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Insurance Verification Spec 1.0 FTE

Location:  Brookfield
Job Type:  Days - 1st Shift
Weekly Hours:  40

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.

Do You Fit at ProHealth Care?

Here at ProHealth Care, we strive to be the best we can be, while continually improving the care we deliver. With patient care at the center of all we do, it is ingrained into our culture to attract the best and the brightest to ProHealth Care. We have a promise to our patients and employees: The way you should be treated. We live by this commitment and remain dedicated to creating a warm, safe and welcoming environment.

Nearest Major Market: Waukesha
Nearest Secondary Market: Milwaukee