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Regional West Health Services1 week ago

Authorization Specialist

On-site · Scottsbluff, Nebraska, United States

Type
Full Time
Level
Mid Level
Education
High School Or Equivalent
Company size
Unknown

Job Summary

Authorization Specialist at Regional West Medical Center focused on obtaining prior authorizations for surgeries, diagnostic imaging, procedures, medications, VA services, DME, and referrals. Responsibilities include processing authorizations via payer portals, phone, or fax; verifying insurance eligibility; documenting approvals and denials in the EHR; coordinating with providers and internal teams to ensure services align with approved authorizations; maintaining confidentiality and HIPAA compliance; and adapting to changing workflows. Requires attention to detail, healthcare experience, familiarity with payer requirements, and strong communication skills to support timely patient care and revenue integrity.

Required Qualifications

  • High school diploma or equivalent required
  • Two or more years of healthcare experience preferred
  • Knowledge of insurance processes and medical terminology preferred
  • Strong attention to detail and accuracy
  • Ability to multitask and prioritize in a fast-paced environment
  • Basic computer skills and comfort with electronic health records
  • Excellent customer service, communication, and problem-solving skills
  • Commitment to compliance, confidentiality, and patient-centered care
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Regional West Health Services

Authorization Specialist

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