Authorization Representative

Job ID: Authorization Representative – hybrid, full-time (1.0 FTE) based in Middleton, WI.

Schedule

This is a hybrid position. Training is required onsite at 7974 UW Health Ct., Middleton, WI and lasts up to 6 weeks, scheduled Monday–Friday, 8:00 AM–4:30 PM. After training, the role transitions to primarily remote with core hours Monday–Friday, 8:30 AM–5:00 PM; occasional variations may occur based on department needs.

Responsibilities

• Obtain prior authorization from payers for inpatient and outpatient services provided by UW Health.
• Demonstrate skilled communication and troubleshooting techniques while delivering excellent customer service.
• Anticipate and respond to a wide variety of issues and concerns.
• Execute tasks efficiently and effectively.

Requirements

• High school diploma or equivalent (required).
• Associate’s Degree in Business, Finance, Health Information Management, or a related field (preferred).
• 1 year of experience in healthcare, business, finance, or insurance (required).
• 1 year of experience in Healthcare Revenue Cycle that includes prior authorization (preferred).

Qualifications

• 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).

Benefits

• Health and dental insurance.
• Paid time off and retirement plans.
• Two-week paid parental leave and adoption assistance.
• Flexible schedules and shifts for work-life balance.
• Employee Wellbeing Department resources supporting emotional, financial, and physical well-being.
• Tuition benefits for career-advancing coursework.
• Referral bonus for recommending candidates to open positions.