[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