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Authorization Representative
Aspirus Health. Obtain prior authorization from payers for inpatient and outpatient services provided by UW Health .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Healthcare Revenue Cycle management, particularly in prior authorization processes, while providing exceptional customer service and effective communication. Familiarity with CPT and ICD coding, as well as Medicare and third-party payer regulations, is essential.
Highest-signal resume keywords
Healthcare Revenue Cycle ManagementPrior AuthorizationCPT and ICD CodingEpic SoftwareCustomer Service
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prior AuthorizationCPT CodingICD CodingPayment CollectionsHealthcare Revenue Cycle
Soft Skills
Skilled CommunicationTroubleshooting TechniquesCustomer Service
Tools & Technologies
Epic SoftwareRfaxCalabrio Call System
Industry Keywords
HealthcareInsuranceMedicareThird-Party Payer RegulationsBusinessFinance
About the role
Key responsibilities & impact- Obtain prior authorization from payers for inpatient and outpatient services provided by UW Health
- Demonstrate skilled communication and troubleshooting techniques
- Provide excellent customer service
- Anticipate and respond to a wide variety of issues and concerns
- Execute tasks efficiently and effectively
- Complete required onsite training in Middleton for up to 8 weeks
- Transition to a primarily remote schedule after fully completing training
Requirements
What you’ll need- 1 year of experience in healthcare, business, finance, or insurance related field required
- 1 year of experience in Healthcare Revenue Cycle that includes prior authorization preferred
- Knowledge of CPT and ICD coding highly desired
- Knowledge of Medicare and third-party payer regulations and guidelines highly desired
- Knowledge of Epic Software, use of Rfax, and Calabrio Call System preferred
- Experience with payment collections preferred
- High school diploma or equivalent preferred
- Associate's Degree in Business, Finance, Health Information Management, or a related field preferred
Benefits
Comp & perks- Health and dental insurance
- Paid time off
- Retirement plans
- Two-week paid parental leave
- Adoption assistance
- Flexible schedule and shift options supporting work-life balance
- Employee Wellbeing Department resources supporting emotional, financial, and physical well-being
- Tuition benefits eligibility for coursework associated with career advancement
- Referral bonus opportunity