Top 11 Prior authorization specialist Jobs in Mequon, Wi

Clinic Service Representative - Bayshore
Children's Wisconsin —Fox Point, WI
- Full-time
- HIPAA
- High school diploma or GED
- Clinic
1d
Clinic Service Representative - Westbrook
Children's Wisconsin —Brookfield, WI
- Part-time
- HIPAA
- High school diploma or GED
- Clinic
12d
Pharmacy Tech- Medication Access Specialist- 1.0 FTE- Days
ProHealth Care —Waukesha, WI
- Temporary
- Microsoft Word
- Customer service
- Entry level
- Health savings account
- Tuition reimbursement
7d
Intake Specialist
Wellpoint Care Network —Milwaukee, WI
- Online Application
- Vital signs
- Microsoft Outlook
- Medical office experience
Quick Apply
Customer Support Spec
DYNATECT MANUFACTURING INC —New Berlin, WI
- Computer literacy
- Writing skills
- Basic math
Quick Apply
1d
Clinical Referral Specialist
Sixteenth Street Community Health Centers —Milwaukee, WI
- Full-time
- Spanish
- Current TB test
- Computer literacy
Quick Apply
Therapy Care Specialist - Specialty Infusion Pharmacy Technician
Soleo Health Inc —Pewaukee, WI
- Urgently hiring
- Microsoft Word
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
11d

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Clinic Service Representative - Bayshore
Children's Wisconsin —Fox Point, WI
Essential Functions - Provides exceptional patient experience by assisting patients, parents, providers and other staff through the standard front desk…
1d
Rehab Office Coordinator
Rehab Resources —Mequon, WI
You’ll be responsible for managing the insurance authorization process, handling data entry, maintaining schedules, assisting at the reception desk, and…
Quick Apply

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BH Insurance/Precert Specialist
Nationwide Children's Hospital —Columbus, OH
CPR certification (based on position and as determined by manager). Obtains insurance prior authorization as needed and documents the verification of benefits…
Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
5d

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prior authorization specialist jobs near mequon, wi

Clinic Service Representative - Bayshore

Children's Wisconsin -
Fox Point, WI

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Job Details

Full-time
1 day ago

Qualifications

High school diploma or GED
Office phone management

Full Job Description

At Children’s Wisconsin, we believe kids deserve the best.

Our pediatricians and primary care offices offer parents a level of care that cannot be obtained at other places:

Affiliation with the #4 children's hospital in the country (according to Parents magazine)
Board-certified pediatricians (l earn what it means to be 'board-certified' )
Many locations spread throughout southeast Wisconsin
Commitment to population health and an increased role for pediatricians in the care of children
Doctors who are very active in their local communities
Access to many health and wellness programs designed to keep kids safe and healthy

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/

Job Summary This role is an active member of the front desk team and works to welcome patient families for their appointment and serves as liaison between patient families and the clinical team. This position reports to the Primary Care Practice Manager and collaborates with the Lead Clinic Coordinator and Regional Access Specialist for optimal outcomes. Essential Functions - Provides exceptional patient experience by assisting patients, parents, providers and other staff through the standard front desk functions, including check-in and check-out services following access modules and Patient Experience Promise. - Utilizes EPIC scheduling applications and work queues to facilitate appointment scheduling, wait list management, reschedule list, cancelled appointments, registration work queues, patient communication/texting platform and In Basket Review. - Support registration of patients and/or legal guardians with a MyChart account and access - Secures appropriate release of information authorization; maintains HIPPA compliance. - Enters all registration information accurately and completely per Appointment Scheduling Module and Complete Registration Document. This includes obtaining demographics, proper consent, insurance cards/information, as applicable, etc. Ensures entire checklist is completed. - Maintains proficiency with EPIC and other applications or competencies as required. - Responsible for understanding and adhering to the Children’s Organizational Code of Ethics and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to Children's business. - Monitors WELL platform and responds in a timely and professional manner. Education: - High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) Required Experience: - 1+ years related work experience Required - 1+ years work experience in a healthcare setting Preferred Knowledge, Skills and Abilities - Knowledge of medical terminology (quiz to be completed prior to hire), medical menu software, medical billing, patient scheduling and business office procedures preferred. - Requires excellent interpersonal skills in order to assist patients, parents, and physicians and other staff. - Requires good concentration skills in order to serve a variety of people in a fast paced environment and to handle incoming calls in an efficient and accurate manner. - Required flexibility in order to prioritize efforts to meet needs of the patients, parents, physicians and other staff. - Ability to assist and support other primary care locations as requested by leaders and/or the Children’s Medical Group float policy. Required for All Jobs: - This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job. - Employment is at-will. This document does not create an employment contract, implied or otherwise.

Hours are Monday - Friday, 9am - 5:30pm.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

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prior authorization specialist jobs in mequon, wi

Clinic Service Representative - Bayshore

Clinic Service Representative - Westbrook

Pharmacy Tech- Medication Access Specialist- 1.0 FTE- Days

Intake Specialist

Customer Support Spec

Clinical Referral Specialist

Therapy Care Specialist - Specialty Infusion Pharmacy Technician

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