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
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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
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 StageLeadership Team
Recent News
2024-04-28
2024-04-28
Company data provided by crunchbase