Authorization Specialist
Authorization Specialist
Regional West Health Services
Scottsbluff, NE
See who Regional West Health Services has hired for this role
Regional West Health Services is an independent, integrated health care delivery system based in Scottsbluff, Nebraska. We are actively looking for caring individuals to join the team as a Prior Authorization Specialist.
Our mission is a commitment to advancing the health and wellness of the individuals and communities we are honored to serve.
To serve this mission, you will obtain prior authorizations for diagnostic imaging, cardiac imaging, prescription medications including hospital administered IV infusions, Veterans Administration authorizations, some durable medical equipment, and referral authorizations for some specialist appointments. This position will secure the prior authorization and notify the rendering party in the timeliest manner possible, so our patient receives the services needed with the least delay.
As a RWHS Prior Authorization Specialist, You Will
Our mission is a commitment to advancing the health and wellness of the individuals and communities we are honored to serve.
To serve this mission, you will obtain prior authorizations for diagnostic imaging, cardiac imaging, prescription medications including hospital administered IV infusions, Veterans Administration authorizations, some durable medical equipment, and referral authorizations for some specialist appointments. This position will secure the prior authorization and notify the rendering party in the timeliest manner possible, so our patient receives the services needed with the least delay.
As a RWHS Prior Authorization Specialist, You Will
- Receive the order and initiate the authorization and provide necessary information to obtain the authorization in a timely manner.
- Contact the insurance company either by phone, insurance portal or fax to provide information to obtain an authorization in an expedient time, for the procedure to be completed in a timely manner.
- Document the authorization and all communications regarding the request in the provided electronic health record system of the status with the authorization and conduct authorization in a professional manner.
- Associated Degree preferred, required High School Degree or GED.
- Medical Terminology is a requirement, and a basic understanding of ICD-9/CPT coding and medical necessity requirements is preferred.
- Minimum of two years secretarial/business experience in a healthcare setting preferred. Knowledge of insurance process and medical terminology preferred.
-
Seniority level
Entry level -
Employment type
Full-time -
Job function
Other -
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Regional West Health Services by 2x
See who you knowGet notified about new Specialist jobs in Scottsbluff, NE.
Sign in to create job alertSimilar jobs
People also viewed
-
IT Specialist
IT Specialist
-
Hotel Coordinator (Remote)
Hotel Coordinator (Remote)
-
Hotel Coordinator (Remote)
Hotel Coordinator (Remote)
-
HRIS Coordinator (temp)
HRIS Coordinator (temp)
-
Lead Specialist
Lead Specialist
-
Supply Chain Analyst/ Master Planner/Logistics Specialist - Aerospace
Supply Chain Analyst/ Master Planner/Logistics Specialist - Aerospace
-
Workplace Experience Specialist
Workplace Experience Specialist
-
Fraud Chargeback Coordinator
Fraud Chargeback Coordinator
-
Database and Reporting Analyst
Database and Reporting Analyst
-
Appointment Coordinator
Appointment Coordinator
Looking for a job?
Visit the Career Advice Hub to see tips on interviewing and resume writing.
View Career Advice Hub