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UW Health

Academic medical center; cancer, pediatrics, transplants.

Authorization Representative

Clinical Support & Patient AdministrationPosted on Nov 11
Full-timeMiddleton, WI, USA$20.69 - $28.01Hybrid

About the Job

Requirements

  • A high school diploma or equivalent is required.
  • At least one year of experience in a healthcare, business, finance, or insurance-related field is required.

Responsibilities

  • Obtain and manage required prior authorizations for healthcare services to support timely patient access to care.
  • Secure authorizations and verify coverage before services are rendered to prevent avoidable denials.
  • Build collaborative relationships with patients, providers, and insurance payers through communication and customer service.
  • Identify and resolve authorization, coverage, and payer-related issues while completing work accurately and efficiently.
  • Contribute to continuous improvement initiatives through automation, process enhancements, and operational efficiencies.

Desired Qualifications

  • An associate’s degree in Business, Finance, Health Information Management, or a related field is preferred.
  • One year of healthcare revenue cycle experience that includes prior authorization is preferred.
  • Knowledge of CPT and ICD coding is highly desired.
  • Knowledge of Medicare and third-party payer regulations and guidelines is highly desired.

About the Company

UW Health

Academic medical center; cancer, pediatrics, transplants.

UW Health runs a 471-bed academic medical center with associated clinics, delivering patient care, teaching, and research. It provides specialized services in cancer, pediatrics, ophthalmology, surgical fields, and organ transplantation, along with broad outpatient care. Care combines inpatient treatment with outpatient clinics through multidisciplinary teams and evidence-based protocols, supported by access to clinical trials and advanced technologies. Its edge comes from the integration of clinical care with medical education and research at UW–Madison, aiming to improve outcomes and advance health for the community.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
United States
Founded
1998

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