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Nebraska Methodist Health System is seeking a Pre-access Specialist to join their team in Council Bluffs, IA. This full-time position involves determining eligibility and costs for diagnostic procedures, ensuring accurate documentation, and performing medical necessity checks.
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Job Summary
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ, fostering a culture that sets us apart.
The role involves performing a variety of duties to determine eligibility and costs for diagnostic procedures and testing, ensuring documentation is current and accurate.
We offer competitive pay, excellent benefits, and a great work environment where all employees are valued and part of a team that makes a real difference.
Matching Summary
Match Score: 75
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Nebraska Methodist Health System is seeking a Pre-access Specialist to join their team in Council Bluffs, IA. This full-time position involves determining eligibility and costs for diagnostic procedures, ensuring accurate documentation, and performing medical necessity checks.
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Skills & Requirements
Must-have
Verify eligibility and benefits
Perform medical necessity checks
Document medical necessity outcomes
Initiate pre-certification process
Retrieve and submit clinical information
Create cost estimates for procedures
Nice-to-have
Focus on exceptional care
Compassionate touch
Team that makes a real difference
Adapt to new processes
Key Requirements
High School or GED required
Minimum 1 year clinical experience using EMR
Post-Secondary education in clinical field or health information management preferred
Registration, insurance, or prior-authorization experience preferred