ZipRecruiter

Log In

1

Prior Authorization Coordinator Jobs in Racine, WI

Wellpoint Care Network

Intake Specialist

Milwaukee, WI · On-site

$17.50 - $23.50/hr

This position will also be responsible for prior authorization submission and follow-up on ... Client Service Coordination * Registers clients, supports completion of all necessary forms ...

Wellpoint Care Network

Intake Specialist

Milwaukee, WI · On-site

$17.50 - $23.50/hr

This position will also be responsible for prior authorization submission and follow-up on ... Client Service Coordination * Registers clients, supports completion of all necessary forms ...

UHS

ADMISSIONS RN- Per Diem

West Allis, WI · On-site

$70K - $96K/yr

Responsibilities Join a dynamic team of leading professionals dedicated to coordination of all ... The Intake/Admissions Clinician is responsible for the verification and prior authorization of ...

previous pagenext page

Showing results 21-40

All JobsPrior Authorization JobsPrior Authorization Coordinator JobsPrior Authorization Coordinator Jobs in Racine, WI

Prior Authorization Coordinator information

See Racine, WI salary details

$13

$19

$29

How much do prior authorization coordinator jobs pay per hour?

As of Aug 11, 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 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.

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 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 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 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.

Front Office Coordinator - Greenfield, WI

Athletico Physical Therapy

Milwaukee, WI • On-site

$16.25 - $21.25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Athletico Physical Therapy rating

6.7

Company rating: 6.7 out of 10

Based on 170 frontline employees who took The Breakroom Quiz

530th of 887 rated healthcare providers

Job description

Position Overview
About Us:
At Athletico, we believe in the power of support - because a little help can lead to extraordinary achievements. Physical therapy isn't just about recovery; it's about transformation. Our team thrives on providing life-changing care for our patients, and we know that achieving this begins with taking care of our own.
Our mission is simple yet powerful: Extraordinary people improving lives.
Position Summary:
The Patient Experience Coordinator (PEC) ensures accurate patient intake and financial clearance processes, delivering a seamless and exceptional front-office experience while maintaining compliance, safeguarding data integrity, and supporting revenue cycle performance. This role reports directly to the Clinic Manager and collaborates closely with clinical teams, while receiving functional and technical support from the Patient Experience Specialist (PES).
Benefits offered with this full-time position:
  • Medical & Rx, Dental and Vision (eligibility begins day one of employment)
  • HSA, Healthcare FSA, Dependent Care FSA
  • Progyny Fertility Benefit
  • Critical Illness, Accident, & Hospital Indemnity Insurance
  • Company Paid Basic Life / AD&D
  • Supplemental Life Insurance (Employee, Spouse, Child)
  • Company Paid Short-Term & Long-Term Disability
  • Long-Term Disability Buy-Up Option
  • Company Paid Maternity & Parental Leave
  • Adoption & Surrogacy Expense Reimbursement
  • KinderCare Discount
  • Legal & Credit Monitoring
  • 15 days PTO (accruing starts immediately upon hire)
  • 6 Major Holidays off plus 2 floating holidays yearly
  • Additional compensation opportunities on top of base pay
  • Bereavement Time Off & Resources
  • Commuter: Pre-Tax Transit & Parking
  • Retirement 401(k) (for 21+) w/ Per-Pay Company Match
  • SoFi Financial Wellness Tools & Loan Resources
  • HUSK Fitness Resources & Gym Discounts
  • Home, Auto, and Pet Insurance
  • Employee Assistance Program (EAP)
  • Employee Discount Program
  • Learn more by checking out our 2026 Athletico's Benefits Summary.
Essential Duties and Responsibilities:The below is not an exhaustive list of duties and you will be expected to perform different tasks as necessitated by your changing role within the organization and the overall business objectives of the organization.
  • Deliver an exceptional front-office experience by greeting patients warmly, resolving issues promptly, and ensuring positive interactions at every touchpoint.
  • Accurately complete patient intake and registration, including demographic verification, insurance eligibility, and authorization requirements, to maintain data integrity and compliance.
  • Educate patients on financial responsibilities, payment options, and digital tools (e.g., patient portal) to improve transparency and engagement.
  • Collect time-of-service payments and meet established collection targets to support revenue cycle performance.
  • Manage clinic scheduling workflows to optimize provider availability and patient access, ensuring alignment with organizational standards.
  • Monitor and achieve key performance indicators (KPIs) for registration accuracy, insurance verification turnaround, and patient satisfaction.
  • Collaborate with Patient Experience Specialists (PES), Billing, and Clinical Operations teams to resolve complex insurance or scheduling issues and escalate as needed.
  • Utilize EMR systems, dashboards, and reporting tools to track patient outcomes, identify discrepancies, and support continuous improvement initiatives.
  • Coordinate communication of patient progress notes and plans of care to referral sources in a timely and accurate manner.
  • Support clinic engagement by organizing patient milestone celebrations and community-building activities in partnership with the clinical team.
  • Participate in ongoing training and cross-training programs to maintain proficiency in front-office operations and contribute to team flexibility.
  • Organizes activities (e.g., patient's goal celebrations, holiday celebrations) in coordination with the clinical team.
  • Provide Rehab Aide cross training on front office duties.
Qualifications:
  • Education:
    • High School Diploma or GED
  • Knowledge and Technical Skills:
    • Excellent customer service skills
    • Proficient with the use of MS Office, Outlook and Excel
    • Knowledge of healthcare insurance benefits and coverage preferred
    • Experience with requesting and managing customer payments preferred
  • Work Experience
    • 1-2 years of customer service required
    • 1-2 years of healthcare administration preferred
Knowledge and Technical Skills:
  • Demonstrated ability to deliver exceptional customer service and resolve issues promptly in a high-volume, patient-facing environment
  • Proficiency in electronic medical record (EMR/EHR) systems and scheduling platforms; ability to navigate dashboards and reporting tools for data accuracy
  • Strong understanding of insurance verification processes, prior authorization requirements, and financial clearance workflows
  • Working knowledge of HIPAA compliance and patient privacy standards
  • Skilled in Microsoft Office Suite (Outlook, Excel, Word) and collaboration tools (Teams); ability to learn new technologies quickly
  • Excellent written and verbal communication skills, including the ability to explain financial responsibilities and digital tools to patients clearly
  • Strong organizational and time management skills with attention to detail and accuracy in data entry
  • Ability to meet or exceed performance metrics (e.g., registration accuracy, collection targets) and adapt to continuous process improvements
Language Skills:
  • Ability to read, write and speak English proficiently
Physical Demands:
  • Ability to fulfill office activities including but not limited to remain stationary for extended periods of time (i.e. while working at a desk), stoop/kneel/crouch, travel around the office, communicate with others (verbal and written), and use fine motor skills including fine hand manipulation and keyboarding.
  • Ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
Work Environment:
  • Consistent with a standard office environment, noise level is low with little to no extra ordinary environmental factors.

Athletico provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Salaried ranges listed are for full time (40 hour) employees. Additional pay such as incentive, GAP, overtime, and stipends are subject to the rules of each program and may not be available in all locations. Individual base pay depends on various factors, in addition to primary work location, such as complexity and responsibility of role, job duties/requirements, and relevant experience and skills. Base pay ranges are reviewed and typically updated each year. Offers are made within the base pay range applicable at the time.
Minimum Salary/Wage
USD$ 15.00 Hr.
Maximum Salary/Wage
USD$ 23.50 Hr.

What Athletico Physical Therapy employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply