Prior Authorization Specialist - PT/OT, Remote Eligible

Gundersen Health System; United States; Remote; USD 23,000 - 33,000; Full time

Benefits offered by this job

401(k) matching

Paid time off

Health insurance

Wellness programs

Tuition reimbursement

Job summary

Emplify Health, in partnership with Gundersen Health System, is hiring a Prior Authorization Specialist to obtain pre-certifications and authorizations for services ordered by insurance.

Work is 40 hours per week, Monday–Friday, with remote eligibility after in-person training in Onalaska, WI. 1–2 years in healthcare with insurance or prior authorization is preferred; high attention to detail and strong communication are essential.

Qualifications

• High School Diploma or equivalency.
• 1-2 years' experience in healthcare with insurance or prior authorization.
• Excellent problem-solving abilities and strong attention to detail.
• Strong communication skills, both verbal and written.
• Coding experience and certifications is a plus.

Responsibilities

• Obtain necessary pre-certifications and authorizations for services ordered/scheduled from insurance.
• Coordinate with hospital departments and insurance companies to secure approvals.

Skills

Attention to detail

Strong communication

Problem solving

Coding experience

Education

High School Diploma or equivalency

Tools

Coding experience

Job description

Emplify Health, in partnership with Gundersen Health System, is hiring a Prior Authorization Specialist to obtain pre-certifications and authorizations for services ordered by insurance.

Work is 40 hours per week, Monday–Friday, with remote eligibility after in-person training in Onalaska, WI. 1–2 years in healthcare with insurance or prior authorization is preferred; high attention to detail and strong communication are essential.