Prior Authorization Specialist

Gundersen Health System • Stanfold, MN

2d • $20 • Hybrid

About The Position

Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, apply today. Scheduled Weekly Hours: 40 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! In this role, You will: 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 What's Available: Full time, 1.0 FTE - 40 hours/week Monday-Friday, hours between 7 am -5 pm, 8-hour shifts Remote eligible after training in-person Starting pay of $19.86/hour + more for experience! What You'll Need: 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 Coding experience and certifications is a plus! What You'll Get: Support to grow in your career with 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 to love what you do and where you live Emplify Health is comprised of two of the Midwest’s most respected healthcare systems, Bellin Health and Gundersen Health System. Once neighbors, we are now partners, united in our mission to provide exceptional care to our communities. As a not-for-profit, patient-centered healthcare network, we have headquarters in Green Bay and La Crosse, Wisconsin. Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota and Michigan’s Upper Peninsula. With over 4,500 dedicated nurses and providers, we are committed to delivering primary, specialty and emergency care, along with innovative medical education programs. Join us in making a meaningful difference in the lives of our patients and communities. If you need assistance with any portion of the application or have questions about the position, please contact [email protected] or call 608-775-0267. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values — belonging, respect, excellence, accountability, teamwork and humility — our pillars set our foundation and our future. Equal Opportunity Employer Around here, loving your job is part of the job. Join our mission in changing healthcare while finding a career you'll love! Gundersen Health System offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities and you. We've made it a priority to enrich the lives of our employees as they find a career they love. Using each employee’s unique talents and passions, Gundersen is committed to delivering exceptional patient and family-centered care to the communities we serve. You can be part of an exciting, highly adaptable and mission-driven organization with a work environment that supports you personally and professionally and a work culture where you are valued and appreciated offering an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself! What You Can Expect: Empowerment to shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth Culture that encourages self-care and provides you with opportunities to be your best self at work and at home Competitive compensation and comprehensive benefits packages, as applicable, ensuring your comfort and well-being as a valuable team member Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, Career Development Center, and online continuing education courses Inside our walls and our neighborhoods, we deliver world-class medical care and the right amount of love. We call it LOVE + MEDICINE and it’s more than our practice. It is who we are. Gundersen Health System, based in La Crosse, WI, is the leading provider of primary and specialized care in western Wisconsin, southeast Minnesota, and northeast Iowa; serving more than 500,000 residents throughout 22 counties. Our physician-led, not-for-profit healthcare system includes a 325-bed teaching hospital, tertiary referral center, and Level II Trauma Center; community clinics; 6 affiliate critical access hospitals; nursing homes; behavioral health services; vision centers; pharmacies; and air and ground ambulance services. Together, we inspire your best life by relentlessly caring, learning, and innovating. We deliver Love + Medicine every day to change lives in our communities and enrich the lives of our employees. Select Remote/Hybrid Eligible under More search to see our remote-eligible openings. A rewarding career and an excellent quality of life awaits you. Learn more about our excellence in patient care, education, research, culture, and something we call Love + Medicine at www.gundersenhealth.org/careers/life.

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

• Support to grow in your career with 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 to love what you do and where you live
• Competitive compensation and comprehensive benefits packages, as applicable, ensuring your comfort and well-being as a valuable team member
• Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, Career Development Center, and online continuing education courses

What This Job Offers

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