Top 537 Authorization Jobs in Pleasant Prairie, 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
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
Utility Apprentice
North Shore Gas (NSG) —Waukegan, IL
- From $29.05 an hour
- Computer literacy
- DOT physical examination
- Microsoft Office
11d
Patient Service Navigator
Froedtert South, Inc. —Pleasant Prairie, WI
- $17 - $26 an hour
- Full-time
- Computer literacy
- Outpatient experience
- High school diploma or GED
- 403(b) matching
- Health insurance
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 Access Specialist - Imaging
Froedtert South, Inc. —Pleasant Prairie, WI
- $17.00 - $25.25 an hour
- Part-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
Online Instruction Adjunct Opportunities
University of Wisconsin Parkside —Kenosha, WI
- Part-time
- Remote
- Computer Science
- Marketing
- Mid-level
Patient Access Specialist
Froedtert South, Inc. —Kenosha, WI
- Part-time
- Computer literacy
- High school diploma or GED
- Medical terminology
Quick Apply
13d
Cashier (Front End)
Costco Wholesale Corporation —Pleasant Prairie, WI
- Merchandising
- Driving
- US work authorization
- AD&D insurance
- Employee stock purchase plan
Patient Relations Analyst
Oak Street Health —Waukegan, IL
- $21.10 - $44.99 an hour
- Full-time
- Sales
- Clinic
- Bachelor's degree
- Health insurance
- Dental insurance
North Chicago Plant HR Business Partner
Procter & Gamble —North Chicago, IL
- $85,000 - $122,200 a year
- Full-time
- Bachelor's degree
- Psychology
- US work authorization
Pharmacy Tech
Sam's Club —Kenosha, WI
- $18.50 - $26.50 an hour
- High school
- Merchandising
- HIPAA
- Paid jury duty
- Disability insurance
11d
Patient Scheduler - Experience Required
PAIN PHYSICIANS OF WISCONSIN SC —Kenosha, WI
- Full-time
- HIPAA
- High school diploma or GED
- Organizational skills
Office Operations Assistant Family Practice
Ascension —Racine, WI
- Full-time
- High school diploma or GED
- 1 year
- Entry level
- Disability insurance
- Health insurance
3d
Maintenance Clerk
Costco Wholesale Corporation —Pleasant Prairie, WI
- Office
- US work authorization
- Warehouse
- AD&D insurance
- Employee stock purchase plan
4d
Administrative Assistant for Utilization Review
LAKE BEHAVIORAL HOSPITAL —Waukegan, IL
- $19 - $26 an hour
- Overtime
- Acute care
- Word processing
- Administrative experience
- Free parking
- Disability insurance
Quick Apply
Referral Coordinator
AHS Vista LLC —Waukegan, IL
- $20 - $26 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Dental insurance
- 401(k)
Quick Apply
Licensed Hearing Aid Dispenser
Costco Wholesale Corporation —Pleasant Prairie, WI
- Weekends as needed
- Mid-level
- Assembly
- Mentoring
- AD&D insurance
- Employee stock purchase plan
4d
Clerk 1 Warehousing - Material Management Associate
Abbott Laboratories —North Chicago, IL
- $20.35 - $40.65 an hour
- Full-time
- CDL B
- Research
- Forklift
- Health insurance
- Tuition reimbursement
5d

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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

authorization jobs in pleasant prairie, wi

Prior Authorization/Referral Specialist

Specialist, Access and Reimbursement

Utility Apprentice

Patient Service Navigator

Patient Access Specialist Imaging

Patient Access Specialist - Imaging

Patient Access Specialist - Clinic

Online Instruction Adjunct Opportunities

Patient Access Specialist

Cashier (Front End)

Patient Relations Analyst

North Chicago Plant HR Business Partner

Pharmacy Tech

Patient Scheduler - Experience Required

Office Operations Assistant Family Practice

Maintenance Clerk

Administrative Assistant for Utilization Review

Referral Coordinator

Licensed Hearing Aid Dispenser

Clerk 1 Warehousing - Material Management Associate

I want to receive the latest job alert for authorization in pleasant prairie, wi

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