Prior Authorization Specialist

2 weeks ago


Green Bay, Wisconsin, United States Prevea Health Full time
Prior Authorization Specialist

At Prevea Health, we value kindness, responsibility, inclusivity, wellness, and inspiration. As a Prior Authorization Specialist, you will play a crucial role in ensuring our patients receive the care they need. Your exceptional communication skills and ability to navigate electronic medical records will make you an asset to our team.

Key Responsibilities
  • Work closely with department physicians and staff to ensure understanding of information needed to obtain proper authorization for payment.
  • Communicate with patients prior to specialty consultation or surgical procedure to provide them with information regarding their coverage.
  • Identify what is required for Preauthorization of surgical procedures and complete the process to minimize denial of claims.
  • Preauthorization documentation.
  • Communicate with hospitals and patients on progress/approval of Preauthorization.

Requirements
  • High School Diploma and/or GED Required
  • 1-3 years of experience in a medical or insurance role preferred

Physical Demands
  • Sit - Constantly
  • Stand - Rarely
  • Walk - Rarely
  • Drive - Rarely
  • Climb (Stairs/Ladders) - Rarely
  • Bend (Neck) - Frequently
  • Gross Manipulation (Hands/Arms) - Constantly
  • Squat - Rarely
  • Twist/Turn (Neck) - Occasionally
  • Lift/Carry 0-10 lbs. - Rarely
  • Lift/Carry 11-25 lbs. - Rarely
  • Lift/Carry 26-35 lbs. - Rarely
  • Push/Pull up to 10 lbs. - Rarely
  • Push/Pull 11-25 lbs. - Rarely
  • Push/Pull 26-35 lbs. - Rarely
  • Reach (Above shoulder level) - Rarely
  • Reach (Below shoulder level) - Constantly
  • Simple Grasping (Hands/Arms) - Constantly
  • Fine Manipulation (Hands/Arms) - Constantly
  • Gross Manipulation (Hands/Arms) - Constantly

Working Conditions
  • Noise - Occasionally

Hearing Requirements
  • Hears Whispers < 3 feet - Constantly
  • Hears Whispers 3-8 feet - Constantly

Vision Requirements
  • Color Discrimination - Constantly
  • Near Vision (Correctable to Jaeger 2 or 20/30 binocular) - Constantly
  • Distance Vision (Correctable to Snellen chart 20/30 binocular) - Constantly

Equal Employment Opportunity
Prevea Health is an Equal Employment Opportunity/Affirmative Action employer. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility document form upon hire. Prevea participates in E-Verify. To learn more about E-Verify, including your rights and responsibilities, please visit

  • Green Bay, Wisconsin, United States BayCare Clinic Full time

    About BayCare ClinicBayCare Clinic is a dynamic group of healthcare professionals dedicated to providing exceptional medical services to our patients. Our mission is to deliver measurably superior specialty medical services, and we're committed to creating a positive experience for all our patients.The RoleWe're seeking a compassionate and detail-oriented...


  • Green Bay, Wisconsin, United States BayCare Clinic Full time

    Job Summary:BayCare Clinic is seeking a skilled Medical Authorization Specialist to join our team in Green Bay, WI. As a key member of our clinical staff, you will be responsible for obtaining prior authorizations for diagnostic studies, procedures, surgeries, and testing as required by each particular insurance company, including Worker's Compensation.Key...


  • Green Bay, Wisconsin, United States Enterprise Mobility Inc Full time

    Job Summary:Enterprise Mobility Inc is seeking a skilled Transportation Specialist to join our team in Green Bay West. As a key member of our operations team, you will be responsible for delivering vehicles and providing exceptional customer service to our clients.Key Responsibilities:Drive vehicles from return locations to cleaning and servicing locations,...


  • Green Bay, Wisconsin, United States LocumTenens Full time

    Job Title: CRNA Anesthesia SpecialistLocumTenens.com is seeking a CRNA Anesthesia Specialist for a locum tenens job in Green Bay, Wisconsin.Job Description & RequirementsSpecialty: AnesthesiaDiscipline: CRNADuration: 13 weeksEmployment Type: Locum TenensThe position offers both 10 and 12-hour shifts, covering a wide range of cases including General,...

  • CAD Specialist

    3 weeks ago


    Green Bay, Wisconsin, United States KI Full time

    About the Role:KI is seeking a skilled CAD Specialist to join our Architectural Wall department at our corporate office in Green Bay, WI. As a CAD Specialist, you will be responsible for creating AutoCAD and CET Designer based drawings, as well as generating specifications, materials, and other project information. You will work closely with internal and...


  • Green Bay, Wisconsin, United States Green Bay Packaging Full time

    Job SummaryAs a key member of our team, the Logistics and Inventory Control Specialist will be responsible for ensuring the smooth operation of our warehouse and inventory management processes. This role requires a high degree of organization, attention to detail, and effective communication skills.Responsibilities Complete weekly and monthly inventory...


  • Green Bay, Wisconsin, United States Abbott Full time

    Job Title: Sr. Clinical SpecialistAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals, and branded generic medicines.We focus on innovative technologies that...


  • Green Bay, Wisconsin, United States Capstone Logistics Full time

    Job Summary:As a Warehouse Operations Specialist at Capstone Logistics, you will be responsible for ensuring the efficient movement of goods through our distribution centers. This role requires a high-energy individual with a strong work ethic, able to lift and carry 25-75lbs and work in a fast-paced environment. Key Responsibilities:Audits inbound and...


  • Green Bay, Wisconsin, United States BayCare Clinic Full time

    Job SummaryBayCare Clinic is seeking a highly skilled Refund and Adjustment Specialist to join our team in Green Bay, WI. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely reimbursement for our patients.Key ResponsibilitiesResearch and process refund requests from insurance companies, including recoupment of...


  • Green Bay, Wisconsin, United States Rosen's Diversified Full time

    Job SummaryAs a Cloud Infrastructure Specialist at Rosen's Diversified, you will be responsible for monitoring, managing, and maintaining day-to-day activities of Azure and other environments. You will respond to and address system alerts and notifications, assist with resource provisioning, migration, and configurations in Azure. Additionally, you will...

  • Clinical Specialist

    3 weeks ago


    Green Bay, Wisconsin, United States Abbott Full time

    Job SummaryAbbott is seeking a highly skilled Clinical Specialist to join our team in Cardiac Rhythm Technologies. As a key member of our team, you will provide advanced engineering, sales, educational, and technical support to customers and field sales staff.Key ResponsibilitiesProvide complex field inquiries from physicians, healthcare professionals,...

  • Clinical Specialist

    3 weeks ago


    Green Bay, Wisconsin, United States Abbott Full time

    Job Title: Clinical Specialist - Cardiac Rhythm TechnologiesAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000...


  • Green Bay, Wisconsin, United States Disability Solutions Full time

    Job SummaryAssociated Bank is seeking a highly skilled AIS Operations Specialist to join our team. As an AIS Operations Specialist, you will be responsible for processing paperwork for new brokerage, direct mutual funds, annuity, and life business and maintenance requests according to established procedures and within established service standards.Key...

  • CAD Designer

    3 weeks ago


    Green Bay, Wisconsin, United States KI Full time

    Architectural Drafter/CAD SpecialistKI is seeking a skilled Architectural Drafter/CAD Specialist to join our team at our corporate office in Green Bay, WI.The primary responsibility of this position is to provide support from quote stage to final install. The Architectural Drafter/CAD Specialist will be responsible for creating AutoCAD and CET Designer based...


  • Green Bay, Wisconsin, United States Prevea Health Full time

    Job SummaryWe are seeking a highly skilled Clinical Informatics Specialist to join our team at Prevea Health. As a key member of our Clinical Optimization Team, you will play a critical role in ensuring the seamless integration of healthcare technology with clinical practice.Key ResponsibilitiesTroubleshoot and resolve application, Electronic Health Records,...


  • Green Bay, Wisconsin, United States State of Wisconsin Full time

    Job SummaryWe are seeking an experienced Real Estate Specialist Advanced Leadworker to join our team in the Division of Transportation Systems Development, Northeast Region. As a key member of our team, you will be responsible for leading the acquisition, negotiation, appraisal, and relocation assistance for the Northeast Region. This is an advanced...


  • Green Bay, Wisconsin, United States Abbott Laboratories company Full time

    At Abbott Laboratories, we're committed to advancing treatments for people with cardiovascular disease. As a global leader in Cardiac Rhythm Technologies, our breakthrough medical technologies help restore people's health so they can get back to living their best lives, faster.Key Responsibilities:• Provides engineering, sales, educational, and technical...


  • Green Bay, Wisconsin, United States Abbott Full time

    Job DescriptionAt Abbott, we are committed to advancing treatments for people with cardiovascular disease. As a global leader in Cardiac Rhythm Technologies, our breakthrough medical technologies help restore people's health so they can get back to living their best lives, faster.We focus on innovative technologies that can improve the way doctors treat...


  • Green Bay, Wisconsin, United States AHEAD Staffing Full time

    Job Summary: We are seeking a highly motivated and detail-oriented Production and Packaging Specialist to join our team at Ahead Staffing. As a key member of our production team, you will be responsible for ensuring the efficient and effective production of our products. Key Responsibilities: • Load and unload items from machines, conveyors, and...


  • Green Bay, Wisconsin, United States Advocate Aurora Health Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Pharmacy Technician to join our team at Advocate Aurora Health. As a Pharmacy Technician, you will play a critical role in supporting our pharmacy operations and ensuring the highest level of patient care.Key ResponsibilitiesDevelops competency in servicing pharmacy customers, including obtaining...