Froedtert & the Medical College of Wisconsin is a community-based, nonprofit healthcare network comprised of three hospitals and over 30 health centers for primary or specialty car
Pre-Authorization Specialist - Enterprise Registration
Location
Wisconsin
Posted
4 days ago
Salary
$21 - $29 / hour
Seniority
Senior
No structured requirement data.
Job Description
Pre-Authorization Specialist - Enterprise Registration
Froedtert Health
Title: PRE-AUTHORIZATION SPECIALIST, FCH - ENTERPRISE REGISTRATION Job Description: Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility. This job is REMOTE. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift Details: M-F 8-430 CST Job Summary: The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services. This individual determines which patient services have third party payer requirements and is responsible for obtaining the necessary authorizations for care. The Pre-Authorization Specialist provides detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record. Other duties as assigned. EXPERIENCE DESCRIPTION: A minimum of 2 years experience in hospital billing/pre-authorization or insurance verification with demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO's and PPO's required. Prior experience in a business office position with strong customer service background preferred. EDUCATION DESCRIPTION: High School diploma or equivalent is required. SPECIAL SKILLS DESCRIPTION: Exceptional customer relations skills required. Knowledge of online insurance eligibility systems. Excellent typing and computer skills. Familiarity with Medical Terminology. Demonstrated ability to efficiently organize work and maintain a high level of accuracy and productivity. Compensation, Benefits & Perks at Froedtert Health Pay is expected to be between: (expressed as hourly) $21.16- $28.78. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process. Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following: - Paid time off - Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities - Academic Partnership with the Medical College of Wisconsin - Referral bonuses - Retirement plan - 403b - Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics - Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
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Department of Child Safety Specialist
State of ArizonaThe State of Arizona, otherwise known as "The Grand Canyon State," is one of the "Four Corner States" in the U.S. Home to some of the nation's most popular tourist attractions, suc
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Enrollment eligibility will become effective after 27 weeks of employment.
