Description Location: Cherry County Hospital, Valentine, NE Position: Full-Time (40 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 Specialist to join our team. In this important role, you will be responsible for obtaining pre-certifications and pre-authorizations for medical procedures and medications at our hospital and clinic. Duties and Responsibilities As a Prior Authorization Specialist, you will: • Contact insurance carriers to verify patient eligibility, benefits, and requirements. • Request, track, and obtain pre-authorizations for medical procedures and services. • Follow up with insurance carriers to ensure timely authorizations before services are performed. • Demonstrate knowledge of medical terminology, office procedures, and HIPAA regulations. • Communicate insurance changes or trends to appropriate departments. • Maintain a level of productivity appropriate for the department. • Appeal insurance/payor denials when applicable. • Document all communications and contacts in a standardized format. • Notify department heads of additional staffing or equipment needs. • Assist with filing and record retrieval as needed. • Work cooperatively and effectively with staff, physicians, and the public. • Maintain strict confidentiality of patient medical, personal, and financial information. • Follow corporate compliance policies and procedures. • Perform additional duties as assigned by the supervisor. Skills and Abilities • Excellent verbal and written communication skills. • Proficiency with computers and Microsoft Excel, Word, and Windows. • Strong organizational skills and ability to interpret data. • Strong judgment, tact, diplomacy, and problem-solving skills. • Ability to work collaboratively in a team environment. • Strong attention to confidentiality of hospital and patient information. • Ability to perform repetitive tasks with minimal independent judgment. • Familiarity with state and federal confidentiality laws, including HIPAA, and the ability to follow policies regarding the privacy and security of health information. Physical Demands and Working Conditions • Sedentary work involving periods of sitting, talking, typing, and listening. • Repetitive use of hands, arms, and eyes, which may cause strain. • Significant manual dexterity required to operate business office machines and equipment. Job Requirements • High school diploma required. • Prior customer service experience in a medical setting preferred. • Knowledge of medical terminology preferred. • Previous experience with Microsoft Excel, Word, and Windows. Comprehensive Benefit Package • Health Insurance: Co-pay or HSA plan options; 100% paid for employee. • Dental Insurance: 100% paid for employee. • Vision Insurance: 100% paid for employee. • Group Life Insurance: $50,000 with AD&D. • Long-Term Disability: 100% paid for employee. • Flexible Spending Accounts: Medical and dependent care options. • Health Savings Account: Includes employer contribution. • Supplemental Insurance: Short-Term Disability, Supplemental Life and AD&D, Critical Illness, Hospital Indemnity, and Accident. • Retirement Plan: 457 plan with Pre-Tax and Roth options. Why Cherry County Hospital? • Be part of a dedicated and compassionate healthcare team. • Enjoy competitive pay and excellent benefits. • Work in a collaborative and supportive environment. • Make a meaningful contribution to healthcare in our community. Apply Now! Join our team at Cherry County Hospital and help us provide exceptional healthcare services to our community. Requirements • High school diploma required • Prior customer service experience in a medical setting preferred • Knowledge of medical terminology preferred • Previous experience with Microsoft Excel, Word, and Windows