Authorization Specialist
Job Location:
Scottsbluff, NE - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Regional West Medical Center is seeking an Authorization Specialist to support timely accurate prior authorization for patient services. This role is responsible for obtaining authorizations for surgeries diagnostic and cardiac imaging procedures prescription medications VA services select durable medical equipment and outside referrals.
The Authorization Specialist plays a key role in ensuring services are approved properly documented and aligned with payer requirementssupporting seamless patient care and revenue integrity.
Education
- High school diploma or equivalent required
Experience & Skills
- Two or more years of healthcare experience preferred
- Knowledge of insurance processes and medical terminology preferred
- Strong attention to detail and accuracy
- Ability to multitask and prioritize in a fastpaced environment
- Basic computer skills and comfort with electronic health records
- Excellent customer service communication and problemsolving skills
- Commitment to compliance confidentiality and patientcentered care
- Obtain prior authorizations for surgeries diagnostic imaging procedures medications VA services DME and referrals
- Receive and process orders via the electronic health record or fax according to priority status
- Verify patient insurance eligibility and benefits
- Initiate authorizations through payer portals phone or fax providing required clinical documentation
- Document authorizations approvals denials appeals and communications in the electronic health record per protocol
- Follow Prior Authorization policies workflows and quality metrics
- Identify and resolve authorization discrepancies promptly
- Coordinate with providers clinical staff and internal teams to ensure services align with approved authorizations
- Maintain confidentiality and comply with HIPAA and organizational policies
- Adapt to changing workflows and departmental needs
Why Regional West
- Tuition reimbursement and professional development opportunities
- Competitive compensation and comprehensive benefits
- Collaborative team focused on Mission Values and Vision
A conditional job offer is contingent upon successfully passing a pre-employment drug test and background checks. A Physical Capacity Profile may be required for some positions.
Required Experience:
IC
About Company
As the region’s only tertiary referral medical center, Regional West offers care that spans more than 32 medical specialties provided by over 28 physician clinics. With nearly 300 providers in our network, and approximately 2,000 staff members, Regional West provides comprehensive and ... View more
