Insurance Verification Spec 1.0 FTE
We Are Hiring: Insurance Verification Spec 1.0 FTE
Begin your story with ProHealth Care. Here we offer a culture that's warm, welcoming, and vibrant. Additionally, we offer a generous benefits plan and resources to help you further your education. After all, it's the way you should be treated. Enjoy our video series featuring our own employees sharing why they choose ProHealth Care and what they enjoy about working here.
Culture is built every day, and we want you to be a part of this. If you're like us and are passionate about providing exceptional patient care, we'd like to meet you!
Schedule Details: Monday - Friday 8:00 am - 4:30 pm
What You Will Do:
The Insurance Verification Specialist, through oversight of the daily functions of the department, ensures timely verification of eligibility, obtains insurance benefits and ensures preauthorization and referral requirements are met prior to the delivery of inpatient, outpatient and ancillary services.
What you will need:
- High School diploma or equivalent required
- Previous experience with prior authorizations and referrals strongly preferred
- Previous experience with Epic medical record and medical terminology preferred
- At least 1 year experience in medical billing, medical insurance verification, managed care and/or patient registration required
- Demonstrates knowledge of health insurance plans including Medicare, Medicaid and commercial carriers
- Consistent professional behavior and ability to handle confidential information
- Demonstrates initiative and is a self-starter
- Able to work independently, prioritizing and organizing workload effectively to complete tasks within the timeframes delegated
- Must be flexible to handle workflow demands
- Must demonstrate well-developed communication skills - oral and written
Why Join ProHealth Care:
We have nearly 5,000 dedicated clinical and non-clinical employees and physicians who work together every day to serve the health and well-being of our community. At ProHealth Care everyone contributes to the care our patients receive. And, everyone is treated with kindness and respect in our welcoming environment.
This Position Will Offer You:
- Engaging and community focused culture
- Competitive Salaries
- Opportunity for professional career growth
- Robust benefits including: Generous PTO; Choices in insurance; HSA; Tuition reimbursement; immediate 401K match; discounted tickets to various entertainment, social and sporting events
ProHealth Care is an equal opportunity employer and is committed to an inclusive work environment and values the perspectives of our people. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Nearest Major Market: Waukesha
Nearest Secondary Market: Milwaukee