Top 16 coding specialist Jobs in wausau wi

Patient Benefits Specialist (Prior Authorization Focus)
GI Associates —Wausau, WI
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
- Health insurance
Quick Apply
CUSTOMER SERVICE REPRESENTATIVE - HOME MEDICAL EQUIPMENT
ASPIRUS HEALTH —Wausau, WI
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
- Wellness program
- Paid time off
12d
SUPERVISOR- INPATIENT CODING - CODING
ASPIRUS HEALTH —Wausau, WI
- Full-time
- Finance
- Analysis skills
- Epic
- Wellness program
- Paid time off
Revenue Cycle Manager
GI Associates —Wausau, WI
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
Quick Apply
SUPERVISOR - CODING AUDITING & EDUCATION, O-CDI
ASPIRUS HEALTH —Wausau, WI
- Full-time
- 5 years
- Finance
- Analysis skills
- Wellness program
- Retirement plan
RN Inpatient Hospital Auditor | Remote | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Anatomy knowledge
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply

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Education Requirement: *Bachelor’s Degree in Health Information Management, Nursing, Healthcare Administration, or a related field, required.
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Clinical Documentation Specialist-Remote
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Through extensive interaction with physicians and other members of the healthcare team, achieves appropriate clinical documentation to support code assignment,…

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Patient Benefits Specialist (Prior Authorization Focus)

GI Associates -
Wausau, WI

Quick Apply

Job Details

Full-time

Benefits

Health insurance

Qualifications

Customer communication
Microsoft Excel
Word embeddings
Practice management software
Patient management software
High school diploma or GED
ICD-10
HCPCS
Productivity software
Clinical confidentiality policies
Medical terminology

Full Job Description

Are you detail-oriented and enjoy helping patients understand their healthcare coverage? Join our team as a Patient Benefits Specialist and make a meaningful difference every day!

In this role, you'll be an essential part of the patient care journey - working closely with providers, insurance companies, and patients to ensure services are authorized and ready to go. You'll handle pre-authorizations and pre-certifications for upcoming procedures, special testing, and referrals. You'll also connect with patients before their appointments to review coverage and financial responsibility, helping them feel informed and confident about their care.

We're looking for someone who's organized, compassionate, and comfortable navigating insurance details in a fast-paced clinical setting.

This is a full-time, on-site position based in our Wausau office (1.0 FTE) with the potential for a hybrid schedule once fully trained and proficient in the role!

Essential Job Functions and Responsibilities:

Obtains pre-authorizations/pre-certifications for procedures, radiology/diagnostic testing, laboratory services, and other special testing as required by insurers or managed care providers.
Works with reception and clinical staff to coordinate referrals to outside facilities or providers.
Verifies Medicare, Medicaid and other health insurance eligibility prior to patient services and procedures.
Contacts patients prior to appointment or procedure to discuss insurance coverage and benefits and patient financial responsibility.
Informs Patient Account Representatives of new or updated insurance plans to ensure patient claims are submitted correctly.
Works with clinical staff to manage appointment frequency, insurance coverage, and benefits for patients on infusion therapy.
Maintains up-to-date knowledge of clinical guidelines, precertification requirements, and medical policies for services and procedures by routinely reviewing payer newsletters, regulatory and payer websites, and professional resources.
Acts as administrator for the insurance websites and obtains and maintains logon access to all payers' websites.
Performs other duties as assigned.

Minimum Qualifications

Education
- High school diploma or equivalent required.
Licensure/Certification
- Advanced training/certification in medical billing, coding, and/or insurance preferred.
Experience
- Minimum of one-year experience in a medical billing role is required, or equivalent education.

Competencies Required

Knowledge
- Working knowledge of medical and insurance terminology.
- Basic knowledge of medical and insurance terminology, CPT, HCPCS, and ICD-10 coding.
Skills
- Possesses interpersonal, communication, and listening skills necessary to deal effectively and courteously with patients and all staff members.
- Proficient computer skills working in an Electronic Medical Record (EMR) and Practice Management software, and Microsoft Word, Excel, and the Internet.
- Demonstrates professionalism and respect in all forms of communication and correspondence.
Abilities
- Ability to maintain strict confidentiality of fiscal and health information.
- Ability to work in a fast paced, multi-tasking environment and cope with rapidly changing demands while working as a team member.
- Ability to prepare and gather information accurately and efficiently.

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Refine Your Search

coding specialist jobs in wausau wi

Patient Benefits Specialist (Prior Authorization Focus)

CUSTOMER SERVICE REPRESENTATIVE - HOME MEDICAL EQUIPMENT

SUPERVISOR- INPATIENT CODING - CODING

Revenue Cycle Manager

SUPERVISOR - CODING AUDITING & EDUCATION, O-CDI

RN Inpatient Hospital Auditor | Remote | Contract

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