Pre-verification Specialist

3 weeks ago

Green Bay, United States BayCare Clinic Full time

Come work where passion, quality, vision, professionalism, and synergy are valued BayCare Clinic's mission is to provide measurably superior specialty medical services to our patients

BayCare Clinic Ear, Nose, and Throat is looking for a Pre-Verification Specialist to join our team in Green Bay, WI. We're looking for a compassionate, thoughtful candidate who wants to contribute to a positive experience for all our patients. The typical hours for this role are Monday-Friday from 8:00 a.m. - 4:30 p.m. No Holidays No Weekends

The Clinic:

BayCare Clinic is a successful, dynamic group comprised of 20+ specialties. We are a physician-owned entity with joint ownership in Aurora BayCare Medical Center, a 167-bed hospital located in Green Bay, WI, offering us a built-in referral base.Each of our specialty practices have clinical autonomy and are financially sound.

BayCare Clinic offers part-time and full-time employees a comprehensive benefits package including health, dental, disability and life insurance, as well as flexible spending options. We also offer a 401k retirement plan with a company match, generous PTO, and paid holidays.

The Practice:

BayCare Ear, Nose & Throat Clinic is a fast paced, high-volume practice that prides itself on the excellent care we provide to a wide variety of patients that we serve in many northern Wisconsin communities.We have locations in Green Bay, Two Rivers, Kaukauna, and Marinette. So, if you are looking for a fun, energetic place to work, come join our team today

The Team:

The unique skills and talents of each member of our team contributes to our synergy and our overall goal of providing our patients with excellent care. We believe in the power of a positive, collaborative culture, and we strive to provide a supportive and energizing work environment.

Every member of our team has a voice and is trusted to have ownership over their work. To encourage this, we provide regular opportunities for professional development, we seek out feedback and ideas, and we invite participation on a variety of projects.

The Job:

  • Using appropriate methods, obtains prior authorizations for diagnostic studies, procedures, surgeries, and testing as required by each particular insurance company including Worker's Compensation.
  • Verifies patient status through use of websites and phone calls to insurance carriers as necessary.
  • Reviews specific coverage policies for individual insurance companies to ensure that requirements are met.
  • Updates patient-specific insurance information as necessary in appropriate systems.
  • Assists clinic staff and patients who have miscellaneous insurance information questions.
  • Documents appropriate and accurate information in electronic record systems.
  • Documents prior authorizations in electronic record.
  • Respects and maintains confidentiality.
  • Works in a safe, compliant and ethical manner at all times.
The Requirements:
  • AAS in Health Care Business or combination of education and experience preferred.
  • Typically requires two years experience with patients and providers in clinic, hospital or health insurance setting.
  • Knowledge of medical terminology and the insurance verification process required.
  • Excellent organizational, interpersonal and communication skills are necessary.
  • Strong computer skills required. Epic Experience is a plus.
  • Experience with Insurance Authorizations is a plus.

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