Prior Authorization Pro — Epic & Billing Specialist

Abbott; Wisconsin; On-site; USD 25,000 - 41,000; Full time

Job summary

Abbott is a global healthcare leader seeking a Prior Authorization Associate Level I to support cross-functional teams across sales, operations, billing, and lab operations. The role emphasizes timely insurance eligibility verification, authorization management, and accurate documentation within Epic.

The position features a standard 8am–5pm, Monday–Friday shift, with responsibilities including managing payer communications, resolving denials, and ensuring compliant workflows across departments.

Qualifications

• High School Diploma or GED required.
• 2+ years directly involved in Prior Authorization workflows.
• 3 years in medical billing, claims, or insurance processing.
• Knowledge of Epic or similar EHR systems advantageous.

Responsibilities

• Verify initial or ongoing patient insurance eligibility in Epic.
• Interact with insurances to obtain and document authorizations.
• Research missing information and manage payor communications.
• Review and edit claims and appeals before submission.
• Analyze denials and determine next steps for resolution.
• Maintain authorization work queues and CRM notes.

Skills

Prior Authorization workflows

Epic knowledge

Attention to detail

Teamwork

Communication skills

Education

High School Diploma or GED

2+ years in Prior Authorization workflows

3 years medical billing/claims experience

Tools

Epic

Job description

Abbott is a global healthcare leader seeking a Prior Authorization Associate Level I to support cross-functional teams across sales, operations, billing, and lab operations. The role emphasizes timely insurance eligibility verification, authorization management, and accurate documentation within Epic.

The position features a standard 8am–5pm, Monday–Friday shift, with responsibilities including managing payer communications, resolving denials, and ensuring compliant workflows across departments.