674 High School Diploma Jobs in appleton, wi

Job Description:

Individual will be responsible for naming prior authorizations.

• Research and analyze electronic and manual claims. Apply troubleshooting skills to resolve issues as allowed by the individual benefit.
• Communicate prior authorization criteria to providers.
• Act as a provider help desk specialist to aid providers in submitting prior authorization requests, providing formulary product information, and communicating prior authorization request status.
• Develop and maintain knowledge of Medicare D, Medicaid, and/or Exchange programs
• Respond to and resolve all internal and external inquiries in a timely, accurate, and complete manner.
• Utilize all available resources to ensure that the correct and complete answer is given to all inquiries.
• Actively participate in team meetings, coaching sessions, and daily operations.
• Protect all personal health information and abide by all HIPAA regulations and confidentiality requirements.

Preferred Qualifications:

• 6+ months of Call center experience or office experience
• Ability to type 40 WPM
• High School Diploma or equivalent

Perks/Benefits

• Full benefit package (Health, Dental, 401K, etc)
• Generous PTO package
• Onsite fitness facility and cafeteria
• Opportunity for advancement!

Hours

• Monday - Friday; 1st Shift (Shift could be as late as 8pm at night)
• 1 week every 6 weeks

**This position is remote during Covid but will require you to return onsite in the future. Must live within driving distance to Appleton, WI**

This is a full-time opportunity with a reputable company! If you or someone you know is interested in this position, please send a resume or call (920) 636-4126.

About Aerotek:

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.