Prior Authorization Specialist
$20.31 per hourGundersen Health System
Love + Medicine
Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today.
We're not just filling positions, we're building careers. At Emplify Health, we care for our teams, while they care for their communities. Whether you are just starting out or looking for a change, Emplify Health supports you now and into the future. Join us and find out how a little empathy changes everything.
Prior Authorization Specialist
We are looking for a Prior Authorization Specialist to join our team! In this role you will work with hospital departments and insurance companies to obtain the necessary pre-certifications and authorizations for services ordered/scheduled from insurance. Attention to detail, strong communication, and computer and phone skills are important!
Job specifics:
- Full time, 1.0 FTE - 40 hours/week
- Monday-Friday, hours between 7 am -5 pm, 8-hour shifts
- Remote eligible after training in-person in Onalaska, WI
- Specialize in prior authorization for Physical Therapy/Occupational Therapy
What you need:
- High School Diploma or equivalency
- 1-2 years' experience in healthcare with insurance or prior authorization experience required
- Excellent problem-solving abilities and strong attention to detail
- Strong communication skills, both verbal and written
- Coding experience and certifications is a plus!
What you'll get:
- Starting pay of $20.31/hour + more for experience!
- Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more
- Career Growth/CDC - Growth opportunities and access to Emplify Health's Career Development Center to help you navigate your career
Emplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. With 11 hospitals and over 100 clinics, we serve 67 cities across Wisconsin, Iowa, Minnesota, and Michigan's Upper Peninsula. Join us in making a meaningful difference in the lives of our patients and communities.
If you need assistance with any portion of the application or have questions about the position, please contact View email address on click.appcast.io.
We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values — belonging, respect, excellence, accountability, teamwork and humility — our pillars set our foundation and our future.
Equal Opportunity Employer
- .... * Maintains open communication with other departments regarding scheduling changes. * Properly verifies and obtain prior-authorization when needed. * Follows up on any requests and/or messages left on work phone immediately. * Coordinates transportation...SuggestedWork at officeImmediate start
- ...week) – Onsite Compensation: Competitive wage based on experience Benefits: Eligible for benefits Now Hiring – Prior Authorization Specialist: About the Position Cherry County Hospital is seeking a dedicated and detail-oriented Prior Authorization...SuggestedFull timeTemporary workWork at officeImmediate startFlexible hours
$16.73 per hour
...pharmacy experience Patient access experience Insurance verification experience Benefits investigation experience Prior authorization experience Financial assistance program experience Healthcare call center experience Pharmacy industry experience...SuggestedFull time- ...experienced healthcare professional with a sharp eye for detail and a strong background in prior authorizations? We are seeking a highly organized, detail-oriented Prior Authorization Specialist to join our national Utilization Management team. In this role, you will serve...SuggestedFull timeLive inRemote workWork from homeMonday to Friday
$60k
...Prior Authorization Specialist – CPhT | Montvale, NJ HealthCare Support is seeking a Prior Authorization Specialist - CPhT to join a growing Pharmacy Benefit Management (PBM) organization in Montvale. This is a great opportunity for a Certified Pharmacy Technician...SuggestedFull timeTemporary workWork at officeLocal areaImmediate startMonday to Friday$19 per hour
...Immediate need for a talented Intake Specialist. This is a 06+months contract opportunity... ...specific providers requiring education on prior approval or pre-certification process Screen inquiries to determine if authorization is required Verify member benefits and...Full timeContract workLocal areaImmediate start$19.41 - $28.14 per hour
Job Description: The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior authorization and managing authorization related denials to ensure patient financial health. Essential Functions Confirms...Hourly payWork at officeRemote work- ...Description: Baptist Health is looking for a Revenue Cycle Specialist to join our team! This is a remote work position that requires... ...well as pre and post billing. Obtains pre-determinations, prior authorizations, and retro authorizations when required by payor. Responds...Remote work
- ...Job Title Location 203 South Daisy Street, Salmon, ID, 83467, United States Job Category Healthcare, Financial, Pre Authorization Industry Hospital, Insurance Employee Type Full Time Non-Exempt Contact Information Name Lincoln Bevers Phone 208.742....Full timeShift work
- ...Job Details: Job Location: Ganado, AZ 86505, Position Type: Full Time, Position Summary:The Prior Authorization Specialist is responsible for verifying insurance coverage, securing prior authorizations, and ensuring medical necessity requirements are met for all services...Full timeWork experience placementWork at officeMonday to FridayShift work
- ...The Prior Authorization Specialist is responsible for obtaining and coordinating insurance authorizations and precertifications for medical services, procedures, diagnostic testing, medications, and other services requiring payer approval. This position plays a critical...Work at office
- ...America)Job Summary:When ProMedica patients prepare for orthopaedic surgeries and injections, the Pre-Certification Specialist performs prior authorization and certification for the services with payers. You will have a general understanding of coding for surgeries and...Full timeWork at officeFlexible hours
- ...Silna Health Prior Authorization and Benefits Verification Expert Healthcare is obsessed with optimizing a broken system. We're making sure it never breaks. Silna Health attacks the root cause of denied claims: the fragmented, incompatible systems that govern prior...Hourly payFull timeFor contractorsRemote work
$18 per hour
...applicants for a part-time 10-24 hours per week Behavioral Health Specialist. The individual will assist licensed providers with the... ...for the department, as needed Complete medication prior authorizations and medication refills, as needed Collaborate with the medical...Part time10 hours per week- ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support medical necessity criteria while working remotely. Key responsibilities...Full timeRemote work
- ...Coding Specialist Full-Time (80 hours a pay period) | Revenue Integrity Schedule: Monday-Friday, set schedule upon hire... ...Management, Patient Financial Services, clinical departments, and Prior Authorization teams to resolve documentation and billing concerns....Full timeTemporary workRemote workMonday to Friday
- ...be doing? The Utilization Review (UR) Specialist is a critical member of the... ...aspects of utilization review and insurance authorization for clients receiving substance use disorder... ...outpatient (IOP) levels of care. Obtain prior authorizations and continued stay...Work at officeLocal area
$17 per hour
...Prior Authorization Specialist Location: Remote (Work from Home) Employment Type: Full-Time Pay rate: $17/hour Work Schedule: This is a full-time role requiring 40 hours per week. Candidates must be flexible to work Saturday shifts as part of the weekly schedule. Operational...Full timeRemote workWork from homeMonday to FridayFlexible hoursShift work- ...at KHS, Making information available to authorized users timely. Maintain storage and retrieval... ...to, the following: Receive requests for prior authorizations through the electronic... ...with insurance companies, physicians, specialist and patients as needed, including documenting...
- ...Shreveport, LA Newly Created Position Full-Time, Day The Willis Knighton Department of Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our team. This individual will work directly with our Outpatient Infusion Units under the supervision of the Pharmacy...Full timeWork at officeShift work
$24 - $26 per hour
...Utilization Review Specialist - Behavioral Health (Remote) PHP/IOP | Full-Time | Monday-... ...Review (UR) Specialist to manage insurance authorizations for adolescent and adult mental health,... ..., and coverage requirements. Complete prior authorizations, pre-certifications,...Full timeRemote workMonday to Friday$22 - $26 per hour
...This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Shift: Monday-Friday 8:30am-5...Remote workMonday to FridayShift work- ...To support the financial clearance process, the part-time Per Diem Prior Authorization Specialist will screen prior authorization requests, coordinate specialized services, and ensure compliance with departmental guidelines while working remotely. Key responsibilities...Daily paidPart timeWork at officeRemote work
- ...Demonstrates knowledge of breastfeeding learning principles. ~ Competency in managed care process and understanding of referrals, prior authorizations, and insurer requirements. ~ BLS - Basic Life Support AHA - American Heart Association Upon Hire and ~ IBCLC -...16 hoursWork at officeLocal areaShift workDay shift
$22.99 per hour
Job Summary You will act as a primary resource supporting the prior authorization request process, ensuring all requests are accurately documented and adjudicated within contractual timelines. Operating primarily within utilization management (UM) systems, you will manage...Hourly payPermanent employmentTemporary workWork experience placementRemote workShift work$20 - $25.5 per hour
...protected by law. Description JOB SUMMARY: The Authorization/Referral specialist works in the Authorization Department as a liaison between... ...messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures. JOB...Full timePart timeWork at officeShift work- ...Referrals Specialist About Our Practice Join one of the Tampa Bay area's leading... ...for obtaining PCP referrals and HMO authorizations so that patients can be scheduled and seen... ...and obtain PCP referrals for patients prior to scheduled appointments for both the...Full timeWork at officeMonday to Friday
$24.5 - $37 per hour
...technology, come be a part of our great team! ABOUT THIS POSITION In this role, you will be providing expertise in the area of prior authorization and will be responsible for implementing the Inspire Prior Authorization Program in the United States. You will be working...Hourly payFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursShift work- ...Prior Authorization Specialist About OrthoArizona: At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and podiatry needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level...Full time
$17.84 - $28.02 per hour
...Position Purpose: Acts as a resource and supports the prior authorization request process to ensure that all authorization requests are addressed properly in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate...Hourly payFull timePart timeH1bLive inWork at officeRemote workFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Prior Authorization Specialist. Be the first to apply!
- sewing specialist United States
- graduation specialist United States
- sem specialist United States
- aircraft records specialist United States
- technology integration specialist United States
- consumer insights specialist United States
- drilling fluids specialist United States
- vulnerability management specialist United States
- evaluation specialist United States
- escalation specialist United States





