Average salary: $95,463 /yearly
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- ...Position: Prior Authorization Specialist Location: Mt. Horeb, WI Job Id: 856 # of Openings: 1 Position Title: Prior Authorization Specialist Location: Upland Hills Health - Mount Horeb and Barneveld Clinics (During training other locations may be requested) Role & Department...SuggestedFull timePart timeWork at officeMonday to FridayShift workDay shift
Upland Hills Health
Wisconsin4 days ago - ...Job Summary The Treatment & Authorization Representative serves as the primary point of contact for patients following diagnosis by communicating... ...accurately in the electronic medical record (EMR). Prior Authorizations & Insurance Process prescription prior...SuggestedWork at officeWork from homeMonday to Friday
Waccamaw Dermatology, LLC
Mount Pleasant, WI18 hours ago - ...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, WI5 days ago - ...Gainwell Technologies is seeking a Prior Authorization Registered Nurse Consultant - Personal Care Services to review prior authorization requests and determine medical necessity for Medicaid programs. This fully remote role supports providers and stakeholders while aligning...SuggestedRemote work
Gainwell Technologies
Madison, WI2 days ago $20 - $23 per hour
...Actalent is Hiring a Team of Remote Pharmacy Technicians Job Description This remote Pharmacy Technician role focuses on reviewing prior authorization requests and making coverage determinations for a pharmacy services department within a large health insurance organization....SuggestedPermanent employmentContract workTemporary workWork at officeLocal areaRemote workHome officeMonday to FridayShift workActalent
Madison, WI1 day ago- ...out, registration, coverage management, patient portal sign-up, patient message collection and routing, departmental support, prior authorization and WQ (work queue) management. MINIMUM EDUCATION REQUIRED High School or GED ~ MINIMUM EXPERIENCE...SuggestedWork at office
Froedtert Pleasant Prairie Hospital
Pleasant Prairie, WI1 day ago $90.9k - $129.9k
...work-life balance, continuous learning, and career development.SummaryApply your expertise to adjudicate Behavioral Health prior authorizations based on medical necessity and eligibility, in accordance with State policy guidelines and accepted best practices. Specialty...SuggestedFull timeRemote workHome officeFlexible hours$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- ...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 timeLocal areaRemote work
- ...patients with information regarding clinic services, office hours, and appointment availability. Co-manages the completion of prior authorizations for High-Tech Imaging, Cardiac Services, Sleep Studies, and other services. Co-manages the completion of internal and...SuggestedFull timeTemporary workWork at officeMonday to FridayShift work
Burnett Medical Center Inc
Grantsburg, WI23 days ago $1,000 per week
...of 10 to 20 patients per day • Room patients and obtain vitals, screenings, and allergies • Process orders and complete prior authorizations for procedures • Assist with injections including patient positioning, room set up, and supporting physician with ultrasound...SuggestedWeekly payContract workLocal areaMonday to FridayAlliance Services , Inc.
Marshfield, WI4 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, WI5 days ago$50.48 - $84.62 per hour
## Clinical Pharmacist - Prior AuthorizationApply: Remote: Work At Home-Texas: Full time: Posted Today: End Date: September 23, 20... ...This position is for a Clinical Pharmacist working in the Prior Authorization team.- Collaborates with the technicians and prior...SuggestedHourly payFull timeTemporary workLocal areaRemote workWork from homeCVS Health
Wausau, WI2 days ago- ...ManagementThe RN Coordinator Utilization Management will review submitted authorization requests for medical necessity, appropriateness of care, and... ...2026 start date.Job Responsibilities:Evaluate and process prior authorization requests/referrals submitted from contracted and...SuggestedWork at officeWork from homeHome officeMonday to FridayWeekend workWeekday work
Network Health
Menasha, WI2 days ago - ...and insurance profiles to guarantee accuracy. Work through returned mail and update addresses, if available. Work closely with prior authorization coordinators. Work closely with surgeon teams to discuss past due balances and capture up-to-date benefit coverage for...SuggestedFull timeWork at office
- ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....Remote work
Pharmacy Careers
Milwaukee, WI2 days ago - ...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...Casual workSeasonal workWork at officeMonday to Friday
Novir
Milwaukee, WI1 day ago $20 per hour
...and outbound communications for Health Services, ensuringaccurateintake,documentationand routing of cases. This role supports prior authorizations, claims processing including writing authorization and denial letters, case setup, and triage of tasks whilemaintaininghigh...Hourly payFor contractorsWork at officeRemote work2 days per week$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...Temporary workWork experience placementShift work- ...Bike trails -- Ski Trails-- Fishing dock on campus – Close to endless outdoor recreation. ~ Free access to fitness room. ~ Prior Authorization and scheduling support staff ~ New 10,000 sq ft outpatient Rehab facility built in 2021 with private treatment rooms. ~...ReliefLive inFlexible hoursShift workDay shift
Hayward Medical Center
Hayward, WI4 days ago - ...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
Genesee Depot, WI5 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
$31.98 per hour
...care, including management of wound vacs.Serve as the primary RN for patient triageRespond to MyChart messages and assist with prior authorizations and related documentation.Learn and assist with tissue expander management for breast reconstruction.Collaborate closely...Monday to FridayGundersen Health System
La Crosse, WI2 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, 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, WI4 days ago $300k
...running your own solo practice. If you're tired of 15-minute visits, endless charting, and fighting insurance companies for prior authorizations, this is the antidote. What Makes This Different Hour-long patient visits. Time to actually listen, diagnose, treat,...Full time3 days per weekKerix
Madison, WI5 days ago$135k - $189k
...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. Qualifications Bachelor...Work experience placementRemote workShift workWeekend workDay shiftUW Health
Middleton, WI2 days ago$27.02 - $48.55 per hour
...and substance abuse before, during, and after services to ensure level of care and services are medically appropriate Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory...Hourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hoursCentene Corporation
Wausau, 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 Qualifications\n Bachelor's...Work experience placementRemote workShift workWeekend workDay shift
UW Health
Middleton, WI4 days ago - ...assistance, including wheelchair transport Maintain proficiency in the scribe role Review insurance coverage and submit prior authorization requests Perform additional duties as assigned Work Relationship and Scope: The Medical Assistants works closely...Work at office
Eye Clinic of Wisconsin
Stevens Point, WI10 hours ago
