Authorization Specialist - CNA

Regional West Health ServicesScottsbluff, NE

About The Position

The Authorization CNA Specialist plays a critical role in supporting patient care by securing timely and accurate prior authorizations for a variety of healthcare services. This position ensures all authorization requests are properly documented and compliant with established protocols within the electronic health record system. This role is ideal for a detail-oriented healthcare professional with experience in clinical or administrative coordination who is passionate about improving patient access to care.

Requirements

  • High school diploma or equivalent required
  • Completion of a Certified Nursing Assistant (CNA) program required
  • Valid CNA certification and current state registration required
  • 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
  • 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

Nice To Haves

  • Experience in a hospital or clinical environment with exposure to authorization workflows preferred

Responsibilities

  • Reviewing authorization requests for surgeries, diagnostic imaging, cardiac procedures, pharmacy, durable medical equipment, Veterans Administration services, and outside referrals.
  • Coordinating directly with healthcare providers, insurance companies, and patients to obtain approvals and resolve coverage issues.
  • Ensuring that each request is complete, accurate, and properly documented in the electronic health record.
  • Monitoring pending authorizations and following up as needed to avoid delays in patient care.
  • Assisting with appeals or denials when necessary.
  • Collaborating with clinical and administrative teams to keep patient care moving forward efficiently.

Benefits

  • Competitive compensation and benefits package
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