Pre-Verification Specialist - Corporate Headquarters

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

Come work where passion, quality, vision, professionalism, and synergy are valued! BayCare Clinic's mission is to provide measurably superior specialty medical services to our patients

BayCare Clinic is looking for a Pre-Verification Specialist to join our team in Green Bay, WI. This position will be at our Corporate Headquarters location. We’re looking for a compassionate, thoughtful candidate who wants to contribute to a positive experience for all our patients. The typical hours for this role are Monday-Friday from 8:00 a.m. - 5:00 p.m. No Holidays! No Weekends!

The Clinic

BayCare Clinic is a successful, dynamic group comprised of 20+ specialties. We are a physician-owned entity with joint ownership in Aurora BayCare Medical Center, a 167-bed hospital located in Green Bay, WI, offering us a built-in referral base. Each of our specialty practices have clinical autonomy and are financially sound.

BayCare Clinic offers part-time and full-time employees a comprehensive benefits package including health, dental, disability and life insurance, as well as flexible spending options. We also offer a 401k retirement plan with a company match, generous PTO, and paid holidays.

The Team

The unique skills and talents of each member of our team contributes to our synergy and our overall goal of providing our patients with excellent care. We believe in the power of a positive, collaborative culture, and we strive to provide a supportive and energizing work environment.

Every member of our team has a voice and is trusted to have ownership over their work. To encourage this, we provide regular opportunities for professional development, we seek out feedback and ideas, and we invite participation on a variety of projects.

The Job

• Using appropriate methods, obtains prior authorizations for diagnostic studies, procedures, surgeries, and testing as required by each particular insurance company including Worker’s Compensation.
• Verifies patient status through use of websites and phone calls to insurance carriers as necessary.
• Reviews specific coverage policies for individual insurance companies to ensure that requirements are met.
• Updates patient-specific insurance information as necessary in appropriate systems.
• Assists clinic staff and patients who have miscellaneous insurance information questions.
• Documents appropriate and accurate information in electronic record systems.
• Documents prior authorizations in electronic record.
• Respects and maintains confidentiality.
• Works in a safe, compliant and ethical manner at all times.

The Requirements

• AAS in Health Care Business or combination of education and experience preferred.
• Typically requires two years' experience with patients and providers in clinic, hospital or health insurance setting.
• Knowledge of medical terminology and the insurance verification process required.
• Excellent organizational, interpersonal and communication skills are necessary.
• Strong computer skills required. Epic Experience is a plus.
• Experience with Insurance Authorizations is a plus.