Authorization Representative

University of Wisconsin Hospitals and Clinics Authority • Middleton, WI

1d • 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, excellent customer service, and the ability to anticipate and respond to a wide variety of issues and concerns while completing tasks efficiently and effectively.

This is a 0.80 FTE position scheduled for 32 hours per week. The role is hybrid, with onsite training at 7974 UW Health Ct. in Middleton, Wisconsin. Onsite 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 position transitions to primarily remote work, scheduled Monday, Tuesday, Wednesday, and Friday from 8:00 a.m. to 4:30 p.m. CST. Hours may vary based on departmental operational needs.

Requirements

• At least one year of experience in a healthcare, business, finance, or insurance-related field.
• Strong communication, troubleshooting, and customer service skills.

Nice To Haves

• High school diploma or equivalent.
• Associate's degree in Business, Finance, Health Information Management, or a related field.
• 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.

Responsibilities

• Obtain prior authorization from payers for inpatient and outpatient services provided by UW Health.
• Use skilled communication and troubleshooting techniques and provide excellent customer service.
• 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-week 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 applicants to open, posted positions.

What This Job Offers

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