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Insurance Authorization Specialist

2 months ago

Milwaukee, Wisconsin, United States Advocate Aurora Health Full time

Job Summary: We are seeking a highly organized and detail-oriented individual to join our team as an Insurance Authorization Representative at Advocate Aurora Health. As a key member of our healthcare team, you will play a critical role in maintaining, confirming, and securing referrals, authorizations, or pre-certifications required for patients to receive physician or medical services.

Key Responsibilities:

  • Verify the accuracy and completeness of patient account information to ensure seamless processing of referrals and authorizations.
  • Maintain a database of payer authorization information to facilitate efficient communication with healthcare providers and payers.
  • Collaborate with healthcare teams to resolve issues related to referrals, authorizations, and pre-certifications.
  • Develop and maintain strong relationships with healthcare providers, payers, and other stakeholders to ensure effective communication and resolution of issues.

Requirements:

  • High school diploma or equivalent required; associate's or bachelor's degree in a related field preferred.
  • Minimum 1-2 years of experience in a healthcare or insurance-related field.
  • Excellent communication, organizational, and problem-solving skills.
  • Ability to work in a fast-paced environment and prioritize multiple tasks and deadlines.