Full employer posting
Days, Monday - Friday, 8:00am - 4:30pm, no weekends or holidays Want to learn more: Chat with Brittany A. Chopin at brittany.chopin@emplifyhealth.org
The Prior Authorization Specialist works with departments and insurance companies to obtain the necessary pre-certifications and authorizations for services ordered/scheduled. Once received these are recorded in the Electronic Medical Record to ensure appropriate billing. The Prior Authorization Specialist maintains a high level of understanding of insurance companies and billing authorization requirements.
High school diploma and Associate or Bachelor’s degree in business, health care business administration, or medical-related field preferred. Minimum of one to two years of insurance/medical billing office experience or an Associate or Bachelor’s degree in a business or medical-related field required. Self-pay balance collections, medical billing, and understanding of insurance terminology preferred.
Why Emplify by Bellin Health? With so many amazing healthcare organizations in this area, why Emplify? Emplify Health offers a proud, local history spanning more than 100 years.
Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!
Additional perks include: Top-notch
401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more Preventative care focused medical coverage that includes free visits to: Emplify Health by Bellin primary care providers, Urgent Care & Fast Care facilities, physical therapy sessions and any labs required during these visits Professional Development: Access to online continuing education for career growth Empowerment: Shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth.
Self-Care Culture: Encourages self-care and provides you with opportunities to be your best self at work and at home Be a member of a passionate workforce, that feels like family and is driven to provide exceptional patient care with a strong focus on community. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose.
Together with our values – belonging , respect , excellence , accountability , teamwork , and humility – our pillars set our foundation and our future. Emplify Health is an Equal Opportunity Employer.
About the role
The Prior Authorization Specialist works with departments and insurance companies to obtain the necessary pre-certifications and authorizations for services ordered/scheduled. Once received these are recorded in the Electronic Medical Record to ensure appropriate billing. The Prior Authorization Specialist maintains a high level of understanding of insurance companies and billing authorization requirements.