Prior Authorization Assistant
$18 - $23.50/hr
This position reports to the Prior Authorization Manager. Duties and Responsibilities: * Duties listed below may vary in terms of importance and other duties may be added or eliminated as this ...
Prior Authorization Assistant
$18 - $23.50/hr
This position reports to the Prior Authorization Manager. Duties and Responsibilities: * Duties listed below may vary in terms of importance and other duties may be added or eliminated as this ...
Authorization Associate (Org Wide)
North Fond Du Lac, WI · On-site
$17.75 - $23.75/hr
Under the general supervision of the Service Utilization Supervisor, this position manages service authorizations in the Lakeland Care electronic member record system. This position supports ...
Authorization Associate (Org Wide)
North Fond Du Lac, WI · On-site
$17.75 - $23.75/hr
Under the general supervision of the Service Utilization Supervisor, this position manages service authorizations in the Lakeland Care electronic member record system. This position supports ...
Prior Authorization/Referral Specialist
Pleasant Prairie, WI · On-site +1
$17 - $25.25/hr
... authorizations, and referrals for both facility and professional services. This position ensures ... Demonstrated ability to manage time effectively, prioritize tasks, and maintain accuracy in a high ...
Prior Authorization/Referral Specialist
Pleasant Prairie, WI · On-site +1
$17 - $25.25/hr
... authorizations, and referrals for both facility and professional services. This position ensures ... Demonstrated ability to manage time effectively, prioritize tasks, and maintain accuracy in a high ...
Prior Authorization/Referral Specialist
Pleasant Prairie, WI · On-site
$17 - $25.25/hr
... authorizations, and referrals for both facility and professional services. This position ensures ... Demonstrated ability to manage time effectively, prioritize tasks, and maintain accuracy in a high ...
Prior Authorization/Referral Specialist
Pleasant Prairie, WI · On-site
$17 - $25.25/hr
... authorizations, and referrals for both facility and professional services. This position ensures ... Demonstrated ability to manage time effectively, prioritize tasks, and maintain accuracy in a high ...
Prior Authorization/Referral Specialist
Pleasant Prairie, WI · On-site
$17 - $25.25/hr
... authorizations, and referrals for both facility and professional services. This position ensures ... Demonstrated ability to manage time effectively, prioritize tasks, and maintain accuracy in a high ...
Prior Authorization/Referral Specialist
Pleasant Prairie, WI · On-site
$17 - $25.25/hr
... authorizations, and referrals for both facility and professional services. This position ensures ... Demonstrated ability to manage time effectively, prioritize tasks, and maintain accuracy in a high ...
Authorization Associate (Org Wide)
Fond Du Lac, WI · On-site
$17.75 - $23.75/hr
Under the general supervision of the Service Utilization Supervisor, this position manages service authorizations in the Lakeland Care electronic member record system. This position supports ...
Authorization Associate (Org Wide)
Fond Du Lac, WI · On-site
$17.75 - $23.75/hr
Under the general supervision of the Service Utilization Supervisor, this position manages service authorizations in the Lakeland Care electronic member record system. This position supports ...
... ll ensure prior authorizations are obtained efficiently and accurately while helping remove ... Manage incoming and outgoing documentation through FaxFinder cloud faxing. * Collaborate closely ...
... ll ensure prior authorizations are obtained efficiently and accurately while helping remove ... Manage incoming and outgoing documentation through FaxFinder cloud faxing. * Collaborate closely ...
Works closely with Managed Care and understands health insurances rule sets, manuals, and contract language. * Contact patient's insurance company to verify coverage, initiate authorizations, provide ...
Works closely with Managed Care and understands health insurances rule sets, manuals, and contract language. * Contact patient's insurance company to verify coverage, initiate authorizations, provide ...
Medical Insurance Authorization Specialist
Appleton, WI · On-site
$20 - $24/hr
... ll ensure prior authorizations are obtained efficiently and accurately while helping remove ... Manage incoming and outgoing documentation through FaxFinder cloud faxing. * Collaborate closely ...
Medical Insurance Authorization Specialist
Appleton, WI · On-site
$20 - $24/hr
... ll ensure prior authorizations are obtained efficiently and accurately while helping remove ... Manage incoming and outgoing documentation through FaxFinder cloud faxing. * Collaborate closely ...
Medical Insurance Authorization Specialist
Appleton, WI · On-site
$20 - $24/hr
... ll ensure prior authorizations are obtained efficiently and accurately while helping remove ... Manage incoming and outgoing documentation through FaxFinder cloud faxing. * Collaborate closely ...
Quick apply
Medical Insurance Authorization Specialist
Appleton, WI · On-site
$20 - $24/hr
... ll ensure prior authorizations are obtained efficiently and accurately while helping remove ... Manage incoming and outgoing documentation through FaxFinder cloud faxing. * Collaborate closely ...
... and authorization management. This role serves as the primary resource for front-office records management and provides direct supervision to the Patient Service Representative (PSR) team. The ...
... and authorization management. This role serves as the primary resource for front-office records management and provides direct supervision to the Patient Service Representative (PSR) team. The ...
... and authorization management. This role serves as the primary resource for front-office records management and provides direct supervision to the Patient Service Representative (PSR) team. The ...
... and authorization management. This role serves as the primary resource for front-office records management and provides direct supervision to the Patient Service Representative (PSR) team. The ...
AUTHORIZATION SPECIALIST - KRONENWETTER CLINIC
Mosinee, WI · On-site
$17.75 - $23.75/hr
Possesses an overall understanding of insurance and government authorizations in a health care organization. * Significant experience with health insurance utilization management services * Possesses ...
New
AUTHORIZATION SPECIALIST - KRONENWETTER CLINIC
Mosinee, WI · On-site
$17.75 - $23.75/hr
Possesses an overall understanding of insurance and government authorizations in a health care organization. * Significant experience with health insurance utilization management services * Possesses ...
New
Authorization Representative
Middleton, WI · On-site
$20.69 - $28.01/hr
Authorization Representative This is a full time, 1.0 FTE position. This position is hybrid and ... Associate's Degree in Business, Finance, Health Information Management, or a related field ...
Authorization Representative
Middleton, WI · On-site
$20.69 - $28.01/hr
Authorization Representative This is a full time, 1.0 FTE position. This position is hybrid and ... Associate's Degree in Business, Finance, Health Information Management, or a related field ...
Authorization Representative
Middleton, WI · On-site
$20.69 - $28.01/hr
Associate's Degree in Business, Finance, Health Information Management, or a related field ... prior authorization Preferred * Knowledge of CPT and ICD coding highly desired Preferred
Authorization Representative
Middleton, WI · On-site
$20.69 - $28.01/hr
Associate's Degree in Business, Finance, Health Information Management, or a related field ... prior authorization Preferred * Knowledge of CPT and ICD coding highly desired Preferred
Authorization Representative
Middleton, WI · On-site
$41K - $56K/yr
Associate's Degree in Business, Finance, Health Information Management, or a related field ... prior authorization Preferred * Knowledge of CPT and ICD coding highly desired Preferred
New
Authorization Representative
Middleton, WI · On-site
$41K - $56K/yr
Associate's Degree in Business, Finance, Health Information Management, or a related field ... prior authorization Preferred * Knowledge of CPT and ICD coding highly desired Preferred
New
Authorization Representative
Middleton, WI · Hybrid
$41K - $56K/yr
Associate's Degree in Business, Finance, Health Information Management, or a related field ... prior authorization Preferred * Knowledge of CPT and ICD coding highly desired Preferred
Authorization Representative
Middleton, WI · Hybrid
$41K - $56K/yr
Associate's Degree in Business, Finance, Health Information Management, or a related field ... prior authorization Preferred * Knowledge of CPT and ICD coding highly desired Preferred
Serve You Rx offers clinical services and strategies designed to manage drug costs, ensure ... As the Clinical Prior Authorization Technician I , you will: * Enter new PA data into the PA system ...
Serve You Rx offers clinical services and strategies designed to manage drug costs, ensure ... As the Clinical Prior Authorization Technician I , you will: * Enter new PA data into the PA system ...
Night Security
Stevens Point, WI · On-site
$17.92/hr
Follows appropriate program procedures in the event a resident leaves or is absent from the facility without authorization. * Manages crisis situations and responds to the need for disciplinary ...
Night Security
Stevens Point, WI · On-site
$17.92/hr
Follows appropriate program procedures in the event a resident leaves or is absent from the facility without authorization. * Manages crisis situations and responds to the need for disciplinary ...
Access Authorization Specialist
Madison, WI · On-site
$20 - $22/hr
You will report directly to the Access Programs Manager. Key Responsibilities: * Follow the established Access Authorization security procedures in addition to any state or federal guidelines
Access Authorization Specialist
Madison, WI · On-site
$20 - $22/hr
You will report directly to the Access Programs Manager. Key Responsibilities: * Follow the established Access Authorization security procedures in addition to any state or federal guidelines
Authorizations Manager information
What is the difference between Authorizations Manager vs Insurance Coordinator?
| Aspect | Authorizations Manager | Insurance Coordinator |
|---|---|---|
| Credentials | Typically requires healthcare administration or related certifications | Often requires insurance or healthcare administration certifications |
| Work Environment | Manages authorization processes in healthcare settings, overseeing teams | Handles insurance documentation and patient authorizations at clinics or hospitals |
| Employer & Industry | Hospitals, healthcare providers, insurance companies | Medical offices, clinics, healthcare facilities |
| Search & Comparison | Often compared for roles managing healthcare authorizations and approvals | Compared for roles handling insurance paperwork and patient authorizations |
The main difference is that an Authorizations Manager oversees the entire authorization process, managing teams and policies, while an Insurance Coordinator handles the day-to-day insurance documentation and patient authorizations. Both roles require healthcare or insurance certifications and work within healthcare environments, but their responsibilities and scope differ.
What is an authorizations manager?
An Authorizations Manager is responsible for overseeing and managing the approval process for various transactions, services, or procedures within an organization, often in fields like healthcare, finance, or insurance. They ensure that requests meet policy guidelines, compliance standards, and organizational protocols before granting approval. The role involves coordinating with internal teams and external parties, reviewing documentation, and maintaining accurate records. Authorizations Managers play a key role in minimizing risk and ensuring efficient operations related to authorization processes.
What are the key skills and qualifications needed to thrive as an authorizations manager, and why are they important?
To thrive as an Authorizations Manager, you need expertise in regulatory compliance, insurance policies, and healthcare administration, typically supported by a bachelor's degree in business, healthcare, or a related field. Familiarity with prior authorization software, electronic health record (EHR) systems, and payer portals is essential. Strong organizational skills, attention to detail, and effective communication are vital soft skills for managing workflows and collaborating with teams. These competencies are crucial for ensuring timely and accurate authorization processes, reducing claim denials, and optimizing patient care and organizational efficiency.
How does an authorizations manager typically collaborate with other departments to ensure timely approvals?
An Authorizations Manager works closely with various departments such as compliance, operations, and customer service to coordinate and expedite approval processes. They often serve as a liaison, addressing documentation gaps and clarifying requirements to minimize delays. Regular meetings and clear communication channels are essential, as the manager must balance regulatory standards with operational efficiency. This collaborative approach helps prevent bottlenecks and ensures that authorization requests are processed accurately and on schedule.
What are popular job titles related to Authorizations Manager jobs in Wisconsin? For Authorizations Manager jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Authorizations Manager jobs in Wisconsin look for? The top searched job categories for Authorizations Manager jobs in Wisconsin are:
What cities in Wisconsin are hiring for Authorizations Manager jobs? Cities in Wisconsin with the most Authorizations Manager job openings:
$18 - $23.50/hr
Contractor
Re-posted 4 days ago
Job description
Job Description
Duration: 3 to 6 months
Medicaid/Medicare background preferred but not required.
Job Description
Nature of Work:
This position provides assistance to the Prior Authorization Department. This position reports to the Prior Authorization Manager.
Duties and Responsibilities:
- Duties listed below may vary in terms of importance and other duties may be added or eliminated as this position develops.
- Essential Duties and Responsibilities:
- Process and documents all incoming inpatient and outpatient prior authorization (PA) requests as outlined by Client policies and procedures.
- Contacts providers via phone or fax to request additional information or clarification as needed per established process.
- Communicates effectively with customers/providers (both internally and externally) regarding the status of PA requests.
- Enters PA requests into the prior authorization database , prepares documentation, and tasks to the appropriate staff member for clinical review.
- Completes special projects as requested.
Marginal Functions:
Required Qualifications:
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- A combination of education, training and experience which provides the necessary knowledge, skills, and abilities as listed below will be considered:
- Ability to communicate effectively both verbally and in writing.
- Knowledge of general business practices
- Detail oriented and organized work ethic.
- Ability to work independently as well as in a team environment.
- Ability to use a personal computer and Microsoft Office software applications, including Word and Excel.
- Knowledge of appropriate telephone etiquette and general business practices
Desirable Qualifications:
- Previous experience in a clinical environment.
- Previous experience working in managed health care setting or insurance environment.
- Knowledge of Medical Terminology.
- Knowledge of additional Microsoft Office software such as PowerPoint.
Physical Demands:
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- Must be able to communicate with members, providers, and staff in an effective manner via the telephone and in person.
- Must be able to communicate in writing and understand written materials of a complicated manner.
- Must be able to use a computer terminal to input and access information in a timely manner.
- Must be able to work in a fast-paced environment.
- More than 50% of the time, employee will be working at a desk, with a PC terminal.
Work Conditions/Environment:
Additional Information
All your information will be kept confidential according to EEO guidelines.
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996