Prior Authorizations Specialist

• Kearney Regional Medical Center
  • Kearney, NE
• Pvmc Clinical Staff
• Professional Non-Clinical
• Day shift
• Full-time
• Onsite Only
• Req #:30614

Provides clerical and administrative support to the unit. Works with multiple insurance companies and personalities to obtain prior authorizations. Assures responsibility for professional development and practice. Maintains a safe work environment.

• Assumes personal responsibility for development, practice, and education. Maintains an organized and safe work environment.
• Compiles, organizes, and processes information for the department.
• Works with multiple insurance companies and personalities.
• Input clinical data.
• Ability to prioritize, problem solve and communicate appropriately.
• Answers telephone and takes detailed messages.
• Will not triage patients nor give medical advice.
• Performs value-added activities that result in positive financial performance and customer satisfaction.
• Log, organize and maintain medication samples.
• Performs monthly inventory counts of samples.
• Schedules meals provided by Drug Representatives and alert clinic of schedules.
• Participates with quality measures.

Education/Experience:

• Minimum education requirement, High school graduate.
• Medical Terminology is desirable.