Prior Authorization Coordinator Job at Robert Half (Minneapolis)

Prior Authorization Coordinator

We are looking for a Prior Authorization Coordinator to support authorization an...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience in administrative support, care coordination, or insurance authorization within a healthcare setting
Working knowledge of prior authorization processes and payer communication practices
Ability to manage inbound calls, scheduling needs, and follow-up tasks with professionalism and accuracy
Familiarity with home health or related healthcare services is preferred
Strong organizational skills with the ability to handle multiple priorities and meet deadlines
Clear written and verbal communication skills when working with patients, payers, and internal teams
Proficiency with standard office systems and electronic record or scheduling tools

Job Responsibility

Coordinate prior authorization requests by gathering required documentation, submitting information to payers, and tracking approvals to support timely care delivery
Respond to inbound calls professionally, address routine questions, and route more complex concerns to the appropriate team members
Provide administrative support through data entry, record updates, document management, and follow-up communication with stakeholders
Work closely with clinical and operational teams to confirm authorization status and prevent delays in service
Maintain organized records of authorization activity, scheduling changes, and payer communications for reference and compliance
Assist with workflow updates or process-related coordination as needed to support department operations

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Prior Authorization Coordinator

We are looking for a dedicated Prior Authorization Coordinator to join our team ...

Location

United States , St. Louis Park

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical billing and prior authorizations within a healthcare setting
Strong understanding of insurance verification processes and claims management
Familiarity with Epic EMR system for documentation and tracking purposes
Excellent organizational skills and attention to detail in handling patient accounts
Ability to communicate professionally with patients, providers, and insurance representatives
Knowledge of healthcare regulations and compliance standards
Problem-solving skills to address billing and authorization challenges
Ability to work independently and collaboratively in a fast-paced environment

Job Responsibility

Process and manage prior authorization requests with accuracy and efficiency
Verify insurance coverage and eligibility to ensure proper billing procedures
Handle medical claims submissions and follow up on outstanding claims
Collaborate with healthcare providers to resolve patient account inquiries
Utilize Epic EMR to document and track patient information and authorization statuses
Investigate and resolve issues related to medical collections and billing discrepancies
Maintain compliance with healthcare regulations and insurance policies
Communicate effectively with patients regarding their account status and authorization requirements
Work closely with insurance companies to expedite approvals and resolve any delays
Provide support in analyzing patient account data to identify trends and areas for improvement

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Prior-Authorization Coordinator

Location

United States , Englishtown

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Knowledge of medical terminology and insurance requirements

Job Responsibility

Obtain prior authorizations for procedures, medications, and diagnostic services
Verify patient insurance coverage, benefits, and eligibility
Communicate with insurance companies to submit and follow up on authorization requests
Review clinical documentation for completeness and accuracy prior to submission
Track authorization status and ensure approvals are received prior to scheduled services

What we offer

paid time off
medical health insurance
dental
vision
life insurance
401(k) plan

Prior-Authorization Coordinator

Location

United States , Englishtown

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Knowledge of medical terminology and insurance requirements.

Job Responsibility

Obtain prior authorizations for procedures, medications, and diagnostic services
Verify patient insurance coverage, benefits, and eligibility
Communicate with insurance companies to submit and follow up on authorization requests
Review clinical documentation for completeness and accuracy prior to submission
Track authorization status and ensure approvals are received prior to scheduled services.

What we offer

paid time off
medical health insurance
dental
vision
life insurance

Medicaid Prior Authorization Coordinator

This is a contract opportunity in the healthcare industry, where you will play a...

Location

United States , Hopkins, MN

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor’s degree in a related field preferred
Experience working with Medicaid billing processes
Strong technical skills, including proficiency with computers and Microsoft Excel
familiarity with Eldermark and PointClickCare is an asset
Understanding of insurance claims and billing practices
Exceptional attention to detail and commitment to maintaining high accuracy
Capable of working independently as well as collaboratively within a team

Job Responsibility

Organize and maintain documentation and digital records for Medicaid service authorizations and billing rates
Make real-time updates to the billing system when resident information, authorization details, or fee structures change
Monitor expiring authorizations and initiate the renewal process to guarantee uninterrupted claims processing and reimbursement
Track and record relevant Medicaid data, including resident rosters, authorization periods, billable services, and financial obligations
Enter and reconcile incoming Medicaid payments within the billing platform
Prepare and process patient billing statements for required contributions under Medicaid guidelines
Communicate with Medicaid provider representatives to resolve billing issues, clarify authorization requirements, and obtain necessary documentation

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Insurance Authorization Coordinator

We are looking for a highly organized Insurance Authorization Coordinator to sup...

Location

United States , San Bernardino

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience handling retro-authorization or insurance authorization work, ideally within a hospital or acute care setting
Strong working knowledge of Treatment Authorization Request procedures and related payer documentation standards
Ability to manage multiple cases at once while maintaining close attention to deadlines and detail
Effective written and verbal communication skills for interacting with insurance payers and cross-functional hospital teams
Experience reviewing medical or billing documentation to support authorization submissions and follow-up activity
Proficiency with administrative tasks such as record maintenance, document scanning, and case tracking in healthcare systems
Must have TAR experience

Job Responsibility

Prepare and submit retroactive authorization requests for hospital services, ensuring each case includes complete and accurate supporting information
Monitor open, pending, and denied authorization cases, and take timely action to follow up with payers and internal stakeholders
Partner with care teams and administrative staff to gather clinical records and other required documents needed for review
Communicate with insurance representatives by phone and in writing to clarify case details, address discrepancies, and obtain determinations
Maintain organized and up-to-date authorization records within hospital systems, including scanned documents and status updates
Review requests against hospital guidelines and applicable regulatory standards to support compliant processing practices
Track payer responses and escalate urgent or complex cases when additional review is needed to avoid delays in approval
Keep current with changes in authorization procedures, including Treatment Authorization Request processes and payer-specific requirements

What we offer

Medical
vision
dental
life and disability insurance
401(k) plan

Insurance Authorization Coordinator

Our client is seeking an Insurance Authorization Coordinator to support a busy s...

Location

United States , North Little Rock

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience with prior authorizations, precertifications, and insurance verification in a healthcare setting
Working knowledge of medical insurance processes, including claims, denials, and billing support
Ability to manage payer communication and documentation for procedure- or treatment-related services
Strong organizational skills with a high level of accuracy and attention to detail
Comfortable in a patient-facing administrative role within a fast-paced medical office
Strong communication skills and the ability to work effectively with patients, providers, insurance representatives, and office staff
Experience supporting specialty practice or procedure-based scheduling workflows is preferred

Job Responsibility

Obtain and track prior authorizations and precertifications for scheduled procedures and services
Verify insurance eligibility, benefits, and coverage details prior to appointments or procedures
Coordinate with internal staff to support scheduling activities and related insurance approval processes
Review payer responses, claim issues, or denials to identify items needing follow-up or additional documentation
Maintain accurate records of authorization status, payer communication, and patient account updates in office systems
Support patient check-in and check-out processes, including confirming registration and insurance information
Provide general administrative support to help maintain efficient daily office operations

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) plan
Free online training

Fulltime

Insurance Authorization Coordinator

We are looking for a detail-oriented and organized Insurance Authorization Coord...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1–3 years of experience in prior authorization, medical billing, insurance verification, or similar healthcare roles
Comprehensive knowledge of commercial insurance, Medicaid, Medicare, and payer-specific processes
Proficiency in healthcare systems such as Epic, Cerner, or Athena, along with experience using payer portals
Strong communication skills and exceptional customer service abilities
High level of attention to detail and excellent organizational skills
Ability to analyze clinical documentation and understand medical terminology
Experience with high-volume data entry and administrative tasks
Familiarity with insurance verification processes and scheduling operations

Job Responsibility

Review provider orders, clinical records, and insurance guidelines to assess prior authorization requirements
Monitor pending authorizations and follow up to secure timely approvals
Communicate effectively with providers, clinical staff, patients, and insurance representatives to provide updates or request additional documentation
Accurately record all actions, communication, and outcomes related to authorizations within internal systems
Confirm patient insurance coverage and validate benefit eligibility
Identify and report authorization issues or payer-specific trends to management
Assist with appeals and reconsideration processes for denied authorizations
Stay informed about payer regulations, medical necessity standards, and insurance protocols
Collaborate with billing and revenue cycle teams to ensure accurate authorization data is included with claims

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

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Prior Authorization Coordinator

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