Top 632 Authorization representative Jobs in Wisconsin

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
Account Resolution Representative
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Anatomy knowledge
- HIPAA
- Research
- Flexible schedule
Intake RN/FT/NOC
Miramont Behavioral Health —Middleton, WI
- Full-time
- CPR Certification
- Nursing
- Psychiatry
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
Revenue Integrity Specialist
THE NEW DERMATOLOGY GROUP —Green Bay, WI
- Full-time
- Customer service
- Mid-level
- 3 years
- AD&D insurance
- Paid holidays
Quick Apply
1d
Senior Electrical Engineer, Test and Electrification Lead
Big Joe Forklifts —DeForest, WI
- Full-time
- Hybrid work
- Background check
- 3 years
- Travel
- Health savings account
- Health insurance
Quick Apply
9d
Mitigation Project Manager
RestoPros of Milwaukee —Menomonee Falls, WI
- $60,000 - $100,000 a year
- Full-time
- Clean driving record
- Mid-level
- Residential
- Paid holidays
- Dental insurance
Quick Apply
10d
Financial Representative
Northwestern Mutual- Greater Green Bay —De Pere, WI
- $65,000 - $250,000 a year
- Full-time
- Hybrid work
- Military
- Mid-level
- Business development
- Health insurance
- Dental insurance
Quick Apply
Sanitation - Production Worker - Rotational Nights
Jack Link's Protein Snacks —New Glarus, WI
- $16.96 - $25.44 an hour
- Full-time
- Writing skills
- Basic math
- Office
- Paid holidays
- Disability insurance
Director of Revenue Cycle
Outreach Community Health Centers —Milwaukee, WI
- Management
- Writing skills
- Bachelor's degree
- Dental insurance
- Employee discount
Quick Apply
Financial Advisor
Northwestern Mutual - Twin Cities —Eau Claire, WI
- $61,000 - $250,000 a year
- Full-time
- Background check
- Sales
- 3 years
- Paid training
- Health insurance
Quick Apply
Solar Field Service Engineer
Ingeteam —Milwaukee, WI
- 8 hour shift
- Hybrid work
- Mid-level
- Microsoft Office
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Sales Representative
Performance Foodservice —West Bend, WI
- $65,000 a year
- Full-time
- Cooking
- Mid-level
- High school diploma or GED
- Employee stock purchase plan
- Health insurance
Territory Sales Representative
KeHE Distributors —Green Bay, WI
- $50,820 - $69,938 a year
- Full-time
- Merchandising
- Mid-level
- Business development
- Mileage reimbursement
- Health savings account
Quick Apply
Production Stager
4imprint, Inc. —Appleton, WI
- $18 - $20 an hour
- Full-time
- Background check
- Writing skills
- Pass drug screening
Quick Apply
3d
Branch Coordinator
Apria Healthcare LLC —Marshfield, WI
- $17.64 - $18.86 an hour
- Full-time
- Computer literacy
- Basic math
- English
- Paid parental leave
- Disability insurance
Quick Apply
Financial Advisor - (Brookfield, WI) Career Changers Encouraged to Apply!
Northwestern Mutual —Waukesha, WI
- $61,000 - $119,000 a year
- Full-time
- Hybrid work
- Background check
- 3 years
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
Inside Sales Representative
Mobile Air & Power Rentals —Menomonee Falls, WI
- Full-time
- Clean driving record
- Mid-level
- Driver's License
- Dental insurance
- Paid time off
Quick Apply
Quality Technician I
CFS Brands LLC —Wausau, WI
- $20 an hour
- Overtime
- High school diploma or GED
- US work authorization
- Warehouse experience
4d
Screen Printing Press Operator
4imprint, Inc. —Appleton, WI
- $18.50 - $20.50 an hour
- Full-time
- Background check
- Writing skills
- Pass drug screening
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 representative jobs in wisconsin

Prior Authorization/Referral Specialist

Account Resolution Representative

Intake RN/FT/NOC

Workers Compensation Claims Representative

Revenue Integrity Specialist

Senior Electrical Engineer, Test and Electrification Lead

Mitigation Project Manager

Financial Representative

Sanitation - Production Worker - Rotational Nights

Director of Revenue Cycle

Financial Advisor

Solar Field Service Engineer

Sales Representative

Territory Sales Representative

Production Stager

Branch Coordinator

Financial Advisor - (Brookfield, WI) Career Changers Encouraged to Apply!

Inside Sales Representative

Quality Technician I

Screen Printing Press Operator

I want to receive the latest job alert for authorization representative in wisconsin

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