Remote Pre-Authorization Specialist — Payer & Eligibility Expert

Froedtert Health; Menomonee Falls (WI); On-site; USD 29,000 - 39,000; Full time

Benefits offered by this job

Paid time off

Career growth opportunities

Tuition assistance

403b retirement plan

Health, dental, vision, life insurance

Wellness programs and assistance

Job summary

Froedtert Health in Wisconsin seeks a Pre-Authorization Specialist to verify eligibility, obtain insurance benefits, and secure pre-certifications for inpatient and outpatient services. You will determine payer requirements and communicate with payers and clinical partners, documenting details in the patient record.

Required: at least 2 years in hospital billing/pre-authorization or insurance verification and a high school diploma. Benefits include PTO, career growth, and comprehensive coverage.

Qualifications

• Minimum 2 years in hospital billing/pre-authorization or insurance verification.
• Knowledge of Medicare, Medicaid, HMOs and PPOs.
• High School diploma required.

Responsibilities

• Verify eligibility and obtain necessary authorizations prior to services.
• Communicate with payers and clinical partners to ensure payer requirements are met.
• Document necessary information in patient records and maintain accuracy.

Skills

Customer service

Insurance systems

Typing

Medical terminology

Organization skills

Education

High School Diploma

Job description

Froedtert Health in Wisconsin seeks a Pre-Authorization Specialist to verify eligibility, obtain insurance benefits, and secure pre-certifications for inpatient and outpatient services. You will determine payer requirements and communicate with payers and clinical partners, documenting details in the patient record.

Required: at least 2 years in hospital billing/pre-authorization or insurance verification and a high school diploma. Benefits include PTO, career growth, and comprehensive coverage.