pre-authorization Specialist, FCH - Myrtle Point, United States - Froedtert Memorial Lutheran Hospital

Description

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Achieve Succeed #BeHereLocation:

US:
WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility

This job is REMOTEFTE:

Shift:
Shift 1M-F 8-430 CST


RemoteJob 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.

Perks & Benefits at Froedtert HealthFroedtert 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, , Moving Assistance, Discounts on gym memberships, travel and other work life benefits availableThe 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.

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 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 We will attempt to fulfill all reasonable accommodation requests.

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