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Meriter-UnityPoint Health logo

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

Meriter-UnityPoint Health

Remote · USFull-time$18.32/hrSeen 5 days agoSeen in employer's feed 5 days ago

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At a glance

Compensation
$18.32/hr
Location
Remote · US
Schedule
Full-time
Work Authorization
Not specified

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Job overview

The Referral and Authorization Specialist supports Meriter’s financial clearance process by verifying and documenting patient and insurance information in Epic. The role may involve coverage and eligibility verification, benefit collection, and obtaining authorizations for scheduled services and direct admissions. The specialist works with referring providers and hospital departments. The position is remote, with up to four weeks of onsite training, and candidates should be in the Madison, Wisconsin region.

Skills & qualifications

RequiredNice to have

Skills

Scheduling, requiredRegistration, requiredInsurance Verification, requiredPrior Authorizations, requiredBilling, requiredMedical Terminology, requiredCustomer Service, requiredHealthcare Insurance, requiredInsurance Regulations, requiredInsurance Verification Websites, requiredWritten Communication, requiredVerbal Communication, requiredKeyboarding, requiredHealthcare Operations, requiredTeamwork, requiredEpic, nice to haveInsurance Terminology, nice to haveBenefits Processes, nice to haveADT, nice to haveResolute, nice to haveCadence Referrals, nice to haveRadiant, nice to haveCPT Codes, nice to haveICD-10 Codes, nice to haveMicrosoft Office, nice to haveMicrosoft Word, nice to haveMicrosoft Outlook, nice to haveMicrosoft Excel, nice to have

Qualifications

High School Diploma or Equivalent, required1 Year Healthcare Experience, required

Benefits

Paid Time Off
Parental Leave
401(k) Match
Dental Insurance
Medical Insurance
Vision Insurance
Tuition Assistance

Full job description

17004BRJob Description:

Schedule: Weekdays 8:30a-5p.

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.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

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

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

FTE:1.0 Work Schedule:M-F 8:30 am- 5:00 pmHours Per Week:40Weekends:NoCompensation:$18.32+Site Address:202 South Park StreetCity:MadisonZip Code:53715

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