Pre-Authorization Specialist

Job overview

The Pre-Authorization Specialist role is listed as hybrid/remote, while the posting describes an office-based position in Pewaukee, WI. Compensation is not specified. The role supports Orthopaedic Associates of Wisconsin by coordinating authorization and referral requirements for patient services. This position verifies eligibility and benefits, secures required authorizations, and keeps patient records and referral documentation accurate. Timely tracking and communication help providers and administrative staff address coverage issues before services are delivered.

What you'll do

• Verify patient eligibility and insurance benefits
• obtain authorizations and pre-determinations
• enter and update patient information
• track authorization status and alert administrative and clinical staff to deadlines
• document insurance verifications and referrals
• resolve coverage issues with patients, providers, and insurers
• provide backup office coverage.

What we're looking for

Skills & competencies

pre-authorization specialist

pewaukee wi

orthopaedic associates of wisconsin

insurance verification

prior authorization

patient eligibility

referral coordination

ehr

epic

medical office

full-time

Work arrangement

• Weekend coverage required

Why this role

Requires at least two years of related insurance verification or pre-authorization experience; orthopedic or surgical setting experience preferred. EPIC and Microsoft Office experience preferred.

About the employer

ORTHOPAEDIC ASSOCIATES OF WISCONSIN is hiring for this role. Industry: Offices of Physicians (except Mental Health Specialists). Sector: 62.