Froedtert Health
PRE-AUTHORIZATION SPECIALIST, FCH - ENTERPRISE REGISTRATION
Froedtert Health, Menomonee Falls, Wisconsin, United States, 53051
PRE-AUTHORIZATION SPECIALIST, FCH - ENTERPRISE REGISTRATION
3 days ago Be among the first 25 applicants
Location:
US: WI: MENOMONEE FALLS at our WOODLAND PRIME 400 facility.
Remote:
REMOTE.
FTE:
1.0
Hours:
40.0
Shift:
M-F 8-4:30 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:
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:
High School diploma or equivalent is required.
Special Skills:
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:
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
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.
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug‑free workplace and perform pre‑employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.
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Location:
US: WI: MENOMONEE FALLS at our WOODLAND PRIME 400 facility.
Remote:
REMOTE.
FTE:
1.0
Hours:
40.0
Shift:
M-F 8-4:30 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:
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:
High School diploma or equivalent is required.
Special Skills:
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:
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
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.
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug‑free workplace and perform pre‑employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.
#J-18808-Ljbffr