Pre-Authorization & Insurance Verification Specialist

BayCare Clinic; Green Bay (WI); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Disability insurance

Life insurance

401k with company match

Paid time off

Paid holidays

Flexible spending account

Job summary

BayCare Clinic in Green Bay, WI is seeking a Pre-Verification Specialist to join our team at the Corporate Headquarters location. The role supports patient access by obtaining authorizations, verifying insurance status, and updating records to ensure efficient care coordination.

The candidate should have 2 years of experience in clinic or health insurance settings, strong communication and computer skills, and familiarity with medical terminology.

Qualifications

• Excellent organizational, interpersonal and communication skills are necessary.
• Knowledge of medical terminology and the insurance verification process required.
• Strong computer skills; Epic experience is a plus.

Responsibilities

• Obtain prior authorizations for diagnostic studies, procedures, surgeries, and testing as required by each insurance company.
• Verify patient status via websites and calls to insurance carriers.
• Review coverage policies to ensure requirements are met.
• Update patient insurance information in appropriate systems.
• Document information accurately in electronic records and maintain confidentiality.

Skills

Organizational skills

Interpersonal skills

Communication skills

Medical terminology

Education

AAS in Health Care Business

Tools

Epic

Job description

BayCare Clinic in Green Bay, WI is seeking a Pre-Verification Specialist to join our team at the Corporate Headquarters location. The role supports patient access by obtaining authorizations, verifying insurance status, and updating records to ensure efficient care coordination.

The candidate should have 2 years of experience in clinic or health insurance settings, strong communication and computer skills, and familiarity with medical terminology.