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Prior Authorization Associate Jobs in Illinois (NOW HIRING)

AbbVie

Supervisor, Insurance Analyst

North Chicago, IL

$19.25 - $26.25/hr

... prior authorizations, appeals, and alternate coverage referrals. The supervisor ensures that all ... Bachelor's degree or Associate Degree in health sciences or business preferred. Comparable or ...

AbbVie

Supervisor, Insurance Analyst

North Chicago, IL · On-site

$65K/yr

... prior authorizations, appeals, and alternate coverage referrals. The supervisor ensures that all ... Bachelor's degree or Associate Degree in health sciences or business preferred. Comparable or ...

AbbVie

Supervisor, Insurance Analyst

North Chicago, IL · On-site

$19.25 - $26.25/hr

... prior authorizations, appeals, and alternate coverage referrals. The supervisor ensures that all ... Bachelor's degree or Associate Degree in health sciences or business preferred. Comparable or ...

Summit BHC

Intake Clinician Full-Time - Acute

Belvidere, IL

$58K - $80K/yr

Facilitates intake, admission, and prior authorization process for incoming patients. * Performs ... In some states, may also be a registered nurse, in which case, an associate's or bachelor's degree ...

Allina Health

$23.22 - $31.83/hr

Obtains prior authorization for high-tech imaging procedures by utilizing web based portals and ... Associate's or Vocational degree * Experience in health care setting * Experience with scheduling ...

New

Summit BHC

Intake Clinician-Nights

Champaign, IL · On-site

$28 - $34/hr

Facilitates intake, admission, and prior authorization process for incoming patients. * Performs ... In some states, may also be a registered nurse, in which case, an associate's or bachelor's degree ...

Summit BHC

Intake RN-PRN

Champaign, IL

$45 - $50/hr

Facilitates intake, admission, and prior authorization process for incoming patients. * Performs ... In some states, may also be a registered nurse, in which case, an associate's or bachelor's degree ...

AbbVie

Specialist, Access and Reimbursement

North Chicago, IL · On-site

$18.50 - $25.50/hr

Provide local expertise on plans and efficiently educate on all aspects of prior authorization ... Bachelor's degree or Associate Degree in health sciences or business preferred. Comparable or ...

Onco360

Supervisor - Pharmacy Adjudication

Woodridge, IL

$64.50 - $75.75/hr

... new associates. On an ongoing basis, evaluates, coaches, and utilizes performance management ... Document all prior authorization information in patient profile. * Works with Pharmacy Technician ...

Onco360

Supervisor - Pharmacy Adjudication

Woodridge, IL · On-site

$64.50 - $75.75/hr

... new associates. On an ongoing basis, evaluates, coaches, and utilizes performance management ... Document all prior authorization information in patient profile. * Works with Pharmacy Technician ...

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Prior Authorization Associate information

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

AspectPrior Authorization AssociateMedical Billing Specialist
CredentialsHigh school diploma or equivalent; certification in medical billing or coding often preferredHigh school diploma or equivalent; certification in medical billing or coding often preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsHealthcare offices, billing companies, hospitals
Primary ResponsibilitiesObtain prior authorizations from insurance for procedures and treatmentsProcess and submit medical claims, handle billing and payments

The main difference is that a Prior Authorization Associate focuses on securing insurance approvals before procedures, while a Medical Billing Specialist manages the billing process after services are rendered. Both roles require similar credentials and often work in healthcare settings, but their core functions differ in the patient care and revenue cycle process.

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

To thrive as a Prior Authorization Associate, you need a strong understanding of medical terminology, insurance processes, and prior authorization requirements, often backed by a high school diploma or associate degree. Familiarity with healthcare management software, electronic health record (EHR) systems, and payer portals is typically required. Excellent attention to detail, organizational skills, and effective communication are essential soft skills for this role. These skills ensure timely and accurate processing of prior authorizations, minimizing delays in patient care and supporting efficient healthcare operations.

What is a prior authorization associate?

Prior Authorization Associates are professionals who handle the process of obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. They review clinical documentation, communicate with healthcare providers and insurers, and ensure all necessary information is submitted for timely authorization. Their work helps reduce claim denials and ensures patients receive the care they need while adhering to insurance requirements.

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

Prior Authorization Associates often encounter challenges such as navigating complex insurance requirements, handling high volumes of authorization requests, and managing tight turnaround times. Staying organized, keeping up-to-date with payer policies, and using robust tracking systems can help manage these difficulties. Collaborating closely with clinical staff and insurance representatives is also essential for resolving issues quickly and ensuring approvals are processed efficiently. Developing strong communication and problem-solving skills is key to success in this role.
What are the most commonly searched types of Prior Authorization jobs in Illinois? The most popular types of Prior Authorization jobs in Illinois are:
What are popular job titles related to Prior Authorization Associate jobs in Illinois? For Prior Authorization Associate jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Associate jobs in Illinois look for? The top searched job categories for Prior Authorization Associate jobs in Illinois are:
Prior Authorization Associate jobs near you
Infographic showing various Prior Authorization Associate job openings in Illinois as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Ambulatory Medication Access Coordinator (Specialty Pharmacy), Full-Time, Days

The University of Chicago Medicine

Chicago, IL • On-site

$19.25 - $25.25/hr

Full-time

Re-posted 1 hour ago

University Of Chicago Medicine rating

7.4

Company rating: 7.4 out of 10

Based on 61 frontline employees who took The Breakroom Quiz

265th of 887 rated healthcare providers

Job description


Be a part of a world-class academic healthcare system at UChicago Medicine as an Ambulatory Medication Access Coordinator in the Specialty Pharmacy. In this role you will be responsible for handling inbound and outbound phone calls, conducting and completing necessary third party (insurance) prior authorization requests and associated services related to high-cost medications, maximizing efficiency for patients and clinic staff.
Eligible for a Sign-On Bonus up to $3,000
In this role, the Ambulatory Medication Access Coordinator, or AMAC, performs necessary functions to ensure optimal reimbursement for high cost, take home medications for patients receiving care in UCMC Ambulatory Clinics. Other areas of responsibility include handling inbound and outbound phone calls, pre-screening patients for viable payment sources, managing reimbursement issues associated with high-cost, take-home medications, identifying opportunities for improving reimbursement from payers, and completing necessary paperwork for prior authorizations.
Essential Job Functions
  • Improve patient service experience and maximize UCMC pharmacy revenue through provision of prior authorization services on behalf of clinics for select high-cost medications.
  • Conduct patient insurance, benefits and financial investigation and verification by directly communicating with patients. Complete prior authorization forms, negotiate authorization status with insurers, track status of prescription approval and when necessary, alert clinical pharmacists of denials or nonresponse.
  • Facilitate enrollment of patients in patient assistance programs and collaborate with social services and case management on patient assistance.
  • Enter patient information on tracking forms and in computer software.
  • Expedite clinic workflow and enhance patient care by preventing therapy interruptions due to insurance issues in conjunction with pharmacists, physicians, and clinic staff.
  • Provide exemplary customer service to outpatients across UCMC, including handling inbound and outbound phone calls.
  • Observe and understand prescribing trends within UCMC Ambulatory Clinics to identify areas for improved specialty pharmacy contracting.
  • Assist with development and implementation of policies and procedures to ensure reimbursement of high-cost medications.
  • Performs other duties as requested by leadership.

Required Qualifications
  • Associate's or Bachelor's degree
  • Current or Eligibility for Illinois Pharmacy Technician licensure
  • 3 to 5 years of pharmacy technician experience in a retail pharmacy (exceptional aptitude or knowledge may be considered in lieu of experience.)
  • Knowledge of and ability to use computers and a variety of computer programs including word processing, database management and spreadsheets
  • Strong oral and written communications skills
  • Ability to effectively manage conflicts and resolve problems
  • Effective interpersonal skills, including the ability to effect collaborative alliances, promote teamwork and ensure a high degree of internal and external customer satisfaction
  • Ability to function effectively in a fast-paced and changing environment with multiple priorities
  • Knowledge of and ability to perform insurance carrier/managed care review

Preferred Qualifications
  • Knowledge of medication reimbursement preferred
  • Knowledge of healthcare/prescription insurance billing, prior authorization, coding preferred

Position Details
  • Job Type/FTE: Full-Time (1.0 FTE)
  • Shift: Days
  • Work Location: Hyde Park
  • Unit/Department: Specialty Pharmacy
  • CBA Code: Non-Union

In this role, we anticipate that you will be scheduled to work 8-hour shifts, day shift approximately between the hours of 7am-5:30pm and will not be scheduled for on-call shifts. We anticipate you will be scheduled to work a remote-hybrid schedule, working onsite 1 week every 3-5 weeks. The days of the week that you are scheduled will be Monday-Friday, and no weekends. This is subject to change.
About Us
We've been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment... with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we're doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.

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