Insurance Authorization Specialist

Posted Yesterday
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Hiring Remotely in Home, Klouékanmè, Kouffo, BEN
Remote
Entry level
Healthtech
The Role
Performs insurance authorization for scheduled healthcare services by obtaining and validating patient demographic and insurance information. Coordinates with insurers and physician offices to secure authorization and payment. Reviews medical records, audits accounts, completes required forms accurately and on time, maintains reporting data, and provides phone coverage at other facilities. This is a full-time, daytime office role requiring interaction with healthcare providers and department staff.
Summary Generated by Built In

Why ThedaCare?   

Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. 

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility.  A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits, with a whole-person approach to wellness –

  • Lifestyle Engagement
    • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support  
  • Access & Affordability
    • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary :The Insurance Authorization Specialist performs insurance authorization for patients scheduled for services at ThedaCare by obtaining and validating demographic and insurance information. Works with insurance companies and/or physician offices to complete insurance authorization requirements.

Job Description:

KEY ACCOUNTABILITIES:

  • Selects accurate medical records for patient safety.

  • Obtains and validates demographic and insurance information while working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment.

  • Utilizes quality auditing and reporting systems to ensure accounts are correct.

  • Conducts audits of accounts and ensures forms are accurately and timely completed to meet audit standards and provide statistical data to leaders.

  • Performs duties as assigned including answering the phones at other facilities.

QUALIFICATIONS:

  • High School diploma or GED preferred

  • Must be 18 years of age

PHYSICAL DEMANDS:

  • Ability to move freely (standing, stooping, walking, bending, pushing and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance

  • Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

WORK ENVIRONMENT:

  • Climate controlled office setting with daily movement throughout the facility

  • Interaction with department members and other healthcare providers

Scheduled Weekly Hours:40Scheduled FTE:1Location:TC at Home - Appleton,WisconsinOvertime Exempt:NoWorker Shift Details:Days

Skills Required

  • High school diploma or GED
  • Must be at least 18 years of age
  • Ability to move freely, including standing, stooping, walking, bending, pushing, and pulling
  • Ability to lift up to 25 pounds without assistance
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The Company
Year Founded: 1909

What We Do

ThedaCare is a nonprofit community health system serving Northeast Wisconsin. It operates seven hospitals, numerous clinics, healthcare providers, doctors, MyThedaCare and related services. Its mission is to improve the health and well-being of the communities it serves, empowering people to live their best lives. The organization emphasizes compassionate, effective, patient-first care, innovative techniques, educational resources and clinical research across the region.

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