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Assistant Prior Authorization Jobs in Sullivan, IL

Crossing Healthcare

Care Coordinator

Decatur, IL · On-site

$16.50 - $22/hr

Resource for clinical team in regards to referrals, prior authorization and diagnostic processing ... Certified Medical Assistant * Health education experience preferred. * Healthcare Office Physical ...

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Assistant Prior Authorization information

What is an assistant prior authorization?

Assistant Prior Authorization jobs involve supporting healthcare providers and insurance companies by helping to obtain approval for specific medical procedures, treatments, or medications. These assistants review patient information, coordinate with physicians and insurance representatives, and ensure all necessary documentation is submitted for approval. The role is crucial in helping patients receive timely care by navigating insurance requirements and reducing delays. Strong organizational and communication skills are essential in this position.

What are the key skills and qualifications needed to thrive as an assistant prior authorization?

To thrive as an Assistant Prior Authorization, you generally need a strong understanding of medical terminology, health insurance processes, and prior authorization requirements, often supported by a high school diploma or medical office training. Familiarity with electronic health record (EHR) systems, payer portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are standout soft skills in this position. These skills ensure accurate and timely processing of authorizations, minimize insurance denials, and support efficient patient care coordination.

What are some common challenges faced by an assistant prior authorization, and how can they be effectively managed?

Assistant Prior Authorization professionals often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and ensuring timely communication between healthcare providers, patients, and insurance companies. Staying organized and maintaining up-to-date knowledge of payer policies are essential for success. Using electronic health records efficiently and fostering strong teamwork with clinical staff can help streamline the approval process and reduce delays, ultimately improving patient care.

What is the difference between Assistant Prior Authorization vs Medical Billing Specialist?

AspectAssistant Prior AuthorizationMedical Billing Specialist
Required CredentialsHigh school diploma, certification in healthcare administration or relatedHigh school diploma, certification in medical billing or coding
Work EnvironmentHealthcare offices, insurance companies, hospitalsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesObtaining prior approvals from insurance for procedures/servicesProcessing and submitting medical claims, coding, and billing
Industry UsageCommonly used in healthcare and insurance sectorsWidely used in healthcare billing and revenue cycle management

While both roles operate within the healthcare industry, an Assistant Prior Authorization focuses on securing insurance approvals before procedures, whereas a Medical Billing Specialist handles claims processing and billing after services are rendered. Understanding these differences helps clarify career paths and employer expectations in healthcare administration.

What cities near Sullivan, IL are hiring for Assistant Prior Authorization jobs?

Cities near Sullivan, IL with the most Assistant Prior Authorization job openings:

Assistant Prior Authorization jobs near you
Infographic showing various Assistant Prior Authorization job openings in Sullivan, IL as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Care Coordinator

Crossing Healthcare

Decatur, IL • On-site

$16.50 - $22/hr

Full-time

Posted 17 days ago

Job description

Job Summary:

The Care Coordinator works along side the RN Care Coordinator to manage transitions of care between facilities, Crossing Healthcare, and other specialists. This team will work closely with the medical records department.

Supervisory Responsibilities:

  • none

Duties/Responsibilities:

  • process referrals/diagnostics/prior authorizations within outlined workflows
  • ensure therapeutic relationship with patients to encourage patient to be active participant in their care
  • ensures referrals/diagnostics are completed, results returned, and follow up care coordinated in a timely manner
  • maintains referral site spreadsheet
  • obtain prior authorizations as needed and access to respective prior authorization portals
  • schedule diagnostics
  • completes ConferMed electronic referrals
  • Process monthly DMH lung screenings
  • Resource for clinical team in regards to referrals, prior authorization and diagnostic processing
  • Act a liaison with local hospitals and maintain relationships with insurance companies and specialist offices
  • Other duties as assigned

Competencies

  • Effective Communicative/Speaking Skills
  • Effective Writing skills
  • Effective logic, reasoning and critical thinking
  • Proficiency in use of telephone, computer and photocopier
  • Strong organizational and interpersonal skills
  • Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude
  • Ability to manage multiple and simultaneous responsibilities
  • Maintain patient confidentiality at all times
  • Comply with all organizational policies and standards regarding ethical business practices
  • Complete annual education requirements
  • Ability to have crucial conversations with staff and peers to ensure team members are held accountable and to ensure clear communication across the organization.

Education and Experience:

  • Certified Medical Assistant
  • Health education experience preferred.
  • Healthcare Office

Physical Requirements:

  • Moderate physical exertion including frequent walking, standing, bending, reaching and carrying moderately heavy loads (up to 25 lbs.
  • Ability to work in conditions that include exposure to blood, bodily fluids and tissues, contagious diseases and/or other potentially hazardous materials

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