Authorization & Insurance Verification Specialist

UW Health; Town of Middleton (WI); On-site; USD 38,000 - 55,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401K matching

Job summary

UW Health is seeking a Billing Continuity Representative in Middleton, WI, to obtain initial and renewal authorizations, verify insurance, and support patients with compliance. The role includes communicating with patients and payers, ensuring proper documentation, and staying current with Medicare/Medicaid rules.

Remote work is possible after training with quarterly onsite visits. The position offers competitive benefits, PTO accrual from day one, and a path for professional growth within UW

Qualifications

• Verifies and authorizes insurance coverage and renewals.
• Communicates with patients about compliance and responsibilities.
• Understands insurance eligibility and payer requirements.
• Follows Medicare/Medicaid rules and regulations.

Responsibilities

• Obtain renewal and initial authorizations after dispensing.
• Follows up on convert-to-purchase authorizations and renewals.
• Communicates with patients via calls/letters about compliance.
• Answers questions about insurance coverage of services.
• Checks insurance eligibility and required qualifications for changes.
• Monitors payer documentation for reimbursement.

Skills

Insurance verification

Renewal authorizations

Patient communication

Medicare/Medicaid knowledge

Job description

UW Health is seeking a Billing Continuity Representative in Middleton, WI, to obtain initial and renewal authorizations, verify insurance, and support patients with compliance. The role includes communicating with patients and payers, ensuring proper documentation, and staying current with Medicare/Medicaid rules.

Remote work is possible after training with quarterly onsite visits. The position offers competitive benefits, PTO accrual from day one, and a path for professional growth within UW