Pre-authorization Specialist

Boys Town

Omaha, Nebraska, United States
Insurance eligibility verification
Pre-determination and pre-certification
Cpt hcpc and diagnosis codes knowledge
The role involves maintaining excellent communication and positive rapport with all points of contact while documenting pertinent discussions in applicable systems

Job Summary

  • The role involves maintaining excellent communication and positive rapport with all points of contact while documenting pertinent discussions in applicable systems.
  • Employees are responsible for obtaining accurate benefit information, pre-determinations, and authorizations per insurance company requirements within established timeframes.
  • Boys Town offers unique employee benefits including reduced or no-cost medical visits at Boys Town locations and low to zero-dollar co-pays on certain maintenance drugs.

Matching Summary

The role involves maintaining excellent communication and positive rapport with all points of contact while documenting pertinent discussions in applicable systems.

Skills & Requirements

Must-have

  • Insurance eligibility verification
  • Pre-determination and pre-certification
  • CPT HCPC and Diagnosis codes knowledge
  • Patient financial liability determination
  • Surgery Information System usage

Nice-to-have

  • Excellent verbal and written communication skills
  • Ability to handle multiple tasks simultaneously
  • Positive rapport with patients and families
  • Experience in hospital billing environment
  • Knowledge of Explanation of Benefits processes

Key Requirements

  • High school diploma or equivalent required
  • Minimum of 2 years experience in hospital or clinic billing
  • Knowledge of insurance terms and reimbursement procedures

Work Rights

Not specified

Tailored Resume

Cover Letter