PRE-AUTHORIZATION SPECIALIST, FCH - ENTERPRISE REGISTRATION

Froedtert Health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Pre-Authorization Specialist to join their dynamic team. This remote role involves verifying patient eligibility, obtaining necessary authorizations, and ensuring compliance with payer requirements. The ideal candidate will have a strong background in hospital billing or insurance verification, demonstrating exceptional customer relations skills and attention to detail. Join a forward-thinking organization that values innovation in patient care and offers a supportive work environment with numerous benefits and growth opportunities.

Benefits

Paid time off

Growth opportunity - Career Pathways & Career Tuition Assistance

Academic Partnership with the Medical College of Wisconsin

Referral bonuses

Retirement plan - 403b

Medical, Dental, Vision, Life Insurance

Employee Assistance Programs

Healthy Contributions

Discounts on gym memberships

Moving Assistance

Qualifications

• 2+ years experience in hospital billing/pre-authorization or insurance verification required.
• Strong customer service background preferred.

Responsibilities

• Verify eligibility and obtain insurance benefits for patient services.
• Ensure pre-certification and authorization requirements are met.

Skills

Exceptional customer relations skills

Knowledge of online insurance eligibility systems

Excellent typing skills

Familiarity with Medical Terminology

Ability to organize work efficiently

Education

High School diploma or equivalent

Job description

Discover. Achieve. Succeed. #BeHere

Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility.

This job is REMOTE.

FTE: 1.000000

Shift: Shift 1

Schedule: Monday - Friday 8-4:30 CST.

Job 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.

EXPERIENCE DESCRIPTION:

A minimum of 2 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.

EDUCATION DESCRIPTION:

High School diploma or equivalent is required.

SPECIAL SKILLS DESCRIPTION:

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 preferred.

Compensation, Benefits & Perks at Froedtert Health

Pay is expected to be between: (expressed as hourly) $21.16 - $28.78. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Froedtert Health offers a variety of perks & benefits to staff; depending on your role you may be eligible for the following:

• 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

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 engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics, draws patients from throughout the Midwest and the nation.

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. 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 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.