Location: Green Bay, WI
Schedule: Full-Time
Hours: Monday–Friday, 8:00 AM – 4:30 PM
Department: Revenue Cycle / Revenue Integrity
Reports To: Chief Administrative Officer
Join Our Growing Dermatology Team!
At The New Dermatology Group, we are committed to providing exceptional, compassionate dermatologic care while continuously improving the patient experience behind the scenes. We are seeking a highly organized and detail-oriented Revenue Integrity Specialist – Prior Authorization & Referrals to become our organization's primary expert in insurance authorizations and referrals.
This newly created role offers the opportunity to build, standardize, and improve authorization processes that directly impact patient access, provider efficiency, and the financial health of our growing multi-site dermatology practice. If you enjoy solving insurance challenges, collaborating with multiple departments, and ensuring patients receive timely care, we'd love to hear from you.
What You'll Do
As a key member of our Revenue Cycle team, you will support providers, staff, and patients by ensuring insurance requirements are completed accurately and efficiently before services are provided.
Prior Authorizations & Referrals
- Serve as the organization's subject matter expert for insurance prior authorizations and referrals.
- Obtain, submit, monitor, renew, and document prior authorizations.
- Coordinate referrals, including Veterans Affairs Community Care authorizations.
- Review provider schedules to identify authorization requirements before patient appointments.
- Track approvals, denials, renewals, and payer deadlines.
- Assist with appeals and retroactive authorizations when appropriate.
Collaboration & Revenue Integrity
- Work closely with providers, nursing staff, scheduling, patient service representatives, billing, and leadership.
- Obtain and organize clinical documentation required for insurance approvals.
- Maintain accurate documentation within Athena EMR.
- Support revenue cycle initiatives by reducing authorization-related claim denials.
- Monitor work queues and identify opportunities for process improvement.
- Develop standardized authorization workflows and payer reference guides.
- Stay current on payer policy changes and communicate workflow updates across departments.
What We're Looking For
We are seeking someone who is:
- Highly organized and detail-oriented
- Analytical with strong problem-solving skills
- An excellent communicator
- Customer-service focused
- Able to manage multiple priorities in a fast-paced environment
- Comfortable working independently while collaborating with multiple teams
- Passionate about improving healthcare operations and patient access
Qualifications
Required Qualifications
- High school diploma or equivalent
- Three or more years of experience in one or more of the following:
- Prior Authorizations
- Insurance Verification
- Medical Billing
- Revenue Cycle
- Experience working with:
- Commercial Insurance
- Medicare
- Medicare Advantage
- Medicaid
- Managed Care Organizations
- Veterans Affairs Community Care
- Strong understanding of medical terminology
- Experience using Electronic Medical Records (Athena experience preferred)
- Proficiency with Microsoft Office
Preferred Qualifications
Experience in one or more of the following is preferred:
- Dermatology
- Surgical specialties
- Revenue Cycle
- Medical Billing
- Biologic medication authorizations
- Specialty pharmacy authorizations
- CPT, ICD-10, and HCPCS coding
- CPB, CRCR, or other Revenue Cycle certifications
Why Join The New Dermatology Group?
Work-Life Balance
- Monday–Friday schedule
- 8:00 AM – 4:30 PM
- No weekends
- Paid holidays
- Consistent daytime hours
Benefits
Eligible employees may receive:
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short-Term Disability Insurance
- Critical Illness Insurance
- Accident Expense Insurance
- Employee Assistance Program (EAP)
- Flexible Spending Account (Dependent Care)
- Paid Time Off (PTO)
- Paid Sick Time
- 401(k)
- SEP IRA
- Edvest 529 Program
- Employee Referral Program
Additional Perks
- Competitive compensation
- Opportunity to help build and shape our Revenue Integrity program
- Collaborative leadership team
- Supportive team environment
- Professional growth opportunities
- Meaningful work that directly improves patient access and protects organizational revenue
If you're looking for an opportunity to make a measurable impact on both patient care and the financial success of a growing healthcare organization, we'd love to hear from you.
Apply today and help strengthen the future of healthcare through Revenue Integrity.
Work Location: In person
Pay: $24.00 - $26.00 per hour
Benefits:
- AD&D insurance
- Dental insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
