Authorization Representative

UW Health • Middleton, WI

5h • Hybrid

About The Position

The Authorization Representative supports timely patient access to care by obtaining and managing required prior authorizations for healthcare services. The role helps prevent avoidable denials by securing authorizations and verifying coverage before services are rendered. It builds collaborative relationships with patients, providers, and insurance payers through effective communication and customer service, and proactively identifies and resolves authorization, coverage, and payer-related issues while ensuring accurate, efficient work. The representative also contributes to continuous improvement through automation, process enhancements, and operational efficiencies.

This is a full-time, 1.0 FTE hybrid position. Training is required onsite at 7974 UW Health Ct. in Middleton, Wisconsin, and may last up to three weeks. After training, the role is primarily remote. The regular schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m. CST, with hours subject to variation based on departmental operational needs.

Requirements

• High school diploma or equivalent.
• At least one year of experience in a healthcare, business, finance, or insurance-related field.

Nice To Haves

• Associate’s degree in Business, Finance, Health Information Management, or a related field.
• One year of experience in Healthcare Revenue Cycle, including prior authorization.
• Knowledge of CPT and ICD coding.
• Knowledge of Medicare and third-party payer regulations and guidelines.

Responsibilities

• Obtain and manage required prior authorizations for healthcare services to support timely patient access to care.
• Secure authorizations and verify coverage before services are rendered to help prevent avoidable denials.
• Communicate effectively with patients, providers, and insurance payers and provide exceptional customer service.
• Identify and resolve authorization, coverage, and payer-related issues proactively.
• Complete work accurately and efficiently.
• Contribute to continuous improvement initiatives, including automation, process enhancements, and operational efficiencies.

Benefits

• Health and dental insurance.
• Paid time off.
• Retirement plans.
• Two-week paid parental leave.
• Adoption assistance.
• Flexible schedule and shift options to support work-life balance.
• Access to the UW Health Employee Wellbeing Department for emotional, financial, and physical well-being resources.
• Tuition benefits for coursework associated with career advancement.
• Opportunity to earn a referral bonus for referring applicants to open, posted positions.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED