[Hiring] PRE-AUTHORIZATION SPECIALIST @Froedtert
Role Description
The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for:
• Verifying eligibility and obtaining insurance benefits.
• Ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services.
• Determining which patient services have third party payer requirements.
• Obtaining the necessary authorizations for care.
• Providing detailed and timely communication to both payers and clinical partners.
• Documenting the appropriate information in the patient's record.
• Performing other duties as assigned.
Qualifications
• A minimum of 2 years experience in hospital billing/pre-authorization or insurance verification.
• Demonstrated knowledge of health insurance plans including Medicare, Medicaid, HMO's, and PPO's.
• Prior experience in a business office position with strong customer service background preferred.
• High School diploma or equivalent is required.
• Exceptional customer relations skills required.
• Knowledge of online insurance eligibility systems preferred.
• Excellent typing and computer skills preferred.
• Familiarity with Medical Terminology preferred.
• Demonstrated ability to efficiently organize work and maintain a high level of accuracy and productivity.
Requirements
• None required for licensure.
Benefits
• Paid time off.
• Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities.
• Academic Partnership with the Medical College of Wisconsin.
• Referral bonuses.
• Retirement plan - 403b.
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics.
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available.
Apply tot his job
Apply To this Job
The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for:
• Verifying eligibility and obtaining insurance benefits.
• Ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services.
• Determining which patient services have third party payer requirements.
• Obtaining the necessary authorizations for care.
• Providing detailed and timely communication to both payers and clinical partners.
• Documenting the appropriate information in the patient's record.
• Performing other duties as assigned.
Qualifications
• A minimum of 2 years experience in hospital billing/pre-authorization or insurance verification.
• Demonstrated knowledge of health insurance plans including Medicare, Medicaid, HMO's, and PPO's.
• Prior experience in a business office position with strong customer service background preferred.
• High School diploma or equivalent is required.
• Exceptional customer relations skills required.
• Knowledge of online insurance eligibility systems preferred.
• Excellent typing and computer skills preferred.
• Familiarity with Medical Terminology preferred.
• Demonstrated ability to efficiently organize work and maintain a high level of accuracy and productivity.
Requirements
• None required for licensure.
Benefits
• Paid time off.
• Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities.
• Academic Partnership with the Medical College of Wisconsin.
• Referral bonuses.
• Retirement plan - 403b.
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics.
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available.
Apply tot his job
Apply To this Job