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Precertification Representative

Children's Wisconsin
West, WI Full Time
POSTED ON 4/9/2025 CLOSED ON 4/16/2025

What are the responsibilities and job description for the Precertification Representative position at Children's Wisconsin?

At Children’s Wisconsin, we believe kids deserve the best.

Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/

Initiates contact with insurance payers, physicians, and patients/families to obtain precertification and authorizations for all inpatient and outpatient services. Pre-registers patients as needed by calling patient families or by using the department protocol. Ensure that all patient accounts flow through the billing cycle without errors caused by lack of authorization/precertification, insurance verification, incomplete or inaccurate demographic information or other registration-related errors which may cause the receivable to remain unpaid.

  • High school education required in order to effectively problem solve registration and general needs of patients and patient families.
  • Three years of registration, scheduling or administrative support experience in a healthcare setting or a business environment required.
  • One year experience as a Financial Verification Rep preferred.
  • Experience with insurance referral and authorization processing required in lieu of Verification Rep experience.
  • Epic experience preferred.
  • Ability to type 35 wpm preferred.

Fully remote position (first week will be on site in West Allis for orientation)

Hours:

8A/9A-4P/5P

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

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