Average salary: $92,436 /yearly
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- ...departmental documentation and reporting Conduct emergency medical trainings for the department, as needed Complete medication prior authorizations and medication refills, as needed Collaborate with the medical and behavioral health team to support a comprehensive,...SuggestedPart time10 hours per week
Scenic Bluffs Community Health Centers
Cashton, WI4 days ago - ...coordinate, process and maximize benefits obtained from multiple payer sources. If needed, duties will also include initiating prior authorizations and appeals as necessary to ensure proper payment of services. Rennes is family-owned and operated for over 50 years, with a...SuggestedFull timeFlexible hours
Rennes Group
De Pere, WI4 days ago $37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...400. Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will...SuggestedHourly payTemporary workRemote work$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. Responsibilities include: Schedules, reschedules and cancels patient appointments...SuggestedPart timeWork at officeNight shiftAfternoon shiftAya Healthcare
Pleasant Prairie, WI4 days ago- ...operations, patient flow, and scheduling. You will handle calls, verify demographics and insurance, assist with referrals and prior authorizations, and act as a key resource for the care team. The role requires healthcare experience and proficiency with EPIC and...SuggestedFull timeWork at office
A Hiring Company
Wisconsin2 days ago $29.62 - $45.31 per hour
...inspire and retain the best people, we must empower them. Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workShift workProvidence Health & Service
Oregon, WI2 days ago- ...documentation to ensure insurance guidelines are met for the equipment or supplies ordered · Obtain purchase and initial rental prior authorizations · Convey insurance benefits and out of pocket costs to the patient · Complete accurate and timely sales order entry of...Suggested
Chartwell Midwest Wisconsin
Middleton, WI22 hours ago - ...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...SuggestedFull timeTemporary workLocal areaRemote work
- ...complex patients.Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential interactions.Support prior-authorization and appeals processes when needed.Educate patients and caregivers on regimens and disease-state management.Document case...SuggestedRemote work
Pharmacy Careers
Milwaukee, WI4 days ago - ...is seeking a Field Reimbursement Manager to support reimbursement and patient services. You will educate office staff on BI, prior authorizations, and Benefit Investigation, while coordinating with the hub support services to meet client needs. Travel up to 80% within...SuggestedWork at officeRemote work
McKesson
Wausau, WI22 hours ago $22.4 - $33.6 per hour
...healthcare, business, finance, or insurance related field Required ~2 years of experience in Healthcare Revenue Cycle that includes prior authorization Preferred ~2 years of experience in preadmission/precertification Preferred ~ Knowledge of CPT and ICD coding highly...SuggestedTemporary workWork experience placementShift work- ...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...SuggestedFull timeWork from homeRelocation packageFlexible hoursShift workDay shift
- ...intake and billing processes by ensuring accurate and complete registration, referral management, insurance verification, and prior authorization tasks. This role is critical in creating a smooth patient experience and supporting clean billing submissions for vaccination...SuggestedCasual workSeasonal workWork at officeMonday to FridayFlexible hours
Novir
Milwaukee, WI4 days ago - ...The RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and... ...about our team. Job Responsibilities: Evaluate and process prior authorization requests/referrals submitted from contracted and...SuggestedWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend workWeekday work
$91.7k - $163.7k
...and outcomes Coordinate care with providers, payers, and manufacturers to ensure therapy access and continuity Oversee prior authorizations and utilization management, ensuring compliance with payer and program requirements Monitor effectiveness and safety of...SuggestedMinimum wageFull timeWork experience placementLocal areaMonday to Friday$145k - $150k
...involving drug therapies, formularies, and clinical programs. • Support clinical programs involving drug utilization review, prior authorization, health outcomes, disease-state management, care management, and specialty pharmacy. • Assist with proposal development and...Full timeRemote workMilwaukee, WI22 days ago- ...specified in the Radioactive Materials License. Performs necessary clerical work by assuring proper scheduling, correct exam, prior authorization, obtaining prior report/scan, patient lab values, and review of clinic notes for all PET and Nuclear Medicine scans....Work experience placementCasual workRelief
Mile Bluff Medical Center
Mauston, WI3 days ago $19.43 - $32.98 per hour
...Service Center, Medicare Part D/Part B, Appeals, Medicare Part D Operations and State Health Programs Pharmacy Operations or Prior Authorization. Using established company guidelines, the Pharmacy Technician reviews requests made by physicians, medical groups, pharmacies...Hourly payFull timeContract workPart timeWork at officeRemote workFlexible hoursCentene Corporation
Wausau, WI15 hours agonew- ...candidates will have at least 1 year of medical front desk and customer service experience, plus 6 months of EMR experience (ECW or Athena) and prior authorization exposure. Excellent communication and organizational skills are essential. #J-18808-Ljbffr US Heart and VascularFull time
- ...tasks to maintain department in a clean, orderly and safe manor. Other duties as requested by Therapy Center Director. Some prior authorization work may be required. Qualifications: Health care professional certification or other demonstrated health care receptionist...Full timePart timeMonday to FridayFlexible hoursShift workDay shift
$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 timePrivate practicePT Solutions
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 timePrivate practicePT Solutions Physical Therapy
Milwaukee, WI2 days ago- ...You'll help coordinate referrals, medical clearances, insurance authorizations, financial arrangements, and other requirements so patients... ...dental procedures. Process referrals, medical clearances, prior authorizations, financial agreements, and custodial paperwork...Work at office
Noble Community Clinics
Manitowoc, WI1 day ago $18 - $19 per hour
...services Entering and maintaining accurate patient information in our systems Verifying insurance eligibility, benefits, and prior authorization requirements prior to patient visits Assisting with patient flow by preparing treatment areas, coordinating room...Hourly payFull timeMonday to FridayWeekend workAfternoon shiftOptimum Therapies
Eau Claire, WI22 hours ago$17 - $25.25 per hour
...Prior-Authorization/Referral Specialist 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...Part timeWork at officeAya Healthcare
Pleasant Prairie, WI1 day ago- ...RoleThe Clinical Pharmacist is responsible for the processing and documenting of Utilization Management (UM) requests (e.g. prior authorization, step therapy, formulary exceptions) for delegated products and services. The work is detail-oriented, and candidates will be...Permanent employmentContract workLocal areaRemote work
Unitas Corporation
River Falls, WI1 day ago $94.4k - $293.8k
...Qualifications: Clinical background (RN, MD, PA) or significant experience working with clinical leaders Experience with prior authorization, or throughput optimization Exposure to EHR-enabled workflow redesign (e.g., Epic, Cerner) Ability to translate clinical...Live inWork at officeLocal areaWorldwideAccenture
Milwaukee, WI4 days ago$500 per month
...Clinic Manager Ensures all phone messages, faxes, and interdepartmental mail are addressed immediately Responsible for attaining prior authorizations and maintaining a system to track from start to finish Provides and supervises new employee orientation Provides CLIA...Full timeTemporary workLocal areaImmediate startForefront Dermatology
Marinette, WI2 days ago- ...collaborate with service coordinators, healthcare providers, educators, and community partners.Complete plans of care, documentation, prior authorizations, and other required records in a timely manner.Participate in team meetings, professional development, and continuous...Work from homeFlexible hours
Lutheran Social Services of WI & Upper MI
Muskego, WI4 days ago $180k - $190k
...compliant SME in reimbursement, access, and specialty distribution for assigned geography. Educate HCP offices on coverage status, prior authorization, appeals, and alternate funding options. Build relationships with HCPs, office staff, and health system stakeholders. Analyze...Temporary workWork at officeLocal areaScorpion Therapeutics
Milwaukee, WI2 days ago
