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Insurance Authorization Jobs in Wisconsin (NOW HIRING)

ThedaCare

Insurance Authorization Specialist

Appleton, WI · On-site

$17.50 - $23.50/hr

The Insurance Authorization Specialist performs insurance authorization for patients scheduled for services at ThedaCare by obtaining and validating demographic and insurance information. Works with ...

ThedaCare

Insurance Authorization Specialist

Appleton, WI · On-site

$17.50 - $23.50/hr

The Insurance Authorization Specialist performs insurance authorization for patients scheduled for services at ThedaCare by obtaining and validating demographic and insurance information. Works with ...

Champion Care

Case Manager

Milwaukee, WI · On-site

$20 - $24/hr

Case Manager - Skilled Nursing & Post-Acute Care Managed Care | Insurance Authorization | Medicare & Medicaid $20-$24 per hour | Full-Time Are you experienced in skilled nursing case management ...

Champion Care

Case Manager

Milwaukee, WI · On-site

$20 - $24/hr

Case Manager - Skilled Nursing & Post-Acute Care Managed Care | Insurance Authorization | Medicare & Medicaid $20-$24 per hour | Full-Time Are you experienced in skilled nursing case management ...

Champion Care

Case Manager

Milwaukee, WI · On-site

$20 - $24/hr

) Case Manager - Skilled Nursing & Post-Acute Care Managed Care | Insurance Authorization | Medicare & Medicaid $20-$24 per hour | Full-Time Are you experienced in skilled nursing case management ...

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All JobsInsurance Authorization JobsInsurance Authorization Jobs in Wisconsin

Insurance Authorization information

See Wisconsin salary details

$25.7K

$66.3K

$84.3K

How much do insurance authorization jobs pay per year?

As of Jul 17, 2026, the average yearly pay for insurance authorization in Wisconsin is $66,266.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,600.00 and $77,700.00 per year, depending on experience, location, and employer.

What is the 3 month rule for jobs?

In the context of insurance authorization jobs, the 3 month rule often refers to a policy where certain authorizations or approvals are valid for three months, requiring re-authorization afterward. This rule helps ensure that coverage and approvals are current and accurate, and employees in this role must monitor expiration dates and follow up for renewals or re-approvals as needed.

What does an insurance authorization specialist do?

An insurance authorization specialist reviews and obtains prior authorization from insurance companies to approve medical procedures, treatments, or services. They communicate with healthcare providers and insurers, ensure documentation is complete, and use billing or authorization software to facilitate approvals, helping to ensure timely patient care and reimbursement.

What is an Insurance Authorization job?

An Insurance Authorization job involves verifying patient insurance coverage and obtaining necessary approvals before medical services are provided. Professionals in this role communicate with insurance companies, healthcare providers, and patients to ensure procedures are covered. They also handle documentation, follow up on pending requests, and assist in resolving authorization issues. Strong attention to detail and knowledge of insurance policies are essential for success in this role.

What are the key skills and qualifications needed to thrive in the Insurance Authorization position, and why are they important?

To excel in Insurance Authorization, you generally need knowledge of healthcare insurance procedures, attention to detail, and experience with medical terminology or health administration. Familiarity with insurance verification systems, EHRs, and payer portals is highly valued, and some positions may require certification in medical billing and coding. Strong organizational skills, clear communication, and customer service orientation help set top performers apart. These competencies ensure accurate authorization processes, minimize claim denials, and maintain effective communication among patients, providers, and insurers.

Is prior authorization a stressful job?

Insurance authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing deadlines. Employees often handle complex documentation and communicate with healthcare providers and insurance companies, which can contribute to workplace pressure. However, stress levels vary depending on the work environment and individual coping skills.

What are the typical challenges faced in an Insurance Authorization role, and how are they addressed?

Working in Insurance Authorization often involves navigating complex insurance policies, staying updated with changing payer requirements, and handling high volumes of patient cases within tight deadlines. Effective team collaboration and strong problem-solving skills are essential to resolve issues such as denied claims or missing documentation. Many employers provide initial and ongoing training, along with access to supervisors or a supportive team, to help address these challenges. By staying organized and proactive in communication, Insurance Authorization professionals can efficiently manage their workload and ensure timely patient care.

Do you need a degree to be a prior authorization specialist?

A degree is not typically required to become a prior authorization specialist, but relevant certifications, healthcare knowledge, and experience with insurance processes are often preferred. Strong communication skills and familiarity with medical billing and coding can improve job prospects. Employers may have varying educational requirements depending on the organization.
What are the most commonly searched types of Insurance Authorization jobs in Wisconsin? The most popular types of Insurance Authorization jobs in Wisconsin are:
What are popular job titles related to Insurance Authorization jobs in Wisconsin? For Insurance Authorization jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Insurance Authorization jobs in Wisconsin look for? The top searched job categories for Insurance Authorization jobs in Wisconsin are:
Insurance Authorization jobs near you
Infographic showing various Insurance Authorization job openings in Wisconsin as of July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, 1% Temporary, and 1% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $66,266 per year, or $31.9 per hour.
Insurance Authorization Specialist

Insurance Authorization Specialist

ThedaCare

Appleton, WI • On-site

$17.50 - $23.50/hr

Full-time

Posted 11 days ago

ThedaCare rating

6.6

Company rating: 6.6 out of 10

Based on 126 frontline employees who took The Breakroom Quiz

566th of 886 rated healthcare providers

Job description

Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness -
  • Lifestyle Engagement
    • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support

  • Access & Affordability
    • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!
Summary :
The Insurance Authorization Specialist performs insurance authorization for patients scheduled for services at ThedaCare by obtaining and validating demographic and insurance information. Works with insurance companies and/or physician offices to complete insurance authorization requirements.
Job Description:
KEY ACCOUNTABILITIES:
  • Selects accurate medical records for patient safety.
  • Obtains and validates demographic and insurance information while working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment.
  • Utilizes quality auditing and reporting systems to ensure accounts are correct.
  • Conducts audits of accounts and ensures forms are accurately and timely completed to meet audit standards and provide statistical data to leaders.
  • Performs duties as assigned including answering the phones at other facilities.

QUALIFICATIONS:
  • High School diploma or GED preferred
  • Must be 18 years of age

PHYSICAL DEMANDS:
  • Ability to move freely (standing, stooping, walking, bending, pushing and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
  • Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

WORK ENVIRONMENT:
  • Climate controlled office setting with daily movement throughout the facility
  • Interaction with department members and other healthcare providers
  • This position involves frequent phone communication with patients and staff. All inbound and outbound calls are recorded and monitored for quality assurance, training, and compliance purposes.

Scheduled Weekly Hours:
40Scheduled FTE:
1Location:
ThedaCare Corporate Office - Neenah,WisconsinOvertime Exempt:
NoWorker Shift Details:
Days

What ThedaCare employees say

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Benefits

Hours and flexibility

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Get the full story on Breakroom

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About ThedaCare

Sourced by ZipRecruiter

We want to make exceptional care effortless for our patients. At ThedaCare, that means going above and beyond treating a particular condition – it means helping you achieve better health for life. You and your family are at the center of everything we do, from prioritizing your schedule when making appointments to designing our facilities for your comfort and convenience. Remaining proactive in your care allows us to better predict and prevent disease before complications arise, and when it comes to making important health-related decisions, we are here to support you. In every interaction, we want you to have full confidence the care you receive is purposeful, cost-effective and will help you continue enjoying life as you’ve planned it. ThedaCare is the third largest healthcare employer in Wisconsin, and the largest employer in Northeast Wisconsin with over 7,000 team members.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Neenah, WI, US

Year founded

1909

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