Average salary: $91,011 /yearly
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- ...service, has great attention to detail, and can quickly adapt to change throughout the day. If you have medical insurance and prior authorization experience who promotes positivity, this position is for you. ABOUT BONE & JOINTBone and Joint has one of the most...SuggestedMonday to Friday
Bone and Joint Center S.C.
Wausau, WI1 day ago $2,022 - $2,222 per week
...medicine, obstructive sleep apnea, shortness of breath, smokers, and patients on O2. ~ Experience with in-basket management, prior authorization paperwork, FMLA, order entry, O2 walking evaluation, medication education, triaging sick calls, answering patient questions...SuggestedWeekly payFull timeContract workTemporary workLocal areaImmediate startRelocation packageMonday to FridayShift workWeekend workJackson Therapy Partners
Milwaukee, WI1 day ago$25.5 - $38.5 per hour
...position will work closely with the providers and staff in the department, triaging patients, prescription refills and working on Prior Authorizations for medications. Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (...SuggestedFull timePart timeWork from homeShift workDay shift$18.04 - $35.17 per hour
...operations, including referrals, enrollment, eligibility, service authorization and other administrative related requirements of the IRIS... ...assignments, ongoing eligibility, financial eligibility, welcome calls, prior authorizations, individualized service plan activities and...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
La Crosse, WI1 day ago- ...payer requirements.Identifies adverse facility trends resulting in returned or denied claims (e.g., repeated failure to obtain prior authorization) and communicates to Intake Administrator for follow-up with Admissions CoordinatorReports status of claims and AR balances...SuggestedFull timePart time
Elroy Health Services
Milwaukee, WI4 days ago - ...Abbott is seeking an organized Prior Authorization Associate Level I to handle eligibility verification, authorizations, and denials management across payer systems. The role requires HIPAA-aware, detail-focused professionals who can work collaboratively with sales, operations...Suggested
Abbott
Madison, WI3 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$20 per hour
...outbound communications for Health Services, ensuring accurate intake, documentation and routing of cases. This role supports prior authorizations, claims processing including writing authorization and denial letters, case setup, and triage of tasks while maintaining...SuggestedHourly payFor contractorsWork at officeLocal areaImmediate startRemote work2 days per weekRemote Jobs
Madison, WI4 days ago- Abbott is seeking a Prior Authorization Associate Level I to manage patient eligibility, prior authorizations, and billing coordination across departments to support patient and client needs. This role works with Epic and other systems to ensure timely, compliant PA processing...SuggestedShift work
- UW Health is seeking an Authorization Representative in Middleton, WI. This full-time, 1.0 FTE role starts with onsite training at 7974 UW... ...subject to departmental needs. The role focuses on obtaining prior authorizations for inpatient and outpatient services, delivering...SuggestedRemote jobFull timeMonday to FridayShift work
- ...Pharmacy Technician, Utilization Management to join our team. This role focuses on first-level review of specialty medication prior authorizations, supporting high-cost case management and clinical policy development.You will manage a queue for prior authorizations,...SuggestedRemote work
Archimedes
Madison, WI4 days ago $20.31 per hour
Prior Authorization Specialist 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, scheduled weekly hours of 40. We’re not just filling positions, we’re building careers. At Emplify Health, we care for...SuggestedFull timeLocal areaRemote workWork from homeMonday to FridayShift work$73.1k - $142.55k
...Oversees team performance for one or more of the following healthcare services functions: care management, utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), transition of care, behavioral health, long-term services and supports (LTSS...SuggestedContract workWork experience placementWork at officeLocal areaMolina Healthcare
Milwaukee, WI1 day ago$89.54k - $136.47k
...registered nurse will be responsible for utilization review services within the scope of licensure. Conducts primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review. Reviews for appropriate treatment...SuggestedFull timeTemporary workRemote workShift work$174.07k - $374.92k
...quarter) each year. Fundamental Components: • Utilization management – The medical director will perform concurrent and prior authorization reviews with peer to peer coverage of denials. • Appeals – The medical director will perform appeals in their “base plans”...SuggestedHourly payFull timeTemporary workLocal areaWork from homeMonday to FridayWeekend work$54.1k - $116.77k
...schedules will include holidays and evening hours ~ Associate Degree in Nursing Nice to Have Utilization Management or Prior Authorization experience Managed care background Familiarity with MedCompass Ambulatory surgery experience BSN preferred Why...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work$85k - $100k
...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...Hourly payFull time- ...Medication Access PharmacistServe as a patient advocate by navigating prior authorizations, insurance requirements, and financial assistance programs. Many roles offer remote or hybrid work so you can focus on reducing access barriers and improving patient outcomes.Key...Remote work
Pharmacy Careers
Madison, WI3 days ago - ...root causes, and opportunities for coder, clinician, and departmental education to prevent future denials. Collaborate with prior authorization, revenue integrity, billing, and insurance follow-up teams to support denial mitigation strategies. Serve as a coding...Part timeLocal areaRemote workWork from home
Bellin Health
Green Bay, WI1 day ago - ...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...Remote work
Pharmacy Careers
Milwaukee, WI3 days ago $26.01 - $68.55 per hour
...experience ~1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) Preferred Qualifications Prior Authorization or Utilization Management experience Managed care experience Experience using MedCompass Ambulatory surgery...Hourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftCVS Health
Madison, WI3 days ago- ...Ensuring appropriate and optimized therapy, navigating drug interactions, monitoring labs, and conducting patient education.Prior Authorizations - Assisting in the completion and follow-up of medication prior authorizations.Physician Partnership – Answering incoming questions...Local areaMonday to Friday
HealthPartners
Amery, WI4 days ago $50k
...comply with relevant healthcare laws and regulations. Demonstrate prior experience working with pharmacy benefit products and patients... ...patients' plan benefit coverage, including any prior authorization, appeal, tier exception, or formulary exclusion requirements....Temporary workWork at officeImmediate startMonday to FridayFlexible hoursShift work- ...UnityPoint Health in Wisconsin is seeking a Referral and Authorization Coordinator – Infusion Services to manage new referrals and coordinate prior authorizations for infusion therapies across ambulatory sites. You will enter referral data into the EMR, verify medical...Remote work
UnityPoint Health
Madison, WI2 days ago - ...seek out feedback 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...Full timePart timeMonday to FridayFlexible hours
- ...appointments.Assist with procedures, dressing changes, DME supplies, etc.Clean and stock rooms.Chart prep and paperwork, including prior authorizations, FMLA, CMN forms, etc.Triage and set up extra care at other facilities for the patients.Obtain lab specimens, perform lab...Full timeWork experience placement
Credenza Health
Mauston, WI2 days ago - ...to ensure accurate dispensing, patient safety, and effective counseling. The role emphasizes strong clinical knowledge, counseling skills, and proficiency with pharmacy systems and POS technology, supporting billing and prior authorizations as needed. #J-18808-LjbffrDaily paid
Black River Health Services Inc
Black River Falls, WI1 day ago - ...UnityPoint Health is seeking a skilled Referral and Authorization Coordinator for Infusion Services. This role manages referrals, coordinates prior authorizations, and ensures compliant access to infusion therapies across ambulatory sites. You will enter data into the...Remote work
UnityPoint Health
Madison, WI21 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...Full timeLocal areaRemote work
Brown & Brown Insurance Services
Madison, WI21 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...Base plus commissionFull time
Brown & Brown Insurance Services
Milwaukee, WI1 day ago
