Referral & Auth. Specialist (Remote); 1.0 FTE; Day Shift

15707BRDepartment Name : HSP Financial Clearance Location : Meriter Hospital Job Description :

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?

Commitment to our Team – We’ve been named a Top 150 Place to Work in Healthcare 2022 by Becker’s Healthcare for our commitment to our team members.

Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.

Benefits – Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.

Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.

Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.

Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.

Visit us at UnityPoint.org / careers to hear more from our team members about why UnityPoint Health is a great place to work.

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

Preferred Qualifications :

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)

EEO / M / F / D / V

Auto req ID : 15707BRWeekends : NoZip Code : 53715Compensation : $18.32+, based on experienceJob Title : Referral & Auth. Specialist (Remote); 1.0 FTE; Day ShiftSite Address : 202 South Park StreetWork Schedule : M-F 8 : 30 am- 5 : 00 pmHours Per Week : 40Status : Benefit Eligible City : MadisonFTE : 1.0