Prior Authorization Specialist

Memorial Hospital of Boscobel•Onalaska, WI
•Hybrid

About The Position

Emplify Health is hiring a Prior Authorization Specialist to work with hospital departments and insurance companies to obtain the pre-certifications and authorizations needed for ordered or scheduled services. The role specializes in prior authorization for the VA Hub. It is a full-time position scheduled for 40 hours per week, Monday through Friday, in 8-hour shifts between 7 a.m. and 5 p.m. The role is eligible for remote work after in-person training in Onalaska, Wisconsin.

Requirements

  • High school diploma or equivalency.
  • 1–2 years of healthcare experience with insurance or prior authorization experience.
  • Excellent problem-solving abilities and strong attention to detail.
  • Strong verbal and written communication skills.
  • Computer and phone skills.

Nice To Haves

  • Coding experience and certifications.

Responsibilities

  • Work with hospital departments and insurance companies to obtain necessary pre-certifications and authorizations for services ordered or scheduled.
  • Specialize in prior authorization for the VA Hub.

Benefits

  • 401(k) with matching
  • Paid time off
  • Competitive health insurance
  • Wellness programs
  • Tuition reimbursement
  • Career growth opportunities and access to Emplify Health’s Career Development Center
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