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Prior Authorization Coordinator Jobs in Racine, WI

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 ...

UHS

ADMISSIONS RN - day shift

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 ...

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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.

Medical Services Coordinator

LifeStance Health

Brookfield, WI • On-site

$19.25 - $20.25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Lifestance Health rating

6.7

Company rating: 6.7 out of 10

Based on 86 frontline employees who took The Breakroom Quiz

534th of 898 rated healthcare providers

Job description

At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in mental healthcare.
Thank you for taking the time to explore a career with us. As the fastest growing mental health practice group in the country, now is the perfect time to join our team!
LifeStance Health Values

  • Belonging: We cultivate a space where everyone can show up as their authentic self.
  • Empathy: We seek out diverse perspectives and listen to learn without judgment.
  • Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.
  • One Team: We realize our full potential when we work together towards our shared purpose.
Job Summary:
The Medical Services Coordinator is responsible for serving as a point of contact to coordinate medical care, providing support to patients and psychiatric clinicians, ensuring quality customer service to in-person and remote patients and clinicians.
COMPENSATION: $19.25 - $20.25/hour
LOCATION: 16535 W Bluemound Rd #200, Brookfield, WI 53005
Duties/Responsibilities:
Operational Excellence:
  • Create a positive work environment; be a culture carrier and support in-office clinician and staff engagement activities to promote LFST culture, engagement, and connection.
  • Provide strong customer service, responding quickly and appropriately to patient needs, and being prepared to manage potentially difficult or emotional situation.
  • Communicate with peers, clinicians, and patients in ways that support patient care and clinician satisfaction.
Patient Support:
  • Assist psychiatric clinicians with necessary aspects of patient care including prior authorizations, lab orders, letters for patients, records requests, coordination of needed patient forms/paperwork (i.e. FLMA)
  • Facilitate communication as needed between the patient, medical staff and the patient's pharmacy
  • Manage phone systems: Answer incoming calls to medical services line and provide patient support with medication related questions, refill requests, release requests, appointment reschedules, miscellaneous inquires, etc.
  • Ensure accuracy of patient pharmacy information in the medical record
  • Scan all hard copy correspondence into patient's EHR record
  • Assist patients with telehealth access, Patient Portal issues, and other troubleshooting as needed.
  • Immediately handle any urgent requests; triage patient issues and resolution, i.e., direct to correct departments or escalate for assistance.
  • Assist in coordination of external referrals for patient care
Clinician Support
  • Provide general clinician support - assist clinicians with administrative questions and/or duties such as sending letters, faxes, etc.
  • Coordinate with clinicians pertaining to any additional patient questions.
  • Aid psychiatric clinicians in termination process for patients as needed (i.e. termination letter, external referral, AMD status, etc.)
Required Skills/Abilities:
  • Ability to multitask and prioritize duties to support delivery of high-quality patient experience.
  • Ability to work independently and as a team member.
  • Strong communication skills, both written and verbal.
  • Proficient in using Computer Software Applications (Microsoft Office & EMRs)
  • Comfortable handling sensitive and confidential Information (HIPAA)
Education and Experience:
  • High School or equivalent required, associates/bachelor's degree preferred.
  • 1+ years of experience in healthcare operations, customer service, or similar role or setting preferred.

LifeStance is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees. Learn more about Diversity, Equity and Inclusion at LifeStance.
Benefits
As a full-time employee of LifeStance Health, the following benefits are offered: medical, dental, vision, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program.

What Lifestance Health employees say

Pay

Benefits

Hours and flexibility

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Get the full story on Breakroom

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About LifeStance Health

Sourced by ZipRecruiter

Since LifeStance Health was founded in 2017, we have grown to over 5,000 clinicians and team members serving patients in more than 500 locations. We acquire clinical practices and open new locations across the country, with thousands of new clinicians joining our mission every year. We are reimagining mental health.

Industry

Hospitals and offices of mental health practitioners

Company size

1,001 - 5,000 Employees

Headquarters location

Scottsdale, AZ, US

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