Prior Authorization Specialist - Omaha (FT 9a-5:30pm, Mon-Fri)

Are you a difference maker with the heart and commitment to provide world-class patient care? Do you want to be part of a team of the most talented caregivers and clinicians in the healthcare industry? If so, Madonna Rehabilitation Hospitals invites you to join us in our mission to provide groundbreaking rehabilitation care that provides our patients with the hope of being made whole.
At Madonna, you will experience heartfelt hospitality with unmatched innovation and education.  We believe in equipping you for excellence and investing in your success, both inside and outside of work.  While you are providing patients with life-changing care, you will be rewarded with competitive compensation, a comprehensive benefit packet, a generous paid time off plan and wellness offerings as part of Madonnaâ??s commitment to your wellbeing. 
Our culture is based on the core values of Collaboration, Hospitality, Respect, Innovation, Stewardship, and Teaching.  If you are looking for purpose-driven work guided by these values, find your career at Madonna!

$1,000 Sign On Bonus

RESPONSIBILITIES:

• Responsible for obtaining pre-authorizations, referrals and continual authorizations for patients receiving outpatient rehabilitation when necessary.
• Works with clinicians to request extensions from insurance companies when necessary.
• Is accountable for validating new patient insurance information entered by scheduling staff.
• Responsible for verification of any insurance information that has not been completed upon admission.
• Responsible for obtaining verification of insurance benefits and completion of insurance benefit forms.
• Responsible for obtaining detail information to facilitate payment such as third party administrator and case manager requests.
  SKILLS & ABILITIES:
• Working knowledge of Medicare, Medicaid, Workers Compensation and commercial insurance required.
• Must have working knowledge of personal computers, word processing software, preferably Word and other Microsoft office programs (Access, Outlook, Excel, etc.)
• May be required to obtain/maintain CPR for Health Care Provider/CPR for Professional Rescuer, based off clinical need and delegation.
  
  EDUCATION & EXPERIENCE:
• High school equivalency with one year post-high school education and
• Two years of relevant work experience required.
• Additional relevant work experience would be considered in lieu of formal post-high school education.
  
  Madonna provides a professional work environment free from discrimination and harassment, including sexual harassment.  Discrimination or harassment on the basis of a current or potential employee's race, creed, color, religion, sex, sexual orientation, gender identity or gender expression, age, disability, national origin, pregnancy, receipt of public assistance, marital status, Vietnam era veteran status, genetic information, or any other protected class specified under applicable local, state, or federal law is expressly prohibited.