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Insurance Verification Specialist - 1.0 FTE - Days

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

ProHealth Care has been the health care leader in Waukesha County and surrounding areas for the past century, providing outstanding care across a full spectrum of services. The people of ProHealth Care strive to continuously improve the health and well-being of the community by combining skill, compassion and innovation. The ProHealth family includes Waukesha Memorial Hospital, Oconomowoc Memorial Hospital, the Rehabilitation Hospital of Wisconsin, ProHealth Medical Group clinics, AngelsGrace Hospice, ProHealth Home Care & Hospice, West Wood Health & Fitness Center and Regency Senior Communities. Learn more at ProHealthCare.org

 

Hours: Monday - Friday 8:00 am - 4:30 pm

 

Full Time / Part Time: Full Time Benefits

 

FTE: 1.00

 

 

 

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.

 

Qualifications:

  • 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

 

#LI-LL

 

ProHealth Care, one of the largest employers in Waukesha County, offers work that is challenging and rewarding. The organization is dedicated to providing the highest quality service to our patients and their families and treats each individual with respect – the way they should be treated. ProHealth Care supports a Just Culture, one that encourages an open learning environment and maintaining safe systems. We have high expectations for those who join our team of nearly 5,000 employees. In return, we offer exceptional career opportunities in a dynamic, health care system where the contributions of every team member are valued.

 

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