Prior Authorization Specialist (La Crosse)

Memorial Hospital of BoscobelLa Crosse, WI
Onsite

About The Position

Emplify Health by Gundersen is looking to add a Prior Authorization Specialist to our team! In this role you will work with hospital departments and insurance companies to obtain the necessary pre-certifications and authorizations for services ordered/scheduled from insurance. Attention to detail, strong communication, and computer and phone skills are important! This position specializes in DME authorizations.

Requirements

  • High School Diploma or equivalency
  • 1-2 years' experience in healthcare with insurance or prior authorization experience required
  • Excellent problem-solving abilities and strong attention to detail
  • Strong communication skills, both verbal and written

Nice To Haves

  • Coding experience and certifications is a plus!

Responsibilities

  • Secure prior authorizations from insurance companies for all hospital and clinical scheduled procedures acting as a liaison between patients, physicians, and insurance providers.
  • Navigate complex insurance regulations and advocate for patients' needs
  • Process paperwork effectively and efficiently to ensure all documentation is completed
  • Maintain strong communication both verbally and written

Benefits

  • Access to our Career Development Center and Tuition Investment Program
  • Top-rated retirement plan and healthcare benefits
  • Departmental leadership that supports you as you do your best work.
  • Work/Life balance
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