40 hrs/wk; 8:30a-5p, 5 days/wk. Team member will work closely with clinical and billing team to ensure timely and accurate processing of prior authorization requests to support patient care and optimize reimbursement.  Provides support to the revenue cycle by initiating, monitoring, and ensuring appropriate prior authorization of CPT(s) for upcoming diagnostic testing. surgical and cardiology procedures, medications, referrals and follow-up care is completed; will follow-up on denials when necessary. Will utilize phone and online payor portals with multiple insurance carriers, Medicare and Medicaid.  Effective use of communication and collaboration with patients, providers, clinic and OR staff.  Documentation in the electronic medical record (EMR) all authorization activity and status.  Maintain up-to-date knowledge of payer policies and authorization guidelines. Assist as needed with Clinic Receptionist duties and assignments as delegated by the Practice Manager. Experience with prior authorizations in a specialty clinic. Knowledge of Medicare, Medicaid, and commercial insurance plans. Proficiency in EMR systems, payor portals, Microsoft Office. Must be organized and detail oriented.  

About Columbus Community Hospital

Columbus is an ideal community to raise a family and enjoy everything a progressive rural community has to offer. Columbus is situated only 80 miles from Omaha and Lincoln, Nebraska. Our location, close to these two larger cities, provide the benefits of living in a small, friendly community with access to big entertainment and major airports just a short distance away.Columbus Community Hospital (CCH) is a not-for-profit, state of the art facility serving a seven county area. We have completed our $35 million expansion and renovation of the new surgical services area which consists of four new operating rooms, a hybrid operating room, 15 /pre-post op rooms, eight PACU bays, an MRI Suite and expansion of central sterile.

Connections working at Columbus Community Hospital