Prior Authorization Specialist (La Crosse)

Gundersen Health System • La Crosse, WI

2d • 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 to love what you do and where you live
• Competitive compensation and comprehensive benefits packages
• 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: Mid Level
• Education Level: High school or GED