Insurance Authorization Specialist

ThedaCare

6d • Onsite

About The Position

Summary : 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.
Job Description: KEY ACCOUNTABILITIES: 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.
About ThedaCare ThedaCare is a community health system consisting of seven hospitals, numerous clinics and related services.We are the third largest health care employer in Wisconsin and the largest employer in the state's second largest economic market - Northeast Wisconsin - with approximately 6,800 employees. Through our 100-year history, ThedaCare has woven itself into the very fabric of the communities we serve. For our employees, ThedaCare offers an environment that not only welcomes but also encourages innovative thinking and fresh approaches to today’s health care challenges. We’ve improved the health of thousands of individuals. We know this because we track our quality and constantly seek to improve our care and services for the members of our communities.

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

• Benefits, with a whole-person approach to wellness
• 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: Part-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees