Prior Authorization & Verification Specialist

BayCare Clinic; Green Bay (WI); On-site; USD 38,000 - 56,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Disability insurance

Life insurance

Flexible spending options

401k with company match

Generous PTO

Paid holidays

Job summary

BayCare Clinic is seeking 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 is a physician-owned entity with joint ownership in Aurora BayCare Medical Center, offering us a built-in

Qualifications

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

Responsibilities

• 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.

Skills

Two years experience with patients and

Epic Experience

Education

AAS in Health Care Business

Tools

Epic

Job description

BayCare Clinic is seeking 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 is a physician-owned entity with joint ownership in Aurora BayCare Medical Center, offering us a built-in