Skip to main content

This job has expired

PRE-AUTHORIZATION SPECIALIST

Employer
Froedtert
Location
Menomonee Falls
Salary
Competitive

View more

Industry
Healthcare
Role
Other
Job Type
Long-Term
Hours
Full Time

Come join our award winning team! See What Is Possible....

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma Center at Froedtert Hospital, Milwaukee, an internationally recognized training and research center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes five hospitals, more than 1,700 physicians and nearly 40 health centers and clinics, draws patients from throughout the Midwest and the nation.

Froedtert Health has been widely recognized for our dedication to our staff, providing a work environment full of encouragement, innovation, collaboration and respect.

O ur best-in-class wellness program has earned us recognition in the Milwaukee Business Journal as a Healthiest Employer and a Gold Well Workplace award from the Wellness Council of America.

We invite you to review the job posting below. If you meet the requirements and qualifications for this opportunity, you are encouraged to apply.

Thank you for considering a career with Froedtert Health!

Location: US:WI:Remote

FTE: 1.000000

*1.0 FTE is Full-Time, any position less than 1.0 FTE is Part-Time, and .001 FTE is Optional Part-Time*

*Positions with an "FTE" (full time equivalency) of .8 - 1.0 are eligible for full-time medical, dental and vision benefits. Positions with an "FTE" of .5 - .799 are eligible for part-time pro-rated medical, dental and vision benefits*

Shift: 1

Monday-Friday 8:00am-4:30pm. This position will be worked remotely.

Summary:
The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services. This individual determines which patient services have third party payer requirements and is responsible for obtaining the necessary authorizations for care. The Pre-Authorization Specialist provides detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record. Other duties as assigned.

Responsibilities:
Minimum of two years experience in hospital billing/pre-authorization or insurance verification with demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO's and PPO's required. Prior experience in a business office position with strong customer service background preferred. High School diploma. Exceptional customer relations skills required. Knowledge of online insurance eligibility systems. Excellent typing and computer skills. Familiarity with Medical Terminology. Demonstrated ability to efficiently organize work and maintain a high level of accuracy and productivity.

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. As a federal contractor/subcontractor, we take affirmative action in employment based on race, sex, disability and status as a protected veteran. We welcome protected veterans to share their priority consideration status with us at . We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at . We will attempt to fulfill all reasonable accommodation requests.

Get job alerts

Create a job alert and receive personalized job recommendations straight to your inbox.

Create alert