Authorization Specialist - CNA
On-site · Scottsbluff, Nebraska, United States
Job Summary
The Authorization CNA Specialist role focuses on securing timely prior authorizations for surgeries, imaging, cardiac procedures, pharmacy, DME, VA services, and outside referrals; collaborates with healthcare providers, insurers, and patients to obtain approvals and resolve coverage issues; monitors pending authorizations, follows up to prevent delays, and assists with appeals/denials; requires a CNA credential, state registration, high school completion, and at least 2 years in healthcare, with strong knowledge of insurance processes and proficiency in EHRs to support efficient patient care.
Required Qualifications
- High school diploma or equivalent
- Completion of a Certified Nursing Assistant (CNA) program
- Valid CNA certification and current state registration
- Minimum of 2 years of experience in a healthcare setting, preferably in care coordination or administrative support
- Strong knowledge of insurance processes, including prior authorization requirements
- Proficiency with electronic health records (EHR) and standard office software
- Experience in a hospital or clinical environment with exposure to authorization workflows preferred
- Familiarity with medical terminology and clinical procedures
- Strong organizational and multitasking skills in a fast-paced environment
- Excellent communication and interpersonal skills with a focus on patient advocacy and customer service
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