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Prior Authorization Coordinator Jobs in Racine, WI

Actalent

RN Care Manager

Milwaukee, WI

... prior authorization, and care plan documentation. * Ensure accurate, timely documentation of assessments, care plans, member interactions, and service coordination activities. Essential Skills

Actalent

RN Care Manager

Milwaukee, WI · On-site

... prior authorization, and care plan documentation. * Ensure accurate, timely documentation of assessments, care plans, member interactions, and service coordination activities. Essential Skills

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Prior Authorization Coordinator information

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How much do prior authorization coordinator jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for prior authorization coordinator in Racine, WI is $19.99, according to ZipRecruiter salary data. Most workers in this role earn between $16.68 and $20.72 per hour, depending on experience, location, and employer.

What is a prior authorization coordinator?

Prior Authorization Coordinators are healthcare professionals responsible for managing and obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. Their main duties include reviewing patient information, communicating with healthcare providers and insurers, and ensuring all necessary documentation is submitted for timely authorization. They play a crucial role in reducing delays in care and helping patients navigate complex insurance requirements. Strong communication, attention to detail, and knowledge of insurance processes are essential skills for this role.

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

To thrive as a Prior Authorization Coordinator, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or a related certification. Familiarity with electronic health records (EHR), insurance portals, and prior authorization management systems is typically required. Attention to detail, organizational skills, and effective communication are essential soft skills for efficiently handling authorization requests and collaborating with providers and insurers. These skills ensure timely approvals, minimize claim denials, and support smooth patient access to prescribed care.

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

Prior Authorization Coordinators often encounter challenges such as navigating complex insurance requirements, keeping up with frequent policy changes, and managing high volumes of requests. To handle these effectively, coordinators need strong organizational skills, attention to detail, and the ability to communicate clearly with both healthcare providers and insurance representatives. Staying updated on payer guidelines and using electronic health record (EHR) systems efficiently can also streamline the process and reduce delays in patient care.

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

AspectPrior Authorization CoordinatorMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like CPC or CPC-HRequires coding certifications (CPC, CCS) and knowledge of billing procedures
Work EnvironmentHealthcare facilities, insurance companies, or billing companiesMedical offices, hospitals, or billing companies
Employer & Industry UsageUsed in healthcare settings to manage insurance approvalsUsed across healthcare to process and submit claims
Search & Comparison IntentPeople compare roles related to insurance approval processesPeople compare roles related to billing and claims processing

The Prior Authorization Coordinator focuses on obtaining insurance approvals before treatment, ensuring coverage compliance. In contrast, the Medical Billing Specialist handles submitting claims and processing payments after services are rendered. Both roles are essential in healthcare administration but differ in their primary functions and workflows.

Is prior authorization a stressful job?

Prior Authorization Coordinators often experience stress due to tight deadlines, the need for accuracy, and managing complex insurance requirements. The role requires attention to detail, communication skills, and familiarity with medical policies, which can contribute to job pressure but also offers a structured workflow to handle tasks efficiently.

What are the most commonly searched types of Prior Authorization jobs in Racine, WI?

The most popular types of Prior Authorization jobs in Racine, WI are:

What job categories do people searching Prior Authorization Coordinator jobs in Racine, WI look for?

The top searched job categories for Prior Authorization Coordinator jobs in Racine, WI are:

What cities near Racine, WI are hiring for Prior Authorization Coordinator jobs?

Cities near Racine, WI with the most Prior Authorization Coordinator job openings:

Prior Authorization Coordinator jobs near you
Infographic showing various Prior Authorization Coordinator job openings in Racine, WI as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $41,575 per year, or $20 per hour.

Patient Services Coordinator

PT Solutions Physical Therapy

Racine, WI

$18 - $21/hr

Full-time

PTO

Re-posted 6 hours ago

PT Solutions Physical Therapy rating

7.3

Company rating: 7.3 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

305th of 898 rated healthcare providers

Job description

Why Join PT Solutions?
At PT Solutions Physical Therapy, we’re more than just a private practice—we’re a clinician-founded, mission-driven community dedicated to expanding access to life-changing care. As a Patient Service Coordinator, you’ll be the vital link between patients, providers, and insurers—ensuring every step of the care journey is seamless, efficient, and supportive.

In this role, you’ll take ownership of key administrative and communication processes that keep our practice moving. From verifying insurance coverage and securing prior authorizations to coordinating physician referrals and optimizing schedules, you'll play a central part in helping patients access the care they need—quickly and confidently.

At PT Solutions, we invest in our team with ongoing training, mentorship, and clear paths for advancement. If you're passionate about helping others and ready to grow in a supportive, forward-thinking organization—this is your opportunity. Plus, we have been recognized as a USA Today Top Workplace five years in a row, including 2026!

What You Will Get 

In addition to the standard benefit offering, you can expect to receive: 

  • Competitive compensation with ability to earn performance-based incentives
  • Professional development through strategic internal platforms
  • Opportunity for career progression with a nationwide physical therapy practice
  • Paid Time Off (PTO) and either Sick Leave or Extended Illness Bank (EIB) accrual (dependent on state laws)
  • Reimbursement for endurance race entry fees

Your Responsibilities as a Patient Service Coordinator

  • Reconcile patient payments and units billed while following HIPAA guidelines
  • Follow appropriate processes for Insurance Verification and/or benefits management
  • Obtain authorization and/or prior authorization
  • Over the counter collections and reconciliation of all charges weekly and monthly
  • Maintain relationships with patients, providers, clinicians, and internal operational departments

Qualifications 

  • At minimum, a High School or GED diploma (Submission of diploma for the highest level of education obtained will be required).
  • 1-2 years of customer service experience (experience with healthcare preferred).

Schedule

  • Full Time, 40 hours/wk
  • Needs to be flexible to work an 8 hour shift between 6:45 AM and 7:15 PM

Compensation

Pay Range: $18-21/hr (Any posted pay range considers multiple compensations factors including background, experience, and work location while also allowing for salary growth within the position)


A Top Workplace

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training. 

PT Solutions has been named a 2026 USA Today Top Workplace for the fifth consecutive year, based entirely on employee feedback. We’ve also earned five Culture Excellence Awards for Innovation, Professional Development, Work-Life Flexibility, Appreciation, and Purpose & Values. This recognition reflects a culture built around supporting our people. It’s not just what we do, but how we make people feel. Through human connection, intentional care, and being all in for one another, we create experiences that make a difference. Because together, we do great better.

Let’s go further together and transform care.Join the #PTSLife today! To see what #PTSLife is like, visit Instagram, Facebook, and LinkedIn. 

We are an equal opportunity employer and welcome all qualified candidates to apply!

What PT Solutions Physical Therapy employees say

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