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Referral & Auth. Specialist (Remote); 1.0 FTE; Day Shift
The Referral and Authorization Specialists play a key role in ensuring that Meriter’s Financial Clearance process is fully complete so that our organization secures optimal reimbursement for services. Employees in this role verify that patient and insurance information is obtained and documented in Epic through activities that may include coverage verification, eligibility verification, benefit collection, and authorization procurement. This role documents pertinent detailed information to ensure approved authorizations are in place for scheduled services along with direct admissions.
Works directly with referring providers in obtaining shared authorizations and has great working relationships with members of various hospital departments. Has a thorough understanding of insurance plans and patient benefits.This will be a remote position but we need to train on site for up to 4 weeks. Looking for candidates in the Madison, WI region.
Why UnityPoint Health?
At UnityPoint Health, you matter. We’re proud to be recognized as a Top Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.
Our competitive Total Rewards program offers benefits options focused on your needs and priorities, no matter what life stage you’re in. Here are just a few:
- Expect paid time off, parental leave, 401K matching and an employee recognition program.
- Dental, health and vision insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
- Tuition reimbursement to help further your career and adoption assistance to help you grow your family.
UnityPoint Health - Meriter and UW Health work closely together to deliver exceptional healthcare services to our community.
Join our team of experts and make a difference with UnityPoint Health.
Required Qualifications:
- High School Diploma or equivalent
- 1-year experience in a healthcare setting performing scheduling, registration, insurance verification, prior authorizations and/or billing functions.
- Experience with, as well as working knowledge of medical terminology and prior Customer Service Experience
- Knowledge of Healthcare insurance industry and regulations
- Knowledge of insurance verification using various websites or obtaining information via phone
- Great written and verbal communication
- Standard keyboarding skills
- Knowledge of Healthcare Operations
- Team Oriented
- Prior EPIC experience, knowledge of insurance terminology, Benefits and processes
- Previous experience working with/in EPIC system
- Working knowledge of EPIC – preferred ADT, Resolute, Cadence Referrals, Radiant
- Working knowledge of Medical Terminology
- Working knowledge of insurance terminology, including CPT and ICD 10 codes
- Knowledge of Microsoft Office programs (e.g., Word, Outlook, and Excel)
