Top 28 Authorization specialist 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 - 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
Froedtert South, Inc. —Kenosha, WI
- Part-time
- Computer literacy
- High school diploma or GED
- Medical terminology
Quick Apply
4d
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 Imaging
Froedtert South, Inc. —Pleasant Prairie, WI
- Full-time
- Computer literacy
- High school diploma or GED
- Medical terminology
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
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
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
Customer Service Representative
HoseMonster —Mundelein, IL
- $30 - $32 an hour
- Full-time
- Writing skills
- Mid-level
- Administrative experience
- Health savings account
- Health insurance
Quick Apply
3d
Rehab Patient Access Specialist-Part Time Rotating Shift
Northwestern Memorial Healthcare —Lake Forest, IL
- $18.40 - $24.83 an hour
- Part-time
- Background check
- High school diploma or GED
- Clinic
- Tuition reimbursement
- 401(k) matching
Quick Apply
Home Care QA Specialist - Bilingual
Addus Homecare —Gurnee, IL
- $19.30 - $20.50 an hour
- Full-time
- Bilingual
- Management
- Mid-level
Quick Apply
Medical Assistant - Bilingual Spanish Required
Oak Street Health —Waukegan, IL
- $18.50 - $38.82 an hour
- Full-time
- CPR Certification
- Vital signs
- BLS Certification
- Health insurance
- Dental insurance
Admissions Services Specialist Acute-PRN
United States —United States
- PRN
- Nursing
- Addiction Medicine
- RN License
2d

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Prior Authorization/Referral Specialist
Froedtert South, Inc. —Pleasant Prairie, WI
Proficient with internet-based tools, email communication, and Microsoft Office applications (e.g., Word, Excel, Outlook). 403(b) company match available.
$17.00 - $25.25 an hour
Quick Apply
Patient Access Specialist - Clinic
Froedtert South, Inc. —Kenosha, WI
Takes messages (telephone and in-person) and uses the healthcare software in-basket to route and facilitate communication between patients and clinical care…
$17.00 - $25.25 an hour
Quick Apply

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Prior Authorization Specialist
WSD —Westerville, OH
Collaborate with clinical staff to ensure timely approvals for patient treatments. Must have prior experience with insurances and prior authorizations.
$18 - $25 an hour
Quick Apply
2d
Medical Billing and Accounts Receivable Specialist
I Am Boundless, Inc. —Worthington, OH
Driver’s license and insurable driving record, if applicable. Adheres to company policies and procedures in addition to regulations, laws and other requirements…
Quick Apply

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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

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authorization specialist jobs in kenosha wi

Prior Authorization/Referral Specialist

Patient Access Specialist - Clinic

Patient Access Specialist

Patient Access Specialist - Imaging

Patient Access Specialist Imaging

Specialist, Access and Reimbursement

Patient Service Navigator

Referral Coordinator

Customer Service Representative

Rehab Patient Access Specialist-Part Time Rotating Shift

Home Care QA Specialist - Bilingual

Medical Assistant - Bilingual Spanish Required

Admissions Services Specialist Acute-PRN

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