Pre-authorization Specialist

Boys Town

Omaha, NE, United States
Insurance eligibility verification
Benefit and out of pocket liability determinations
Pre-determination and pre-certification
Pre-registers patients for hospital surgical and ancillary services to include insurance eligibility verification, benefit and out of pocket liability determinations, pre-determination and pre-certification / authorization of surgeries and/or other clinical services

Job Summary

  • Pre-registers patients for hospital surgical and ancillary services to include insurance eligibility verification, benefit and out of pocket liability determinations, pre-determination and pre-certification / authorization of surgeries and/or other clinical services.
  • Maintains excellent communication and positive rapport with all points of contact both internally and externally, documenting pertinent discussions and details of correspondence in all applicable systems.
  • Boys Town offers a unique feature for employees and their dependents enrolled in medical benefits are reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location.

Matching Summary

Pre-registers patients for hospital surgical and ancillary services to include insurance eligibility verification, benefit and out of pocket liability determinations, pre-determination and pre-certification / authorization of surgeries and/or other clinical services.

Skills & Requirements

Must-have

  • insurance eligibility verification
  • benefit and out of pocket liability determinations
  • pre-determination and pre-certification
  • CPT, HCPC and Diagnosis codes
  • telephone etiquette

Nice-to-have

  • positive rapport with points of contact
  • attention to detail
  • handle multiple tasks
  • culture of belonging

Key Requirements

  • High school diploma or equivalent required
  • Minimum of 2 years’ experience in hospital/clinic billing
  • Experience focused on registration, billing and/or preauthorization

Work Rights

Not specified

Tailored Resume

Cover Letter