Authorization Representative

UW Health; Town of Middleton (WI); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health and dental insurance

Paid time off

Retirement plans

Parental leave and adoption assistance

Flexible schedules

Wellbeing resources

Tuition benefits

Referral bonus

Job summary

UW Health is seeking an Authorization Representative in Middleton, WI. This full-time, 1.0 FTE role starts with onsite training at 7974 UW Health Ct. Training lasts up to 8 weeks, 7:30–4, Monday–Friday.

After training, the position shifts to a primarily remote schedule, typically Monday–Friday, 8:30–5, with hours subject to departmental needs. The role focuses on obtaining prior authorizations for inpatient and outpatient services, delivering excellent customer service, and applying strong

Qualifications

• Obtain prior authorization from payers for inpatient and outpatient services.
• Demonstrate skilled communication and troubleshooting techniques as well as excellent customer service.
• Knowledge of CPT and ICD coding and payer regulations is highly desired.

Responsibilities

• Obtain prior authorization for inpatient and outpatient services.
• Demonstrate strong communication and troubleshooting skills with customers.
• Respond to diverse issues efficiently and accurately to ensure timely approvals.
• Adhere to payer policies and guidelines and document actions appropriately.

Skills

Prior Authorization

Customer Service

Communication

Education

High School Diploma or Equivalent

Associate's Degree (Business/Finance/Health Info Mgmt)

Job description

Work Schedule:

This is a full time, 1.0 FTE position. This position is hybrid and training is required onsite at 7974 UW Health Ct. in Middleton, WI. Training can last up to 8 weeks and is scheduled from 7:30-4pm, Monday - Friday each week. Once fully trained, the selected individual will transition to a primarily remote role and will be scheduled Monday - Friday, 8:30 a.m. - 5:00 p.m. Hours may vary based on the operational needs of the department.

Be part of something remarkable

Join the #1 hospital in Wisconsin!

We are seeking an Authorization Representative to:

• Obtain prior authorization from payers for inpatient and outpatient services provided by UW Health.


• Demonstrate skilled communication and troubleshooting techniques as well as excellent customer service skills.


• Anticipate and respond to a wide variety of issues/concerns and the ability to execute tasks efficiently and effectively.

At UW Health, you will have:

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.


• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.


• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.


• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.


• The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.

Education

No minimum education required

High school diploma or equivalent preferred

Associate's Degree in Business, Finance, Health Information Management, or a related field preferred

Work Experience

1 year of experience in healthcare, business, finance, or insurance related field required

1 year of experience in Healthcare Revenue Cycle that includes prior authorization preferred

Knowledge of CPT and ICD coding highly desired preferred

Knowledge of Medicare and third-party payer regulations and guidelines highly desired preferred

Knowledge of Epic Software, use of Rfax, and Calabrio Call System preferred

Experience with payment collections preferred

Our Commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.