Average salary: $93,956 /yearly
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- ...Saturdays RESPONSIBILITIES : Answer incoming calls, enter and route messages via Epic to appropriate staff. Prescription Prior Authorizations, medication refills via EHR and faxes. Backup at times to clinical support staff with direct patient care. Rotating...SuggestedPart timeShift workAfternoon shift
Burnett Medical Center Inc
Grantsburg, WI7 days ago - ...your passion meets purpose. Apply today and help us shape a healthier tomorrow. Job Summary: Receives, reviews and processes prior authorization requests, and inpatient admissions, as it relates to eligibility, benefits and services across all lines of business to...SuggestedPermanent employmentContract workTemporary work
Children's Wisconsin
Milwaukee, WI1 day ago - ...will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Madison, WI16 days ago $17 - $25.25 per hour
...-in registration, coverage management, patient portal sign-up, patient message collection and routing, departmental support, prior authorization, and WQ (work queue) management. Schedules, reschedules, and cancels patient appointments Executes pre-arrival registration...SuggestedWork at officeNight shiftAfternoon shiftAya Healthcare
Pleasant Prairie, WI18 hours ago- ...questions; schedule patient appointments through the use of a computerized EHR system. Assist with insurance verification and prior authorizations Provide receptionist support Perform other clerical duties as necessary Medical Assistant Skills and...SuggestedFull timeWork at officeMonday to Friday
Great Lakes Foot & Ankle Centers
Kenosha, WI24 days ago - ...ideal candidate will be a licensed RN with experience in acute care and utilization review. Responsibilities include reviewing prior authorizations, ensuring quality care, and applying medical necessity criteria. Strong critical thinking, communication skills, and...SuggestedPart timeRemote work
Advanced Health Coordinated Care Organization
Oregon, WI2 days ago $26.41 - $51.49 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...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Kenosha, WI2 days ago$31 per hour
...completing medication reconciliation, administering medications, including injections, scheduling appointments, completing required prior authorization paperwork, assisting providers with their day-to-day clinical practice, and completing other duties. Responsibilities...SuggestedHourly payFull timeWork at officeOAKLEAF CLINICS INC
Eau Claire, WImore than 2 months ago- ...patient care - valuates according to protocol and discusses with provider when indicated, managing medication refills, completing prior authorizations, assist with medication consents and contracts, and assist with the day to day operations of the clinic. Essential Job...SuggestedTemporary workReliefWork at officeImmediate startMonday to FridayFlexible hours
Southwest Health Center
Platteville, WI3 days ago $50k
...The Medical Assistant Ambulatory will coordinate patient flow to ensure timely, efficient visits; manage scheduling tasks, prior authorizations, prescription refills, and electronic health record documentation; and provide clear, age-appropriate education and instructions...SuggestedMarshfield Clinic - Archive
Marshfield, WI23 days ago$72k
...friendly environment. The LPN Ambulatory coordinates patient flow, manages phone triage within scope, processes refills and prior authorizations as delegated, and ensures accurate, timely documentation in the electronic health record. You will collaborate daily with colleagues...SuggestedMarshfield Clinic - Archive
Marshfield, WI23 days ago$19 - $21.05 per hour
...through Friday, between 5 to 12am CST Pay: $19 to $21.05 an hour Responsibilities of the Pharmacy Technician: Respond to Prior Authorization Requests: Answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to...SuggestedHourly payWeekly payFull timeContract workTemporary workWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shiftAdecco US, Inc.
Milwaukee, WI4 days ago- ...appropriate personnel, or initiates a triage slip for response by medical personnel. - Assist with prescription refills, prior authorizations, scheduling appointments, lab results, etc. - Provides exemplary customer service; treats patients and coworkers with courtesy...SuggestedFull timeWork at officeLocal areaFlexible hoursShift work
Milwaukee Medical Associates,SC
Burlington, WI8 days ago - ...Take and record vital signs Assist with physical examinations Call in prescriptions per physician order Complete prior authorizations for medications and procedures Provide patient education, communicate with and assist patients with scheduling of diagnostic...SuggestedFull time
Reproductive Specialty Center
Milwaukee, WI27 days ago $54k
...providing age-appropriate education, reinforcing care plans and discharge instructions, coordinating referrals, assisting with prior authorizations, and supporting scheduling and follow-up through the electronic health record and patient portal. The role requires strong...SuggestedMarshfield Clinic - Archive
Marshfield, WI23 days ago$19 - $23 per hour
...questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Responsibilities Ensure cases move...Temporary workLocal areaImmediate start$100k - $200k
Insurance - Trucking Insurance Underwriter - Milwaukee, WI Insurance Underwriter Specialty Program Excess Surplus Commercial Lines Program Underwriter Truckers Trucking Transportation Inland Marine _ . REMOTE WORK FROM HOME POSSIBLE Global insurer seeks an Underwriter ...Contract workSecond jobRemote workWork from homeRelocation packageDiedre Moire
Milwaukee, WI2 days ago- ...fitness, and wellness goals. Monitor individual's progress on goals with appropriate documentation. # Accurately complete prior authorization documentation for all residents within designated time frame to assure continuity of care. # Monitors and follows procedures...ReliefWork at officeImmediate startFlexible hours
Saint John's On The Lake
Milwaukee, WI2 days ago $18 - $21 per hour
...key administrative and communication processes that keep our practice moving. From verifying insurance coverage and securing prior authorizations to coordinating physician referrals and optimizing schedules, you'll play a central part in helping patients access the care...Full timeMonday to ThursdayPT Solutions
Winneconne, WI3 days ago- ...with a high level of professionalism. ~ Clinical Support: Facilitate the completion of disability paperwork and insurance prior-authorizations to reduce administrative burdens on providers. ~ Relationship Management: Monitor clinical needs and communication flows...Full timeWork at officeLocal areaWork from home
BELLIN
Green Bay, WI1 day ago - ...patient or caller with questions regarding policies, insurances, payments, or other financial needs. Works closely with the prior authorization team to review insurance and surgery eligibility; following protocols for surgery reschedules if necessary. Closely...Full time
Prevea Health
Green Bay, WI11 hours ago - ...Prepare patients, treatment areas, and records for specialty clinic visits Assist with procedures, orders, referrals, prior authorizations, and follow-up coordination Maintain accurate documentation in EPIC Serve as a resource and support to the care team while...Flexible hoursShift work
Edgerton Hospital and Health Services
Edgerton, 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: Current RN licensure in state of practice Current...Contract workPart timeWork at officeLocal area
LHC Group
Fond Du Lac, WI4 days ago - ...This role involves working directly with healthcare providers to gather patient insurance information and provide support for prior authorizations and reimbursement issues. Successful candidates will have 2 to 3 years of experience in benefit investigation and possess...
$30.46 per hour
...including management of wound vacs. Serve as the primary RN for patient triage Respond to MyChart messages and assist with prior authorizations and related documentation. Learn and assist with tissue expander management for breast reconstruction. Collaborate...Monday to FridayGundersen Health System
La Crosse, WI1 day ago$18 - $23 per hour
...Actalent is seeking a Remote Pharmacy Technician to handle prior authorization requests involving medication coverage for multiple health plans. Responsibilities include reviewing requests, tracking documentation, and ensuring compliance with clinical criteria. The ideal...Hourly payRemote workActalent
Oregon, WI4 days ago- ...and obtain vital signs if needed. Perform local anesthesia prior to skin procedures. Assist Mohs surgeon with skin procedures... ...efficiently, checks EHR and email regularly, handles prior authorizations and refills, and effectively triages phone calls. Organize...Local areaFlexible hours
Madison Medical Affiliates
Waukesha, WI2 days ago $21 per hour
...supplies and inventory Administrative Scheduling and patient calls Front desk support as needed Possible insurance prior authorizations Duties may evolve based on clinic needs. Qualifications Required Medical Assistant diploma (or equivalent)...Part timeFlexible hoursPain Relief 1 Llc
Appleton, WI4 days ago- ...community gym and fitness room. ~ Generous continuing education budget ~ Mentorship available to support your growing skills ~ Prior Authorization and scheduling support staff ~ Two Rehab Aides ~ New 10,000 sq ft outpatient Rehab facility built in 2021 with private...Full timeWork from homeRelocation packageFlexible hoursShift workDay shift
- ...population (pediatrics through geriatrics) Manage Epic in-baskets, including results, patient communication, and follow-ups Complete prior authorizations and support care coordination Balance clinical and administrative workflows throughout the day What this role is great for:...Full timeDay shiftWeekday work
