Average salary: $92,606 /yearly
More statsGet new jobs by email
- ...if you cannot commute to West Allis 5 days a week Contact insurance payors to obtain benefits, authorizations, and pre-certifications Make sure all services gave prior authorizations Knowledge of Medicare, Medicaid, and third party payors Maintain referral...Suggested
Beacon Hill Staffing Group
West Allis, WI5 days ago - ...rewarding career! JOB SUMMARY The Insurance Specialist II is responsible for completing insurance verifications, obtaining prior authorizations, and coordinating referral requirements for scheduled Cancer Center services. Ensures accurate eligibility and benefit information...SuggestedFull timeLive inWork at officeWork from homeMonday to FridayShift work
UTSW
Wausau, WI4 days ago - ...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 timeMonday to FridayFlexible hours
BayCare Clinic
Green Bay, WIa month ago $18.67 - $21.96 per hour
Prior Authorization Specialist I Location: Remote, US Pay Range USD $18.67 - USD $21.96 /Hr. Star Bonus % (At Risk Maximum) 0.00 - Ineligible Work Schedule Description M-F 8 hr shift in between Remote Work Notification ATTENTION: Lumicera is unable to offer remote work...SuggestedTraineeshipRemote workFlexible hoursShift work- ...responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit... .../or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including...SuggestedFull timeContract workImmediate startRemote workMonday to Friday
$96.19k - $144k
...is $96,186 - $144,000 PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedWork at officeLocal area$30.32 - $42.11 per hour
...possess a bachelor's degree in a relevant field or a registered nursing license, along with experience in mental health and prior authorization management. The position offers a salary range of $30.32 - $42.11 per hour and promotes professional development. #J-18808-Ljbffr...SuggestedHourly payWork at officeLocal area$17.98 - $32.12 per hour
...thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical...SuggestedHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to FridayShift workUnitedHealthcare At Home
Wausau, WI4 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 the...Suggested
Chartwell Midwest Wisconsin
Middleton, WI21 hours ago - ...Provide phone triage and clinic nursing support for neurosurgery patients (symptom assessment, medication refill coordination, prior authorizations, imaging/appointment scheduling, post-op follow-up and care coordination). Act as a central resource for patients and...SuggestedFull timeShift workDay shift
ProHealth Care
Waukesha, WI4 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, WI1 day ago- ...account management skills. Strong knowledge of dermatology patient access programs, market access, specialty pharmacies and prior authorization pull-through initiatives. Work effectively in collaboration with cross-functional teams. The ability to work effectively in...SuggestedLocal areaNight shift
- ...Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) Summary As a Prior Authorization Pharmacy Technician – Remote, you will support our pharmacy benefit management (PBM) services by managing incoming provider inquiries, processing prior authorizations...SuggestedFull timeWork at officeRemote workFlexible hours
Gainwell Technologies
Wausau, 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, WI1 day ago- ...A healthcare technology company is seeking a Prior Authorization Pharmacy Technician for a remote position. The role involves managing provider inquiries, processing authorizations, and ensuring compliance with HIPAA. Ideal candidates should have at least 2 years of pharmacy...SuggestedRemote work
Gainwell Technologies
Wausau, WI3 days 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...Temporary workReliefWork at officeImmediate startMonday to FridayFlexible hours
Southwest Health Center
Platteville, WI1 day ago - ...) for five professional references, including their relationship to the candidate. References will not be contacted without prior authorization from the candidate. Application materials should be submitted in PDF format through the AGB Search portal system here:...Local areaImmediate startFlexible hours
Alverno College
Milwaukee, WI1 day 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...Marshfield Clinic - Archive
Marshfield, WI1 day ago$150k
...accordance with strict regulatory and company standards. You will help resolve insurance-related issues such as rejections and prior authorizations, ensuring patients have timely access to their medications while maintaining clear documentation and compliance with payer...CVS Health
Sheboygan, WI13 days ago- ...Management Program at Journey Mental Health Center (JMHC). The UMS works with the team to coordinate insurance needs, process prior authorization requests, and respond to utilization needs for consumers seeking mental health and substance abuse treatment services at JMHC...For contractorsWork at officeLocal area
- ...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 desired...Work experience placementMonday to FridayShift workDay shift
$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$215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...Work at office$70k - $80k
...initiate referrals to the physician consultant, ensuring denials are explained and completed within contractual deadlines. Perform prior authorization, pre‑certification, and retrospective reviews, and prepare decision letters as needed. Maintain current knowledge of clinical...Full timeContract workRemote workWork from homeFlexible hoursGainwell Technologies
Wausau, WI2 days ago$46.5k
...and clinic efficiency by scheduling appointments, updating electronic health records, managing in‑basket messages, processing prior authorizations and referrals, and providing clear age‑appropriate instructions to patients and families regarding preparations, follow‑up...Work at officeMarshfield Clinic - Archive
Marshfield, WI1 day ago$18 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 timeShift workPT Solutions
Racine, WI4 days ago- ...Prior Authorization Assistant Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 199...Work at office
Careers Integrated Resources Inc
Milwaukee, WI3 days ago $30.32 - $42.11 per hour
...necessary - working with patients to complete all necessary forms, gathering demographic and insurance information, obtaining prior authorizations, entering information into the medical records system, and communicating with others to ensure patient insurance is set up...Full timeCasual workWork at officeLocal areaVisa sponsorshipWork visa- ...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, WI4 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, WI21 hours ago
