Referral & Auth. Specialist (Remote); 1.0 FTE; Day Shift

The Referral and Authorization Specialists play a key role in ensuring that Meriter’s Financial Clearance process is fully complete so that our organization secures optimal reimbursement for services. Employees in this role verify that patient and insurance information is obtained and documented in Epic through activities that may include coverage verification, eligibility verification, benefit collection, and authorization procurement. This role documents pertinent detailed information to ensure approved authorizations are in place for scheduled services along with direct admissions.

Works directly with referring providers in obtaining shared authorizations and has great working relationships with members of various hospital departments. Has a thorough understanding of insurance plans and patient benefits.This will be a remote position but we need to train on site for up to 4 weeks. Looking for candidates in the Madison, WI region.

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options focused on your needs and priorities, no matter what life stage you’re in. Here are just a few:

  • Expect paid time off, parental leave, 401K matching and an employee recognition program.
  • Dental, health and vision insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
  • Tuition reimbursement to help further your career and adoption assistance to help you grow your family.
With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

UnityPoint Health - Meriter and UW Health work closely together to deliver exceptional healthcare services to our community.

Join our team of experts and make a difference with UnityPoint Health.

Required Qualifications:

  • High School Diploma or equivalent
  • 1-year experience in a healthcare setting performing scheduling, registration, insurance verification, prior authorizations and/or billing functions.
  • Experience with, as well as working knowledge of medical terminology and prior Customer Service Experience
  • Knowledge of Healthcare insurance industry and regulations
  • Knowledge of insurance verification using various websites or obtaining information via phone
  • Great written and verbal communication
  • Standard keyboarding skills
  • Knowledge of Healthcare Operations
  • Team Oriented
Preferred Qualifications:
  • Prior EPIC experience, knowledge of insurance terminology, Benefits and processes
  • Previous experience working with/in EPIC system
  • Working knowledge of EPIC – preferred ADT, Resolute, Cadence Referrals, Radiant
  • Working knowledge of Medical Terminology
  • Working knowledge of insurance terminology, including CPT and ICD 10 codes
  • Knowledge of Microsoft Office programs (e.g., Word, Outlook, and Excel)
EEO/M/F/D/V

FTE

1.0

Work Schedule

M-F 8:30 am- 5:00 pm

Hours Per Week

40

Weekends

No

Compensation

$18.32+

Site Address

202 South Park Street

City

Madison

Zip Code

53715
Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...