Prior Authorization Associate I
Abbott · Madison, WI
CommercialFull-timeCompany career page
The apply link worked recently (not employer-confirmed).
Role summary
Abbott seeks a Prior Authorization Associate I to manage the full prior authorization lifecycle, including eligibility verification, claim review, and denial resolution. The role requires cross-functional collaboration across sales, operations, and billing teams to ensure proper patient coverage and reimbursement.
What they're looking for
- High school diploma or GED
- 2+ years direct prior authorization submission and follow-up experience
- 3+ years medical billing, claims, or insurance processing experience
- Working knowledge of government, managed care, and commercial insurance requirements
- Knowledge of medical terminology and health insurance terms
- Proficiency with EHR systems and ability to work with Epic software
- Strong problem-solving and organizational skills
What you'll be doing
- Verify patient insurance eligibility and correct account information within Epic
- Communicate with insurers and third-party payors to obtain and document authorizations
- Research and resolve missing or erroneous account information across multiple portals
- Analyze claim rejections and denials to determine appropriate resolution steps
- Monitor work queues for claims requiring additional research and follow-up actions
Privacy & handoff
This role links to Abbott's own application system. RoleLantern records your interest and checks the link, but the application happens on the employer's site and status updates may not come back to us. Clicking apply does not mark you as applied automatically.