Pewaukee, WI 53072 • (44.9 miles) • Full Time • 10/15/2026

Description: Summary of RoleThe Pre-Authorization Specialist is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met before delivery of inpatient, outpatient, and ancillary services. This role involves coordinating with healthcare providers to secure necessary referrals.Key ResponsibilitiesObtain authorizations and pre-determinations from insurance companies for all required services.Receive verification of benefits from insurance. Confirm patient eligibility through direct communication with insurance companies and online portals.Enter new/updated patient information into the computer system. Ensure all necessary documentation is complete, accurate, and submitted promptly.Determines patient pa