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Manager Prior Authorization Jobs in Connecticut (NOW HIRING)

Projob LLC

Prior Authorization Specialist

Wallingford, CT · On-site

$18 - $24/hr

The specialist will be responsible for managing prior authorization requests, collaborating with healthcare team members, and ensuring compliance with insurance requirements. The ideal candidate will ...

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Manager Prior Authorization information

What is a manager prior authorization?

A Manager of Prior Authorization oversees the authorization process for medical treatments, ensuring that required approvals are obtained from insurance providers. They manage a team handling prior authorization requests, review policies to ensure compliance, and work to optimize efficiency in approval processes. This role involves collaboration with healthcare providers, insurance companies, and patients to minimize delays in care. Strong leadership, knowledge of insurance guidelines, and experience in healthcare administration are essential for success in this position.

What are the key skills and qualifications needed to thrive as a manager prior authorization?

To excel as a Manager Prior Authorization, you need expertise in healthcare administration, insurance processes, and prior authorization protocols, usually demonstrated by a bachelor's degree in healthcare or related fields and relevant experience. Familiarity with healthcare management software, electronic medical records (EMR), and insurance authorization systems is highly valuable, and certifications like Certified Prior Authorization Specialist (CPAS) can be advantageous. Outstanding leadership, attention to detail, and effective communication are pivotal for managing teams and streamlining workflows. These skills and qualities ensure compliance, reduce delays in patient care, and improve overall operational efficiency within healthcare organizations.

What are some common challenges a manager prior authorization might face, and how are they addressed?

A Manager Prior Authorization often encounters challenges such as managing high volumes of authorization requests, staying updated with changing insurance requirements, and ensuring quick turnaround times to avoid delays in patient care. Addressing these issues typically involves implementing efficient workflows, training staff on the latest policies, and leveraging technology to automate repetitive tasks. Collaboration with physicians, payers, and internal departments is also key to resolving complex authorization cases. Proactive communication and continuous process improvement help maintain compliance and streamline the overall prior authorization process.

Are Manager Prior Authorization jobs in high demand?

Manager Prior Authorization jobs are in steady demand within healthcare and insurance industries, as they are essential for processing and approving medical requests. These roles often require strong organizational skills, knowledge of healthcare policies, and familiarity with authorization software, making them valuable in organizations focused on efficient patient care and cost management.

Is manager prior authorization a stressful job?

Manager prior authorization roles can be stressful due to the need to review and approve healthcare requests efficiently while managing strict deadlines and compliance standards. The job often involves handling complex cases, coordinating with healthcare providers, and maintaining accuracy under pressure. Stress levels vary depending on workload, organizational support, and experience.

What career paths follow manager prior authorization?

A manager in prior authorization can advance to roles such as senior manager, director of utilization management, or healthcare operations manager. They may also transition into related fields like healthcare compliance, case management, or healthcare administration, often leveraging skills in policy, documentation, and team leadership.

What are the most commonly searched types of Prior Authorization jobs in Connecticut?

The most popular types of Prior Authorization jobs in Connecticut are:

What are popular job titles related to Manager Prior Authorization jobs in Connecticut?

For Manager Prior Authorization jobs in Connecticut, the most frequently searched job titles are:

What job categories do people searching Manager Prior Authorization jobs in Connecticut look for?

The top searched job categories for Manager Prior Authorization jobs in Connecticut are:

What cities in Connecticut are hiring for Manager Prior Authorization jobs?

Cities in Connecticut with the most Manager Prior Authorization job openings:

Manager Prior Authorization jobs near you
Infographic showing various Manager Prior Authorization job openings in Connecticut as of August 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 91% In-person, 3% Hybrid, and 6% Remote job distribution.

Prior Authorization Specialist

Wallingford, CT • On-site

Projob LLC
See more jobs at Projob LLCexternal

$18 - $24/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description


The Prior Authorization Specialist  plays a vital role in ensuring that patients receive the necessary pre-certifications and authorizations for procedures and medications. This full-time position is designed for individuals who are passionate about providing high-quality care in a fast-paced cardiology environment. The specialist will be responsible for managing prior authorization requests, collaborating with healthcare team members, and ensuring compliance with insurance requirements. The ideal candidate will have a minimum of 1-2 years of experience in cardiology prior authorization, excellent organizational and communication skills, and the ability to maintain patient confidentiality in accordance with HIPAA standards. In this position, the specialist will triage prior authorization requests based on urgency, ensuring that patients receive timely care. They will communicate with insurance carriers to verify eligibility and benefits, track and obtain The specialist will work closely with the healthcare team to schedule outpatient procedures and treatments, ensuring a seamless experience for patients. This position offers a unique opportunity to make a significant impact on patient care while working in a supportive and collaborative environment.

Responsibilities
· Obtain pre-certifications and pre-authorizations for procedures and medications,
· Contact insurance carriers to verify patient's insurance eligibility, benefits, and requirements.
· Review patient medical records to ensure eligibility based on payer and Cardiology Center guidelines.
· Request, track, and obtain pre-authorizations from insurance carriers within the allotted time.
· Prioritize incoming prior authorization requests according to need and urgency.
· Initiate and coordinate appeals for any denied prior authorizations.
· Communicate prior authorization status and updates directly to patients.
· Maintain a level of productivity suitable for the department.

Requirements:
· Knowledge of medical terminology including treatments and surgical procedures.
· Understanding of insurance and billing processes in healthcare.
· Ability to maintain confidentiality and comply with HIPAA regulations.
· Proficiency in Microsoft Office and EMR software.
· Excellent organizational skills and attention to detail.
· Strong communication skills and ability to work cooperatively with others.
· Minimum high school diploma or GED equivalent.
· Previous employment as a Prior Authorization Specialist.

#BBA
PandoLogic. Keywords: Medical Authorization Specialist, Location: Wallingford, CT - 06492 , PL: 603969254