Authorization Representative

UW Health Care Direct

. Obtain initial and renewal authorizations .

Posted 9/15/2026full-timeMiddleton • Wisconsin • United StatesMid-LevelSenior💰 $0 - $20 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in insurance verification, compliance monitoring, and communication with patients and third-party payers. Proficient in following Medicare and Medicaid regulations while maintaining required documentation and infection control guidelines.

Highest-signal resume keywords

Insurance VerificationCompliance MonitoringMedicare RegulationsPatient CommunicationDocumentation Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Authorization ProcessingInsurance Eligibility CheckingPayer Documentation ManagementWIPS ReviewBrightree Reporting

Soft Skills

Communication LiaisonTeam CollaborationProblem-Solving

Industry Keywords

Infection Control GuidelinesLegislative ComplianceMedicaid RegulationsPatient Financial ResponsibilityService Delivery Legislation

About the role

Key responsibilities & impact

Obtain initial and renewal authorizations
Perform insurance verification and follow-up
Monitor patient insurance coverage compliance
Act as communication liaison between team members, third-party payers, patients, and billing
Obtain convert-to-purchase authorizations
Follow up on rental compliance, convert-to-purchase, and renewal prescriptions
Communicate with patients by phone and letters about compliance and financial responsibility
Answer questions about insurance coverage of services
Check insurance eligibility and verify qualifications for insurance changes
Monitor and forward payer-requested documentation for reimbursement
Review monthly Brightree reports for insurance changes and Medicare eligibility
Stay familiar with legislation affecting service delivery and billing
Review and complete WIPS and assigned tasks
Attend workshops, meetings, and seminars regarding legislative, regulatory, and industry changes
Provide peer-review input on selected employee performance reviews
Follow infection-control and safety procedures
Report errors or near misses through the occurrence reporting system
Obtain and maintain federally required documents
Perform other duties as assigned

Requirements

What you’ll need

Must live within 2 hours driving distance of the Middleton location
Must come onsite once quarterly after onsite training is completed
Successfully complete initial and ongoing organizational and department education, training, and competency requirements
Understand, demonstrate, and follow organizational infection control guidelines (CDIC)
Follow Medicare and Medicaid rules and regulations
Maintain federally required documents completely and timely

Benefits

Comp & perks

Remote work after successful completion of training
Company-provided equipment for working from home
Competitive benefits
PTO accrued from the day you start, offering 3+ weeks per year
Health, dental, and vision coverage
401(k) matching: 100% on the first 3% contributed and 50% on the next 2%
Employee Assistance Program
Generous PTO: 8.92 hours accrued biweekly for a full-time position
Flexible Spending Account
Dependent Care
Employer-paid short-term disability
Employer-paid long-term disability
Employer-paid basic life insurance and AD&D
Voluntary life insurance
Benefits take effect the first day of the following month hired
401(k) eligibility starts one month after other benefits