JOB REQUIREMENTS: 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 Gundersen Tri-County is looking
to add a Prior Authorization Specialist to our team! In this role, You
will: Secure prior authorizations from insurance companies for services
ordered/scheduled while 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 7:30am-4:30pm This is an onsite position in Whitehall, WI with
ability to shift to a hybrid basis after training. Would need to remain
in a close driving distance to Whitehall, WI as there may be a need to
be onsite for trainings and/ or team meetings. Starting pay of
$19.52/hour + more for experience! 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. What You'll
Need: High School Diploma or equivalency 3-4 years experience in
healthcare with insurance or prior authorization experience. Excellent
problem-solving abilities and strong attention to detail Strong
communication skills, both verbal and written Certified Professional
Coder, Certified Coding specialist, Registered Health Information
Technician, RN, or Certified Medical Assistant desired, but not
required. About Gundersen Health System: Gundersen Health System
Hospital and Clinics (becoming Emplify Health) comprises 11 hospitals
and 100+ clinics. We bring care close to home for our patients in
Wisconsin, Minnesota, Michigan, and Iowa. 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.Job Description: The Prior Authorization Specialist works
with departments and insurance companies to obtain the necessary
pre-certifications and authorizations for services ordered/scheduled by
Gundersen Health System. Once received these are recorded in EPIC to
ensure appropriate billing. The Prior Authorization Specialist maintains
a high level of understanding of insurance companies and billing
authorization requirements. Major Responsibilities: 1. Contacts
insurance carriers to obtain benefit coverage, policy limitations,
authorization/notification, and pre-certifications for identified
patients. 2. Follows up with physician offices, financial counselors,
patients and third-party payers to For full info follow application
link. EEO/AA/Veterans/Disabilities APPLICATION INSTRUCTIONS:
Apply Online: ipc.us/t/7CC7F4FAD3BC4248