Top 554 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
Workers Compensation Claims Representative
Wisconsin Municipal Mutual Insurance Company —Wisconsin
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Residential
- Health savings account
- Health insurance
Quick Apply
Aluminum MIG & TIG Welder
API Heat Transfer —Racine, WI
- Online Application
- Mid-level
- High school diploma or GED
- US work authorization
- Health insurance
- 401(k)
Quick Apply
Maintenance Technician
Niagara Bottling —Pleasant Prairie, WI
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
Physical Therapist (PT)- Pediatric Outpatient- $10,000 Sign-on Bonus & No Weekends or Holidays
Advocate Aurora Health —Lake Geneva, WI
- $41.10 - $61.65 an hour
- Full-time
- Doctoral degree
- Hospital
- Physical & Rehabilitation Medicine
- Health insurance
- Dental insurance
Quick Apply
5d
Mechanic - Truck, Diesel, Cranes
Custom Truck One Source —Union Grove, WI
- Overtime
- Mid-level
- High school diploma or GED
- Driver's License
- Employee stock purchase plan
- Paid holidays
Quick Apply
Board Certified Behavior Analyst (BCBA)
Gracent —Lake Bluff, IL
- $82,000 - $110,000 a year
- Full-time
- Background check
- Neurology
- Pediatrics
- Continuing education credits
- Health savings account
Quick Apply
Maintenance Mechanic
Amcor —Mundelein, IL
- $27 - $38 an hour
- 12 hour shift
- 5 years
- Sanitation
- Continuous improvement
- Paid parental leave
- Health savings account
Quick Apply
Radiologic Technologist up to $7k sign on bonus!
Concentra —Kenosha, WI
- Full-time
- CPR Certification
- Microsoft Excel
- Vital signs
- Commuter assistance
- Disability insurance
Speech-Language Pathologist (Pediatric) – Full-Time or Part-Time
Pediatric Interactions, Inc. —Grayslake, IL
- $40 - $50 an hour
- Part-time
- Mid-level
- Master's degree
- Children
- Continuing education credits
- Mileage reimbursement
Quick Apply
Math and Science Teacher
Fusion Academy —Lake Forest, IL
- $28.25 an hour
- Part-time
- Background check
- Teaching Certification
- Mid-level
- Commuter assistance
- Paid holidays
AP English Teacher
Fusion Academy —Lake Forest, IL
- $28.25 an hour
- Part-time
- Background check
- Teaching Certification
- English
- Commuter assistance
- Paid holidays
Multi Line Licensed Insurance Agent (Remote - P&C Required)
RELI Exchange —Wisconsin
- $45,000 - $90,000 a year
- Full-time
- Remote
- Business development
- US work authorization
- Marketing
- Work from home
- Flexible schedule
Quick Apply
12d
Coolant Technician
Senior Flexonics - GA Precision —Franklin, WI
- $18 - $23 an hour
- Full-time
- Background check
- Computer literacy
- Pass drug screening
- Profit sharing
- Health savings account
Quick Apply
AP Math Teacher
Fusion Academy —Lake Forest, IL
- $28.25 an hour
- Part-time
- Background check
- Teaching Certification
- Mid-level
- Commuter assistance
- Paid holidays
Clinical Psychologist-Behavioral Health McHenry Full Time Days
Northwestern Memorial Healthcare —McHenry, IL
- $50.41 - $70.57 an hour
- Full-time
- Background check
- Addiction Medicine
- Mid-level
Quick Apply
5d
Senior FPGA Engineer
Acara Solutions —Franksville, WI
- $160,000 - $190,000 a year
- Full-time
- Computer Science
- 5 years
- Laboratory experience
- Relocation assistance
Quick Apply
Management Trainee - Round Lake, IL
Enterprise Mobility —McHenry, IL
- $21.59 an hour
- Urgently hiring
- Military
- Business development
- Driver's License
- Profit sharing
- Health insurance
Licensed Salon Hair Stylist - Revitalized Salon, Ready for You
Hair Cuttery —McHenry, IL
- $15 - $88 an hour
- Full-time
- Barbering License
- Cosmetology License
- US work authorization
- Disability insurance
- Health insurance
Quick Apply
Math Instructor / Tutor
Mathnasium (ID: 3202201) —Buffalo Grove, IL
- $14 - $18 an hour
- Part-time
- Background check
- Experience working with children
- Math
- 401(k)
- Paid time off
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

Refine Your Search

authorization jobs in pleasant prairie, wi

Prior Authorization/Referral Specialist

Workers Compensation Claims Representative

Aluminum MIG & TIG Welder

Maintenance Technician

Physical Therapist (PT)- Pediatric Outpatient- $10,000 Sign-on Bonus & No Weekends or Holidays

Mechanic - Truck, Diesel, Cranes

Board Certified Behavior Analyst (BCBA)

Maintenance Mechanic

Radiologic Technologist up to $7k sign on bonus!

Speech-Language Pathologist (Pediatric) – Full-Time or Part-Time

Math and Science Teacher

AP English Teacher

Multi Line Licensed Insurance Agent (Remote - P&C Required)

Coolant Technician

AP Math Teacher

Clinical Psychologist-Behavioral Health McHenry Full Time Days

Senior FPGA Engineer

Management Trainee - Round Lake, IL

Licensed Salon Hair Stylist - Revitalized Salon, Ready for You

Math Instructor / Tutor

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

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