Insurance Authorization Specialist

Thedacare • Appleton, WI

70d • Onsite

About The Position

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.

Requirements

• High School diploma or GED preferred
• Must be 18 years of age
• 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

Responsibilities

• 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.

Benefits

• Lifestyle Engagement
• e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
• Access & Affordability
• e.g. minimal or zero copays, team member cost sharing premiums, daycare

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees