workWork at office
Farmers National Co
Omaha, NE2 days ago - ...department policies and guidelines. The Pharmacy Technician III performs specialized billing, quality reporting/data analysis, prior authorization support, controlled substances, inventory purchasing, medication reconciliation/clinical support, sterile products, hazardous...
Bryan Health
Lincoln, NE1 day ago - ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...Remote workWork from homeFlexible hours
$120 - $131 per hour
" Licensed Mental Health Therapist (LMHT) Wage: Between $120-$131 an hour Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher...Bi-weekly payPrivate practiceHeadway
Chadron, NE1 hour agonew$120 - $131 per hour
" Licensed Mental Health Counselor (LMHC) Wage: Between $120-$131 an hour Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher...Bi-weekly payPrivate practiceHeadway
Kearney, NE1 hour agonew- Job Description As you build and manage your own business, you have the opportunity to educate others about how they can help their family and improve their future. More than sales, this is an opportunity to make an impact by ensuring that your clients are protected...Work at office
Farm Bureau Financial Services
Lexington, NE5 days ago - ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....Remote work
- Job Description Job Quick Facts: Specialty: Nurse Anesthesia (CRNA) Job Type: Locum Tenens Facility Location: Omaha, NE Service Setting: Inpatient/Outpatient Reason For Coverage: Supplemental Coverage Period: ASAP - Ongoing Coverage Type: Clinical...Temporary workLocumLocal areaImmediate startShift work
Adelphi Medical Staffing, LLC
Omaha, NE19 days ago - ...overrides as you develop leadership skills Strong communicator who cares about helping people Self-disciplined, organized, and goal-oriented Willing to obtain a life insurance license (we help guide you) Prior sales or service experience is a plus—but not required...Remote jobFull time
Fisher Organization
Lincoln, NE15 hours ago - Job Description Job Description This advertisement is for 1st shift. 7:30AM - 4:30PM Integrated Behavioral Health Services (IBHS) is an establish business in Lincoln Nebraska. IBHS already provides services to the community through Day Psychiatric Rehabilitative...Day shift
Integrated Behavioral Health Services
Lincoln, NE5 days ago - ...patients in accordance to department policies and guidelines. Performs specialized billing, quality reporting/data analysis, prior authorization support, controlled substances, inventory purchasing, medication reconciliation/clinical support, sterile products, hazardous...
Bryan Health
Grand Island, NE1 day ago
