Top 33 Prior authorization Jobs in Kenosha Wi

Prior Authorization/Referral Specialist
Froedtert South, Inc. —Pleasant Prairie, WI
- $17.00 - $25.25 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- 403(b) matching
- Health insurance
Quick Apply
Patient Access Specialist
Froedtert South, Inc. —Kenosha, WI
- $17.00 - $25.25 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Medical terminology
- 403(b) matching
- Health insurance
Quick Apply
Patient Access Specialist - Clinic
Froedtert South, Inc. —Kenosha, WI
- $17.00 - $25.25 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Clinic
- 403(b) matching
- Health insurance
Quick Apply
Patient Access Specialist - Imaging
Froedtert South, Inc. —Pleasant Prairie, WI
- $17.00 - $25.25 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Medical terminology
- 403(b) matching
- Health insurance
Quick Apply
Specialist, Access and Reimbursement
AbbVie —North Chicago, IL
- $65,500 - $125,500 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Continuous improvement
- Paid holidays
- Health insurance
Telehealthcare Extender
Genesis / Matt Talbot / Horizon —Kenosha, WI
- Part-time
- Psychiatry
- Computer literacy
- Urgent Care
- Flexible schedule
Quick Apply
Patient Access Specialist Imaging
Froedtert South, Inc. —Pleasant Prairie, WI
- Full-time
- Computer literacy
- High school diploma or GED
- Medical terminology
Quick Apply
Patient Scheduler - Experience Required
PAIN PHYSICIANS OF WISCONSIN SC —Kenosha, WI
- Full-time
- HIPAA
- High school diploma or GED
- Organizational skills
Patient Access Representative III
Kenosha Community Health Center - Pillar Health —Kenosha, WI
- $21 - $23 an hour
- Full-time
- HIPAA
- Clinic experience
- Mid-level
- Paid holidays
- Disability insurance
Referral Coordinator
AHS Vista LLC —Waukegan, IL
- $20 - $26 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Dental insurance
- 401(k)
Quick Apply
8d
Patient Services Coordinator
PT Solutions Physical Therapy —Mt Pleasant, WI
- $18 - $20 an hour
- Full-time
- Private practice
- Customer service
- HIPAA
- Paid time off
Quick Apply
RN $47/ LPN $38 GTUBE TRACH VENT 11 YR OLD MALE SATURDAY/SUNDAY 9PM-9AM
Reliance Home Health Caregivers —Waukegan, IL
- $38 - $47 an hour
- Part-time
- Background check
- CPR Certification
- RN License
- Flexible schedule
Quick Apply
1d
Medical Assistant - Racine Location
Outreach Community Health Centers —Racine, WI
- $20.41 - $25.38 an hour
- Bilingual
- CPR Certification
- Vital signs
Quick Apply
4d
Pediatric Medical Assistant
GI Associates LLC —Kenosha, WI
- No weekends
- Microsoft Excel
- Vital signs
- Ability to walk for extended periods
- Paid holidays
- Disability insurance
Quick Apply
Triage Registered Nurse - Deerfield
Endeavor Health —Waukegan, IL
- $33.96 - $52.64 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Free parking
- Wellness program
Patient Support Assistant (PSA) - Family Medicine
Endeavor Health —Mundelein, IL
- $18.38 - $26.65 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Travel
- Free parking
- Wellness program
14d
Triage Registered Nurse - Glenview
Endeavor Health —Waukegan, IL
- $33.96 - $52.64 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Free parking
- Wellness program
RN Case Manager - Home Care Oak Creek
Horizon Home Care & Hospice —Oak Creek, WI
- No weekends
- Nursing
- Surgery
- RN License
- Wellness program
- Mileage reimbursement
Registered Nurse
Rosalind Franklin University of Medicine & Science —North Chicago, IL
- $29.02 - $38.46 an hour
- Full-time
- Background check
- Nursing
- Microsoft Excel
- Paid parental leave
- Paid holidays
Quick Apply
2d
Medical Assistant
Rosalind Franklin University of Medicine & Science —North Chicago, IL
- $19 - $22 an hour
- Full-time
- Background check
- Medication administration
- Patient monitoring
- Paid parental leave
- Paid holidays
Quick Apply

I want to receive the latest job alert for prior authorization in kenosha wi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization jobs near kenosha wi

Medical Assistant jobs in Racine, WI

Scheduler jobs in Kenosha, WI

Medical Assistant jobs in North Chicago, IL

Patient Access Specialist jobs in Pleasant Prairie, WI

Referral Coordinator jobs in Waukegan, IL

Prior Authorization Specialist jobs in Pleasant Prairie, WI

Patient Access Specialist jobs in Kenosha, WI

Registered Nurse jobs in North Chicago, IL

Licensed Practical Nurse jobs in Waukegan, IL

Medical Assistant jobs in Kenosha, WI

Patient Assistant jobs in Yuma, AZ

Certified Nursing Assistant jobs in Georgia

Patient Assistant jobs in Chestertown, NY

Medical Assistant jobs in Lakeland, FL

Patient Assistant jobs in Auburndale, FL

Patient Assistant jobs in Crowley, TX

Medical Assistant jobs in Chula Vista, CA

Medical Assistant jobs in Newnan, GA

Obgyn Medical Assistant jobs in Indiana

Medical Receptionist jobs in Midland, TX

Prior Authorization/Referral Specialist

Froedtert South, Inc. -
Pleasant Prairie, WI

Quick Apply

Job Details

Part-time
$17.00 - $25.25 an hour

Benefits

403(b) matching
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
Employee discount
403(b)

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Customer service
Word embeddings
High school diploma or GED
Documentation tools
Patient interaction
Medical terminology

Full Job Description

POSITION PURPOSE
- The Prior-Authorization/Referral Specialist plays a key role in supporting patient access to care by verifying insurance eligibility and benefits, and securing required pre-certifications, authorizations, and referrals for both facility and professional services. This position ensures timely and accurate communication with payors and healthcare providers, obtains necessary clinical documentation to support medical necessity, and maintains detailed records throughout the authorization process.
MINIMUM EDUCATION REQUIRED
- High School or GED
MINIMUM EXPERIENCE REQUIRED
- One (1) year of insurance/prior authorization experience (preferred)
- Experience and familiarity with using insurance portals
LICENSES / CERTIFICATIONS REQUIRED
- None
KNOWLEDGE, SKILLS & ABILITIES REQUIRED
- Strong customer service orientation with excellent interpersonal and computer skills.
- Working knowledge of medical terminology and healthcare documentation standards.
- Demonstrated ability to manage time effectively, prioritize tasks, and maintain accuracy in a high-volume environment.
- Proficient with internet-based tools, email communication, and Microsoft Office applications (e.g., Word, Excel, Outlook).
- Strong written and verbal communication skills, with the ability to interact professionally with patients, clinicians, and insurance representatives.
- Proven experience in prior authorizations, referrals, patient registration, insurance verification, and understanding of various health insurance plans (preferred).
- Proficient in navigating online prior authorization portals and working with multiple commercial and government payors (preferred).
- Knowledge of medical coding systems, including ICD-10, CPT, and HCPCS codes (preferred).
PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES
- Verify insurance eligibility and benefits for scheduled services to determine prior-authorization or referral requirements.
- Initiate and follow through on prior-authorization and referral requests with payors, ensuring timely approvals.
- Collect and submit required clinical documentation to support medical necessity and facilitate authorization.
- Document all authorization activities accurately in the electronic health record (EHR) and/or designated tracking systems.
- Communicate authorization status and requirements clearly to providers, clinical staff, and patients as needed.
- Coordinate with providers and clinical teams to obtain additional information or clarification required by payors.
- Maintain up-to-date knowledge of payer policies, coding guidelines (ICD-10, CPT, HCPCS), and authorization processes.
- Ensure timely resolution of authorization-related issues to prevent delays or denials in patient care or billing.
- Provide exceptional customer service when interacting with internal teams, external payors, and patients.
- Participate in continuous quality improvement efforts, including audits, training, and performance reviews.
  
  Salary Range: $17.00 to $25.25/hr (based on experience)
  Benefits:
  
  Medical, dental and vision benefits available
  403(b) company match available
  Tuition reimbursement
  Employee discount program
  Competitive PTO

Location: Froedtert South, Inc. · PATIENT ACCESS
Schedule: Regular Part-Time, Days, 40

Quick Apply

Refine Your Search

prior authorization jobs in kenosha wi

Prior Authorization/Referral Specialist

Patient Access Specialist

Patient Access Specialist - Clinic

Patient Access Specialist - Imaging

Specialist, Access and Reimbursement

Telehealthcare Extender

Patient Access Specialist Imaging

Patient Scheduler - Experience Required

Patient Access Representative III

Referral Coordinator

Patient Services Coordinator

RN $47/ LPN $38 GTUBE TRACH VENT 11 YR OLD MALE SATURDAY/SUNDAY 9PM-9AM

Medical Assistant - Racine Location

Pediatric Medical Assistant

Triage Registered Nurse - Deerfield

Patient Support Assistant (PSA) - Family Medicine

Triage Registered Nurse - Glenview

RN Case Manager - Home Care Oak Creek

Registered Nurse

Medical Assistant

I want to receive the latest job alert for prior authorization in kenosha wi

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected