Prior Authorization Coordinator

Company: Associated Physicians, LLP
Location: Madison
Posted on: April 10, 2025

Job Description:

*Prior Authorization Coordinator - Pay & Perks:*

Please double check you have the right level of experience and qualifications by reading the full overview of this opportunity below.
* Competitive Pay Based on Experience
* Free Parking
* 1 location near Hilldale Mall!
* Schedule either five 8-hour shifts, Mon-Fri, between 7am-5:45pm
* Paid Time Off - PTO and Holidays
* Medical, Dental, Vision and Disability Insurance
* Flexible Spending Account
* Life Insurance Offered
* 401(k) Plan with Match
* Professional Development Assistance
* Employee Assistance Program - EAP
* Employee Referral Program

*Prior Authorization Coordinator - Qualifications:*
* Current WI LPN license or graduate of an accredited medical assisting program
* Two years' experience working with health insurance companies regarding benefits and coverage, prior authorizations, and/or medical coding
* Ability to interpret payer policies and guidelines
* Intermediate knowledge of ICD-10 and CPT coding and medical terminology
* PC/typing and telephone experience
* Excellent customer relations, organization, planning and prioritization skills
* Experience with national payers, DME, and Medicare Part B coverage; prior Epic experience; and previous experience in a clinic setting preferred.

*Prior Authorization Coordinator - Responsibilities:*
* Investigates and maintains knowledge of payer pre-certification/authorization, and referral requirements
* Verifies patient insurance eligibility, benefits, and coverage,
* Supplies information to payers including medical information and/or a letter of medical necessity for determination of benefits
* Ensures prior certification, authorization, and referral requirements are met prior to delivery of services
* Communicates with payers, physicians, and patients regarding PA status
* Ensures compliance with payer contracts
* Documents necessary information in patient's medical record

*WHY WORK AT ASSOCIATED PHYSICIANS?*

Some of the most skilled, compassionate, and respected physicians in Madison practice under our roof. Associated Physicians, LLP is Dane County's longest-serving independent, multi-specialty healthcare provider. We have proudly served generations of families in Madison and surrounding communities. We provide convenient, comprehensive primary care, specialty care and more all in one convenient location.

Job Type: Full-time

Pay: $21.89 - $25.39 per hour

Expected hours: 40 per week

Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Disability insurance
* Employee assistance program
* Flexible spending account
* Health insurance
* Health savings account
* Life insurance
* Paid time off
* Retirement plan
* Vision insurance



Education:
* High school or equivalent (Required)

Experience:
* health care environment working with insurance companies: 2 years (Required)
* prior authorizations or medical coding: 2 years (Preferred)

Ability to Relocate:
* Madison, WI 53705: Relocate before starting work (Required)

Work Location: In person

Keywords: Associated Physicians, LLP, Madison , Prior Authorization Coordinator, Other , Madison, Wisconsin