Insurance Authorization Specialist

Why ThedaCare?

Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.


At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits, with a whole-person approach to wellness -

• Lifestyle Engagement
  • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support

• Access & Affordability
  • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary :
The Insurance Authorization Specialist performs insurance authorization for patients scheduled for services at ThedaCare by obtaining and validating demographic and insurance information. Works with insurance companies and/or physician offices to complete insurance authorization requirements.

Job Description:

KEY ACCOUNTABILITIES:

• Selects accurate medical records for patient safety.
• Obtains and validates demographic and insurance information while working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment.
• Utilizes quality auditing and reporting systems to ensure accounts are correct.
• Conducts audits of accounts and ensures forms are accurately and timely completed to meet audit standards and provide statistical data to leaders.
• Performs duties as assigned including answering the phones at other facilities.

QUALIFICATIONS:

• High School diploma or GED preferred
• Must be 18 years of age

PHYSICAL DEMANDS:

• Ability to move freely (standing, stooping, walking, bending, pushing and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
• Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

WORK ENVIRONMENT:

• Climate controlled office setting with daily movement throughout the facility
• Interaction with department members and other healthcare providers

Scheduled Weekly Hours:
40 Scheduled FTE:
1 Location:
Orthopedic Spine and Pain Clinic - Appleton,Wisconsin Overtime Exempt:
No Worker Shift Details:
Days