Insurance Agency Professional

Insurance Authorization Specialist
The Insurance Authorization Specialist performs insurance authorization for patients scheduled for services at ThedaCare by obtaining and validating demographic and insurance information. Works with insurance companies and/or physician offices to complete insurance authorization requirements.
Job Description:
Key Accountabilities:

Selects accurate medical records for patient safety.
Obtains and validates demographic and insurance information while working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment.
Utilizes quality auditing and reporting systems to ensure accounts are correct.
Conducts audits of accounts and ensures forms are accurately and timely completed to meet audit standards and provide statistical data to leaders.
Performs duties as assigned including answering the phones at other facilities.
Qualifications:

High School diploma or GED preferred
Must be 18 years of age
Physical Demands:

Ability to move freely (standing, stooping, walking, bending, pushing and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
Work Environment:

Climate controlled office setting with daily movement throughout the facility
Interaction with department members and other healthcare providers
This position involves frequent phone communication with patients and staff. All inbound and outbound calls are recorded and monitored for quality assurance, training, and compliance purposes.
Scheduled Weekly Hours:
40
Scheduled FTE:
1
Location:
ThedaCare Corporate Office - Neenah, Wisconsin
Overtime Exempt:
No
Worker Shift Details:
Days