Prior Authorization Specialist

Prior Authorization Specialist – Full-Time

Status: Full-Time | Monday–Friday | Daytime Hours

SUMMARY

Allergy, Asthma & Immunology Associates (AAIA) is seeking a dependable and detail-oriented Prior Authorization Specialist to join our Lincoln clinic!

For over 50 years, AAIA has provided specialized care to children and adults with allergies, asthma, and immunologic conditions throughout Nebraska and surrounding communities.

We are looking for an organized, motivated individual who enjoys helping patients navigate the insurance approval process, communicates effectively, and values teamwork, quality patient care, and a positive work environment.

ESSENTIAL DUTIES

The essential functions include, but are not limited to, the following:

• Submit new and renewal prior authorization and predetermination requests for specialty medications, including in-office, out-of-office, and self-administered treatments.
• Communicate with insurance companies, pharmacies, and healthcare providers to obtain medication approvals.
• Monitor and track prior authorization requests, follow up on pending approvals, and assist with denials and appeals as needed.
• Educate patients on specialty medications, insurance approval processes, manufacturer support programs, and available financial assistance resources.
• Submit referrals and required documentation to drug manufacturer access and support programs.
• Assist patients with obtaining financial assistance for specialty medications when needed.
• Respond to patient inquiries by phone or in person and assist with scheduling follow-up appointments.
• Maintain accurate documentation of authorization requests, approvals, and patient communications in the electronic medical record (EMR).
• Collaborate with physicians, clinical staff, and other team members to coordinate timely access to prescribed treatments.
• Perform other duties as assigned.

EDUCATION / EMPLOYMENT STANDARDS

Education & Experience

• High school diploma or GED required.
• Previous experience with medical or pharmacy prior authorizations preferred.
• Experience with specialty medications, specialty pharmacies, and manufacturer patient assistance programs preferred.
• Previous experience in a medical office or healthcare setting preferred.
• Knowledge of medical terminology and insurance processes preferred.
• Experience with electronic medical records (EMR) preferred.

Skills & Qualifications

• Excellent organizational skills with strong attention to detail.
• Strong verbal and written communication skills.
• Ability to manage multiple requests, prioritize tasks, and meet deadlines.
• Excellent patient rapport and customer service skills.
• Ability to maintain patient confidentiality and comply with HIPAA requirements.
• Strong computer skills and ability to navigate multiple systems.
• Ability to work independently and collaboratively as part of a team.

PHYSICAL DEMANDS

This position primarily involves sitting, using a computer, and performing general office duties. The employee may occasionally be required to stand, walk, bend, or lift and move items weighing up to 25 pounds.

WORK ENVIRONMENT

This position is based in a medical office and may involve interaction with patients, healthcare providers, and other staff. The role routinely uses standard office equipment, including computers, phones, printers, and scanners. This position is not eligible for remote work.

BENEFITS & PERKS

AAIA offers a competitive compensation and benefits package to eligible employees, including:

• Competitive pay based on experience
• Generous 401(k) retirement plan
• Medical, dental, and vision insurance
• Employer-paid life insurance and AD&D
• Employer-paid short-term and long-term disability insurance
• Flexible benefits and medical reimbursement plan
• Voluntary life, critical illness, and accident insurance
• Generous accrued paid time off (PTO) and paid holidays
• Paid sick leave
• Paid parental leave
• Bereavement leave
• Employee Assistance Program (EAP)
• Monday–Friday daytime schedule

Benefits are subject to applicable plan terms and eligibility requirements.

APPLY TODAY!

If you are a detail-oriented, organized individual who enjoys helping patients and working in a collaborative healthcare environment, we encourage you to apply! Join AAIA and play an important role in helping patients access the treatments they need.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Ability to Relocate:

• Lincoln, NE 68505: Relocate before starting work (Required)

Work Location: In person

Salary : $34,143 - $42,279