Authorization Representative

UW Health • Middleton, WI

2d • Hybrid

About The Position

The Authorization Representative obtains prior authorization from payers for inpatient and outpatient services provided by UW Health. The role requires skilled communication, troubleshooting, and customer service, along with the ability to anticipate and respond to a wide range of issues and concerns and to complete tasks efficiently and effectively.

This is a 0.80 FTE position working 32 hours per week. The position is hybrid, with onsite training at 7974 UW Health Ct. in Middleton, Wisconsin. Training may last up to eight weeks and is scheduled from 7:30 a.m. to 4:00 p.m. each week. After training, the role transitions to primarily remote work, with a regular schedule of Monday, Tuesday, Wednesday, and Friday from 8:00 a.m. to 4:30 p.m. CST. Hours may vary according to departmental operational needs.

Requirements

• At least one year of experience in a healthcare, business, finance, or insurance-related field.
• High school diploma or equivalent is preferred; no minimum education is required.

Nice To Haves

• One year of healthcare revenue cycle experience that includes prior authorization.
• Knowledge of CPT and ICD coding.
• Knowledge of Medicare and third-party payer regulations and guidelines.
• Knowledge of Epic Software, Rfax, and the Calabrio Call System.
• Experience with payment collections.
• An associate's degree in Business, Finance, Health Information Management, or a related field.

Responsibilities

• Obtain prior authorization from payers for inpatient and outpatient services provided by UW Health.
• Use skilled communication, troubleshooting, and customer service techniques.
• Anticipate and respond to a wide variety of issues and concerns.
• Execute tasks efficiently and effectively.

Benefits

• Health and dental insurance.
• Paid time off.
• Retirement plans.
• Two weeks of paid parental leave.
• Adoption assistance.
• Flexible schedule and shift options that support work-life balance.
• Resources through the UW Health Employee Wellbeing Department supporting emotional, financial, and physical well-being.
• Tuition benefits for coursework associated with career advancement.
• Referral bonus for referring people who apply for open, posted positions.

What This Job Offers

• Job Type: Part-time
• Education Level: No Education Listed