Precertification Representative

Children's Wisconsin; West Allis (WI); Remote; USD 35,000 - 55,000; Full time

Job summary

An established healthcare provider is seeking a dedicated Precertification Representative to join their team. This fully remote role involves initiating contact with insurance payers and families to obtain necessary precertifications and authorizations for services. The ideal candidate will have experience in administrative support within a healthcare setting and a strong understanding of insurance processes. With a commitment to diversity and inclusion, this organization is dedicated to making a positive impact on the health and well-being of children across the nation. If you're passionate about helping families and want to be part of a mission-driven team, apply today!

Qualifications

• 3+ years of experience in registration or administrative support in healthcare.
• Experience with insurance referral and authorization processing.

Responsibilities

• Initiate contact with insurance payers and patients for precertification.
• Ensure patient accounts flow through billing cycle without errors.

Skills

Insurance referral and authorization processing

Administrative support

Patient registration

Communication skills

Education

High school education

Tools

Epic

Job description

Join to apply for the Precertification Representative role at Children's Wisconsin

At Children’s Wisconsin, we believe kids deserve the best.

Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services, and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/

Responsibilities include initiating contact with insurance payers, physicians, and patients/families to obtain precertification and authorizations for inpatient and outpatient services. Pre-register patients as needed by calling patient families or using department protocols. Ensure all patient accounts flow through the billing cycle without errors caused by lack of authorization/precertification, insurance verification, or registration errors.

1. High school education required.
2. Three years of registration, scheduling, or administrative support experience in healthcare or a business environment required.
3. One year experience as a Financial Verification Rep preferred.
4. Experience with insurance referral and authorization processing required.
5. Epic experience preferred.
6. Typing speed of 35 wpm preferred.

This is a fully remote position, with the first week on-site in West Allis for orientation.

Hours: 8A/9A-4P/5P

Children’s Wisconsin is an equal opportunity employer committed to diversity and inclusion. We do not discriminate based on race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected status.