Authorization Representative

UW Health

Posted 3 months ago

Full Time

Middleton, Wisconsin

Hybrid

Smart Summary

Responsibilities

Obtain prior authorizations from payers for inpatient and outpatient services provided by UW Health. Utilize skilled communication and troubleshooting techniques to resolve issues and provide excellent customer service.

Qualifications

You have a high school diploma or equivalent and at least one year of experience in healthcare, business, finance, or insurance. You demonstrate skilled communication and troubleshooting techniques, and you are able to anticipate and respond to a wide variety of issues efficiently.

Must Have Skills for ATS

CPT coding

ICD coding

Medicare regulations

Epic Software

Rfax

Calabrio Call System

Job Description

Work Schedule: 
This is a full time, 1.0 FTE position.  This position is hybrid and training is required onsite at 7974 UW Health Ct. in Middleton, WI.  Training can last up to 6 weeks and is scheduled from 8:00 a.m - 4:30 p.m., Monday – Friday each week.   Once fully trained, the selected individual will transition to a primarily remote role and will be scheduled Monday - Friday, 8:30 a.m - 5:00 p.m. Hours may vary based on the operational needs of the department.  

Be part of something remarkable

Join the #1 hospital in Wisconsin!

We are seeking an Authorization Representative to:

  • Obtain prior authorization from payers for inpatient and outpatient services provided by UW Health.  
  • Demonstrate skilled communication and troubleshooting techniques as well as excellent customer service skills.
  • Anticipate and respond to a wide variety of issues/concerns and the ability to execute tasks efficiently and effectively.  

At UW Health, you will have:

  • An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. 
  • Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
  • Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
  • Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
  • The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions.

Qualifications

  • High School Diploma or equivalent Required
  • Associate's Degree in Business, Finance, Health Information Management, or a related field Preferred

Work Experience

  • 1 year of experience in healthcare, business, finance, or insurance related field Required
  • 1 year of experience in Healthcare Revenue Cycle that includes prior authorization Preferred
  • Knowledge of CPT and ICD coding highly desired Preferred
  • Knowledge of Medicare and third-party payer regulations and guidelines highly desired Preferred
  • Knowledge of Epic Software, use of Rfax, and Calabrio Call System Preferred
  • Experience with payment collections Preferred

Our Commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Job DescriptionUW Hospital and Clinics benefits

UW Health

University of Wisconsin Hospital and Clinics is a 471-bed facility that ranks among the finest academic medical centers in the United States. Frequently cited in publications listing the nation's best health care providers, UW Hospital and Clinics is recognized as a national leader in fields such as cancer treatment, pediatrics, ophthalmology, surgical specialties and organ transplantation.
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