Average salary: $95,124 /yearly
More statsGet new jobs by email
$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 shiftFroedtert South
Pleasant Prairie, WI4 days ago- ...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...SuggestedPart timeWork experience placementShift workDay shift
University of Wisconsin Hospitals and Clinics Authority
Madison, WI4 days ago $17 - $25.25 per hour
...out, registration, coverage management, patient portal sign-up, patient message collection and routing, departmental support, prior authorization and WQ management. Schedules, reschedules and cancels patient appointments Executes pre-arrival registration by...SuggestedWork at officeNight shiftAfternoon shiftFroedtert South
Kenosha, 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. Job Description...SuggestedWork experience placementShift workWeekend workDay shift
UW Health
Middleton, WI27 days ago $174.07k - $374.92k
...precertification, concurrent review, and appeal request. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus on inpatient or outpatient services, acute and post acute services, pharmacy,...SuggestedHourly payFull timeTemporary workLocal areaWork from homeFlexible hoursWeekend workCVS Health
Madison, WI16 hours ago- ...the flexibility to work remotely as needed Responsibilities Conduct medical necessity reviews and determinations of prior authorizations and referrals, including reviews of previously denied and appealed decisions Oversight and day-to-day management of a team...SuggestedFull timeRemote work
Quartz Health Solutions
Madison, WI16 hours ago - ...Job Title The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative...Suggested
Hire Talent
Madison, WI4 days ago - ...responsibilities include: registration and scheduling of appointments, collection of copays, verification of demographic information, prior authorization for therapy treatment at PRH and PRHC in Beaver Dam and Sun Prairie, obtaining physician certification for therapy plan of...SuggestedRemote workMonday to FridayShift work
Prairie Ridge Health
Beaver Dam, WI3 days ago $21.65 - $28.82 per hour
...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. • Provides coordination and processing of pharmacy prior authorization requests and/or appeals. • Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedHourly payWork experience placementWork at officeShift workMolina Healthcare
Madison, WI16 hours ago$24.33 - $36.16 per hour
...pharmacy technician with the Minnesota Board of Pharmacy dating back prior to January 1st, 2013 Completion of a board-approved... ...billing, copay assistance programs as well as experience with prior authorizations Preferred Qualifications: ~ Registered as a...SuggestedFull timeWork from homeRelocation packageFlexible hoursShift workWeekend workEssentia Health
Superior, WI6 days ago- ...problems independently and as part of a team. Duties include (but are not limited to): Majority of time spent reviewing prior authorizations (PA) and appeals for specialty medication prescriptions. Collaborate with internal and external colleagues on complex...SuggestedWork at office1 day per week
National CooperativeRx
Madison, WI12 days ago $68.9k - $93.2k
...preferred Skills and Attributes: Demonstrated knowledge of claims processing systems, Cambia systems (medical claims, prior authorization, PBM vendor systems), MS Office products, and other corporate software; ability to implement and support RFP data management...SuggestedImmediate startWork from homeFlexible hoursCambia Health Solutions
Madison, WI1 day ago- ...inquiries. Participate in the administration of the Serve You Rx suite of clinical programs such as drug utilization review, prior authorization review, health outcomes measurement, disease state management, care management, specialty drug management, and other programs...SuggestedFull timePart timeWork experience placementWork at officeRemote work
Serve You Custom Prescription Management
Milwaukee, WI3 days ago $214.13k - $417.56k
...care. Essential Job Duties Leads and manages a team of medical directors and behavioral health clinicians responsible for prior authorization, inpatient concurrent review, discharge planning, care management, and interdisciplinary care team activities across a...SuggestedContract workWork experience placementWork at officeLocal areaMolina Healthcare
Racine, WI2 days ago- ...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,...SuggestedFull timeWork experience placement
Mile Bluff Medical Center
Mauston, WI23 days ago $20 per hour
...'ll Be Doing: The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies, regulatory requirements, and client contractual agreements. Collaboration...Work at officeImmediate startRemote workShift workEvolent
Madison, WI2 days ago$17.74 - $31.63 per hour
...clinical team to manage requests for services from members and/or providers + Process incoming and outgoing referrals, and prior authorizations, including intake, notification + Assist the clinical staff in denials management and utilization management: faxing, scanning...Hourly payMinimum wageFull timeWork experience placementCasual workWork at officeLocal areaShift workAfternoon shiftOptum
Waukesha, WI3 days ago- ...available for all admissions. Roles and Responsibilities: ESSENTIAL FUNCTIONS: Manages the intake, admissions, and prior authorization process for incoming patients. Provides clinical evaluations of prospective patients determining patients' appropriateness...Work at officeShift work
Summit BHC
Middleton, WI1 day ago $400 per month
Job Description At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs. From advocating...Full timeContract workWork at officeLocal areaWork visaFlexible hoursAllstate
Milwaukee, WI26 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 Education & Experience * Current RN licensure in state of...Contract workWork at officeLocal area
LHC Group
Fond Du Lac, WI4 days ago - ...including pre-pay and non-covered services. # Works with providers and patient care teams to obtain, submit, manage and verify prior authorizations. # Documents all patient interactions and actions taken, maintaining accurate records for future reference. #...Work at office
Family Health Center
Black River Falls, WI23 days ago - ...your home office. In addition to the laptop, you will receive prior to your start, Sentry will provide equipment for your home office... .... We're rated A+ by A.M. Best, the industry's leading rating authority. Our headquarters is in Stevens Point, Wisconsin, with...Work experience placementWork at officeImmediate startRemote workWork from homeHome officeMonday to Friday
Sentry
Stevens Point, WI2 days ago - Overview Responsible for underwriting new or complex commercial loans, typically exposures greater than $5 million, for both existing and prospective clients. Underwriters will assist regional leadership by providing early guidance on new opportunities, actively manage...Work experience placement
Johnson Financial Group LLC
Madison, WI2 days ago - ...specialty specific point of care testing such as Urinalysis. Provides basic patient education. Refills medications or obtains prior authorizations according to MD protocols or as directed by physician Schedules appointments as needed. Key Qualifications &...Full timeMonday to Friday
Madison Medical Affiliates
Mequon, WI16 hours ago - ...order, scanning NDCs to eliminate dispensing errors and receiving authorization from the Pharmacist to continue filling when the system... ...prescribers and their agents to obtain refill authorization, prior authorizations, and completing necessary documentation follow-...Full time
Thrifty White
New Berlin, WI4 days ago - Job Description About Acrisure Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple financial products and services to millions of businesses and individual clients. We connect clients to solutions that help...Work at officeImmediate startFlexible hoursShift work
Acrisure LLC
New Berlin, WI2 days ago $117.5k - $222.99k
...large pharmacy claims datasets Experience creating models and reports focused on opportunities for formulary management, prior authorizations, drug pricing, etc. Strong business software capabilities, especially with Microsoft office tools (Excel) and data analysis...Full timeTemporary workWork experience placementWork at officeRemote workWorldwideFlexible hoursMilliman
Brookfield, WI16 hours ago- ...scheduling appointments and procedures, maintenance of the electronic health record. Prepares and/or completes paperwork and prior authorizations related to referrals, insurance, surgery, etc. as necessary. May assist provider, with procedures in the clinic setting....
Edgerton Hospital and Health Services
Edgerton, WI1 day ago $57k - $87k
...applicants must be new to ACG (not applied in the last 180 days.) There is a 1-year payback clause if your employment is terminated prior to completing 12 months of employment. Additional details can be provided by our Recruiting Team at the time of application** Why...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaRelocation packageWeekend workACS Auto Club Services, Inc.
Green Bay, WI16 hours ago$21.45 - $32.2 per hour
...insurance and third party billing functions including: data entry of customer demographics and third-party information, obtaining prior authorizations from appropriate third-party carriers, maintaining files of prior authorization, investigating and correcting errors in...Full timeTemporary workPart timeMonday to FridayFlexible hoursShift workAdvocate Health Care
Wautoma, WI16 hours ago
