PRE-AUTHORIZATION SPECIALIST, FCH - ENTERPRISE REGISTRATION @ Froedtert Health | Jobright.ai
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Froedtert Health · 7 hours ago

PRE-AUTHORIZATION SPECIALIST, FCH - ENTERPRISE REGISTRATION

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Responsibilities

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.
Determining which patient services have third party payer requirements and is responsible for obtaining the necessary authorizations for care.
Providing detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements.
Documenting the appropriate information in the patient's record.
Other duties as assigned.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Hospital billing experienceInsurance verification experienceMedicareMedicaidHMO'sPPO'sCustomer service skillsOnline insurance eligibility systemsTyping skillsComputer skillsMedical terminology familiarity

Required

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
High School diploma or equivalent
Exceptional customer relations skills
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

Preferred

Prior experience in a business office position with strong customer service background

Benefits

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

Company

Froedtert Health

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Froedtert Health is a health system that provides cost-effective health care to residents in Wisconsin.

H1B Sponsorship

Froedtert Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (6)
2022 (2)
2021 (5)
2020 (3)

Funding

Current Stage
Late Stage

Leadership Team

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Mark Behl
Executive Vice President and Chief Operating Officer
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Eric Humphrey
Vice President of Human Resources
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Company data provided by crunchbase
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