Clinical Authorization Specialist

Work Schedule :

100% FTE, Days.

Applicants hired into this position can work hybrid from WI and IL.

When in person you will work at 7974 UW Health Ct (Administrative Office Building) in Middleton, WI.

Be part of something remarkable

Join the #1 hospital in Wisconsin!

We are seeking a Clinical Authorization Specialist:


* Confirm the need for authorizations by taking the appropriate actions to ensure authorizations are obtained; this includes acting as a liaison between insurance companies, healthcare providers and patients in coordinating the prior authorization of surgeries performed at performed at UWHC, TAC, MSC, and Meriter Hospital.


* Medical Policy Review to ensure scheduled procedures will meet medical necessity guidelines set forth by insurance payers.


* Coordinate with, educate and advise providers participating in a patient's care regarding complex or high-risk admissions, or any episode of service requiring additional attention.

At UW Health, you will have :


* An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.


* Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.


* Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.


* Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.

Qualifications



* High School Diploma or equivalent and completion of a Medical Assistant program, coding program or licensure as an LPN Required


* Graduate of School of Nursing Preferred

Work Experience



* 2 years clinical experience and one year preadmission/precertification experience Required

Licenses & Certifications

Our Commitment to Diversity and Inclusion

UW Health is committed to being a diverse, equitable, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer.

Our integrity shines through in patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day.

Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged.

EOE, including disability/veterans.

UW Health Administrative Facilities - UW Health has administrative locations throughout Madison and beyond where thousands of employees provide vital support to our clinical areas.

These locations are home to departments such as Access Services, Compliance, Human Resources, Information Services, Patient Medical Records, Payroll and many others.

Job Descriptio n

UW Hospital and Clinics benefits