Authorization Representative

University of Wisconsin Hospitals and Clinics Authority-posted 12 months ago
Full-time • Entry Level
Remote • Madison, WI
5,001-10,000 employees
Religious, Grantmaking, Civic, Professional, and Similar Organizations
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Join the #1 hospital in Wisconsin as an Authorization Representative. In this full-time position, you will be responsible for obtaining prior authorization from payers for inpatient and outpatient services provided by UW Health. This role requires skilled communication and troubleshooting techniques, along with excellent customer service skills. You will need to anticipate and respond to a wide variety of issues and concerns, executing tasks efficiently and effectively. The position will be remote upon successful completion of training, with shifts scheduled Monday to Friday from 8:30 a.m. to 5:00 p.m., although hours may vary based on the operational needs of the department.

  • Obtain prior authorization from payers for inpatient and outpatient services provided by UW Health.
  • Demonstrate skilled communication and troubleshooting techniques as well as excellent customer service skills.
  • Anticipate and respond to a wide variety of issues/concerns and execute tasks efficiently and effectively.
  • High School Diploma or equivalent Required
  • 1 year of experience in healthcare, business, finance, or insurance related field Required
  • Associate's Degree in Business, Finance, Health Information Management, or a related field Preferred
  • 1 year of experience in Healthcare Revenue Cycle that includes prior authorization Preferred
  • Knowledge of CPT and ICD coding highly desired Preferred
  • Knowledge of Medicare and third-party payer regulations and guidelines highly desired Preferred
  • Knowledge of Epic Software, use of Rfax, and Calabrio Call System Preferred
  • Experience with payment collections Preferred
  • Excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
  • Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
  • Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
  • Opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.
  • Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
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