Top 5 Prior authorization nurse Jobs in Wausau, Wi

AUTHORIZATION SPECIALIST - PLAZA DR CLINICPLAZA DRIVE CLINIC
ASPIRUS HEALTH —Wausau, WI
- Full-time
- Hospital
- Medical office experience
- HIPAA
- Wellness program
- Paid time off
3d
Registered Nurse - Outpatient
North Central Health Care —Wausau, WI
- $36.40 - $39.63 an hour
- Full-time
- Nursing
- Psychiatry
- RN License
- Paid holidays
- Health insurance
Quick Apply
9d
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Registered Nurse - Outpatient
North Central Health Care —Wausau, WI
Must possess a valid driver's license and maintain unrestricted driving privileges throughout employment. Manage the nurse telephone line: triage calls, provide…
$36.40 - $39.63 an hour
Quick Apply
9d
Registered Nurse (Developmental - Behavioral Peds) | Full Time
Marshfield Clinic —Marshfield, WI
Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in…
$29.50 - $38.50 an hour
Quick Apply

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AUTHORIZATION SPECIALIST - PLAZA DR CLINICPLAZA DRIVE CLINIC

ASPIRUS HEALTH -
Wausau, WI

Apply Now

Job Details

Full-time
3 days ago

Benefits

Wellness program
Paid time off
Retirement plan

Qualifications

Coding for hospital billing
Medical coding experience in outpatient clinics
Typing

Full Job Description

Compassion. Accountability. Collaboration. Foresight. Joy.

These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.

Aspirus Wausau Hospital in Wausau, WI is seeking a AUTHORIZATION SPECIALIST to join our PLAZA DR CLINIC team!

The Authorization Specialist is critical to ensure accurate prior and ongoing authorizations. This position collects demographic, insurance, and clinical information from patients to ensure that all reimbursement requirements are met. Coordination and communication with the patient, clinical team including physicians, nurse practitioners, patient navigator, pharmacy staff, and patient financial services is key for successful financial analysis and clearance.

HOURS: Full Time 0.8 FTE, 64 Hours Biweekly

Experience/Qualifications

Knowledge of office procedures normally acquired through completion of a High School diploma, GED, or equivalent combination of education and experience.
Associate degree in Business Administration or Health Care Business Services or other applicable area strongly preferred, Bachelor’s degree preferred.
Minimum of 3 years’ experience in a business office or healthcare setting required
Intermediate knowledge of ICD-10 and CPT codes required
Ability to proficiently use a computer and type required; experience with the electronic medical record strongly preferred
Previous Medical Clinic experience preferred.
Working and applied knowledge of coding principles, Medicare, Medicaid, and commercial insurance practices highly recommended.
Excellent written and oral communication skills with a high degree of professionalism.
Demonstrates accuracy in record keeping and documentation.
Able to maintain a positive service attitude under the stress of changing conditions/job demands.
Demonstrates ability to organize multiple activities and effectively handle a fast-paced, changing workload with daily deadlines.
Possesses an overall understanding of insurance and government authorizations in a health care organization.
Significant experience with health insurance utilization management services
Possesses the ability to troubleshoot and work independently.
Is self-directed and displays good judgment with attention to detail.
Possesses the ability to work with many changes within the insurance and government payer process.
Ability to work cooperatively and effectively with providers, patients, staff and the public.
Ability to establish priorities and coordinate work activities.
Ability to maintain confidentiality with regard to all phases of work.
Knowledge of federal and state laws regarding HIPAA and release of information.

Employee Benefits

Full benefits packages available for part- and full-time status.
PTO accrual from day one!
Generous retirement plan with match available.
Wellness program for employees and their families.

Aspirus Wausau Hospital, the flagship of the Aspirus system, serves northeastern Minnesota, northern and central Wisconsin, and Michigan’s Upper Peninsula. Aspirus Wausau Hospital provides primary, secondary and tertiary care services as a regional referral center. Specialty referral service emphasis exists in cardiology and cardiothoracic surgery, orthopedics and cancer. The hospital has an average daily inpatient census of 160 with approximately 15,000 admissions per year. Outpatient visits exceed 50,000 and there are also more than 24,000 annual emergency department visits. Best known for its world-class cardiovascular program, Aspirus Wausau Hospital also provides leading edge cancer, trauma, women’s health, and spine and neurological care. To learn more about Wausau click the following link: Wausau, Wisconsin

Our Mission: We heal people, promote health and strengthen communities.

Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.

As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.

Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.

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prior authorization nurse jobs in wausau, wi

AUTHORIZATION SPECIALIST - PLAZA DR CLINICPLAZA DRIVE CLINIC

Registered Nurse - Outpatient

Utilization Management Reviewer

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