Average salary: $95,124 /yearly
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- ...and ideas, and we invite participation on a variety of projects. The Job: Using appropriate methods, obtains prior authorizations for diagnostic studies, procedures, surgeries, and testing as required by each particular insurance company including Worker...SuggestedFull timePart timeWork at officeMonday to FridayFlexible hours
BayCare Clinic
Green Bay, WI4 days ago - ...employees perform various services and duties, including pharmacy administration, pharmacy primary care services, medication prior authorization, sterile and non-sterile compounding, unit dose packaging, and specialty/mail service program. /n /n/n Job Description/n/...SuggestedWork experience placementRemote workShift workWeekend workDay shift
UW Health
Middleton, WI7 days ago - Job Description Job Description Job Information Job Title Commercial Underwriter II - Wisconsin Territory Home Department: Commercial Underwriting Employment Status: Exempt; Full-time Schedule: 40 hours/week with Flexible Scheduling Opportunities...SuggestedFull timeLocal areaRemote workFlexible hours
Society Insurance Company
Fond Du Lac, WI16 days ago $90,000 per week
Society Insurance, a leader in tailored insurance solutions for the hospitality industry, is seeking a dedicated Commercial Underwriter II. This role is crucial in maintaining our commitment to protecting the unique needs of restaurants, bars, and hotels. The ideal candidate...SuggestedSociety Insurance Company
Fond Du Lac, WI1 day ago$26.41 - $61.79 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate...SuggestedHourly payWork experience placementWork at officeRotating shiftGeorgia Staffing
Milwaukee, WI4 days ago- ...setting. Experience negotiating terms and resolving disputes with MCOs related to reimbursement rates, utilization management, prior authorization procedures, network participation and challenging denials of prior authorization requests for necessary medical treatments....Suggested
Froedtert Memorial Lutheran Hospital
Menomonee Falls, WI2 days ago - ...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. Provides coordination and processing of pharmacy prior authorization requests and/or appeals. Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedWork at office
Molina Healthcare
Racine, WI11 hours ago - ...referral sources, families, patients and unit staff. The Intake/Admissions Clinician is responsible for the verification and prior authorization of insurance benefits as needed. Responsibilities include : Working with a team of Intake/Admission professionals to clinically...SuggestedFull timeLocal areaAll shifts
Universal Health Services
West Allis, WI4 days ago - ...occurrences. Provides employee health assessment and medical compliance requirements as requested. * Responsible for obtaining prior authorizations as required by third party payers. Education and Experience Education & Experience * Current RN licensure in state of...SuggestedContract workPart timeWork at officeLocal area
LHC Group
Fond Du Lac, WI3 days ago $20 - $24 per hour
...and regulations. We are looking for a Medical Assistant with prior administrative experience, strong initiative, and the ability... .... Assist Patient Services team as needed to obtain prior authorizations for prescribed treatments and documents. Triage patient phone...SuggestedFull timeTemporary workMonday to FridayVivo Infusion
Sun Prairie, WI3 days ago$20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...SuggestedFull timeSummer workInternshipWork at officeQBE North America
Eau Claire, WI4 days ago$223.8k - $313.1k
...assists with the management of psychopharmacology pharmacy benefits manager (PBM) activities, including the establishment of prior authorization, clinical appropriateness of use; consultations and clinical guidance for contracted primary care Providers (PCPs) treating behavioral...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeHumana
Madison, WI2 days ago- ...laboratory work, diagnostic tests, treatments, prescribed diets and nursing care for inmates as appropriate. B5. Authorizes non-emergent off-site outpatient care with prior authorization when inmate cannot be managed within the facility. B6. Consults with specialists and...SuggestedTemporary workWork at officeShift work
InstantServe LLC
Fox Lake, WI1 day ago - ...The Clinic RN role is a combination of telephone triage, patient messaging via MyChart, processing paperwork, completing prior authorizations, providing in-person and telephonic patient education, filling the role of the medical assistant to support the clinic as needed...SuggestedPart timeLocal area3 days per week
Children's Wisconsin
Kenosha, WI2 days ago - ...Endocrine Nurse Clinician : Manage the EPIC in-basket, faxes, emails, and phone calls Refill medications Complete prior authorizations and pre-determinations for medications and procedures Complete school and travel plans for a variety of medications and...SuggestedWork at officeRemote workFlexible hours
Children's Wisconsin
Milwaukee, WI1 day ago - ...occurrences. Provides employee health assessment and medical compliance requirements as requested. Responsible for obtaining prior authorizations as required by third party payers. Education and Experience: Current RN licensure in state of practice Current...Contract workWork at office
Wisconsin Staffing
Fond Du Lac, WI11 hours ago - ...responsible for verifying patient insurance coverage, submitting pre-authorizations, and financial assistance support to ensure patients receive... ...2-3 years of experience in medical insurance verification and prior authorizations. Experience in infusion services is preferred....Work at office
Nira Medical
Madison, WI3 days ago $22.06 per hour
...Essential Job Functions Performs verbal interview with patient prior to visit with the Optometrist to determine concerns and... ...Verifies and records patient insurance information. Completes prior authorizations when necessary. Collaborates with the billing team to...Hourly payFull timePart timeWork at officeFlexible hoursNorthLakes Community Clinic
Oconto, WI7 days ago- Job Description Job Description HealthMarkets Overview If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent insurance agent, you’ve come to the right place. Becoming an independent insurance...For contractors
HealthMarkets
Green Bay, WI21 days ago $26.41 - $51.49 per hour
...plans of care, ensures physician orders for care are obtained and reviews and revises plan of care as needed Submits for Prior Authorization for personal care services Complies with all Department of Health Services policies and SDPC Guidelines, procedures, and practices...Hourly payWork experience placementWork at officeRemote workIntelyCare
Milwaukee, WI4 days ago- ...pharmacy technician with the Minnesota Board of Pharmacy dating back prior to January 1st, 2013 Completion of a board-approved technician... ..., copay assistance programs as well as experience with prior authorizations Preferred Qualifications: Registered as a pharmacy technician...Work from homeRelocation packageFlexible hoursShift workWeekend work
Essentia Health
Superior, WI22 hours ago $21 - $27.91 per hour
...Obtain and/or update registration information and referrals or authorization as necessary. *Acts as a liaison between the patient and... ...sources to medical staff. *Contacts insurance companies to obtain prior authorization forms. *Performs other duties as assigned,...Hourly payFull timeTemporary workFlexible hoursWashington County
West Bend, WI5 days ago- ...order, scanning NDCs to eliminate dispensing errors and receiving authorization from the Pharmacist to continue filling when the system... ...prescribers and their agents to obtain refill authorization, prior authorizations, and completing necessary documentation follow-...Full time
Thrifty White
New Berlin, WI4 days ago - ...tests) and other patient care Assist providers with pharmacy calls regarding prescription questions and issues Assist in prior authorizations for medications Assist with printing and faxing documents Follow office workflow procedures to ensure maximum...Full timeTemporary workPart timeWork at officeShift work
Relief Mental Health
Middleton, WI3 days ago - ...what it's like to work at Children's Wisconsin: Job Summary This position will be responsible for coordinating the prior-authorization, billing, and collection activities for all transplant patients. This position will also be responsible for coordinating the...Contract workWork at officeRemote work
Children's Wisconsin
West Allis, WI5 days ago - ...as well as performing patient intake, order entry, insurance authorization and medical documentation processes. Regulatory compliance to... ...verification on each order to assess coverage, documentation and prior authorization needs. Responsible for intake of referral...ReliefWork at officeFlexible hoursShift workDay shift
Mercy Health System
Janesville, WI2 days ago $26.41 - $51.49 per hour
...Developing individualized care plans based on participant needs, ensuring physician orders for care are secured. Submitting prior authorization requests for personal care services. Delivering educational materials and training sessions to participants and care...Hourly payWork experience placementWork at officeRemote workMolina Healthcare
Appleton, WI2 days ago- ...scheduling appointments and procedures, maintenance of the electronic health record. Prepares and/or completes paperwork and prior authorizations related to referrals, insurance, surgery, etc. as necessary. May assist provider, with procedures in the clinic setting....Relief
Edgerton Hospital and Health Services
Whitewater, WI4 days ago - Back Insurance Clerk - Work Compensation #25-557 Green Bay, Wisconsin, United States Apply X Facebook LinkedIn Email Copy Location Tulip Lane-023 Description This position is full-time, 40-hours per week. It is full-time benefit eligible. Insurance Clerk Come...Full time
Prevea Health
Green Bay, WI1 day ago - Introduction At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate. You’ll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier...Full timeContract workLive outWork at officeLocal areaFlexible hours
Gallagher
Brookfield, WI32 minutes agonew
