Prior Authorization Coordinator Job at Robert Half (St. Louis Park)

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

The Prior Authorization Coordinator plays a critical role in ensuring timely acc...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
Associate’s or Bachelor’s degree preferred
Previous experience in a healthcare administration, medical billing, or insurance authorization role
Knowledge of medical terminology, ICD and CPT coding, and health insurance procedures
Excellent organizational and time management skills
Strong verbal and written communication skills
Proficient with electronic health records (EHR) and authorization portals

Job Responsibility

Review and process prior authorization requests for medical services, procedures, and medications
Gather and compile relevant documentation from medical records to support authorization requests
Submit authorization requests to insurance companies and follow up on pending approvals
Communicate authorization status updates to providers and patients and escalate urgent cases as needed
Respond to payer inquiries, request additional information, and manage appeals for denied claims
Maintain accurate records of submitted requests, outcomes, and correspondence
Collaborate with medical and administrative teams to resolve issues and maintain workflow efficiency

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

Medical Services Coordinator – Prior Authorizations

The Medical Services Coordinator serves as a key support resource for psychiatri...

Location

United States , Edmond

Salary:

21.00 USD / Hour

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience with medical prior authorizations strongly preferred
Experience in healthcare, behavioral health, medical office, or insurance coordination preferred
Strong attention to detail and ability to manage multiple authorization requests simultaneously
Comfortable communicating with insurance carriers and clinical staff
Proficient in Microsoft Office and EMR systems
Strong written and verbal communication skills
Ability to work independently in a structured, fast-paced environment

Job Responsibility

Initiate, submit, and track prior authorization requests for medications, psychiatric services, and related treatments
Communicate directly with insurance companies to obtain approvals, resolve denials, and follow up on pending requests
Ensure all required clinical documentation is complete, accurate, and submitted within required timeframes
Collaborate with psychiatric clinicians to obtain supporting medical necessity documentation
Monitor authorization status and proactively address delays to prevent interruptions in patient care
Maintain accurate documentation of all authorization activity within the Electronic Medical Record (EMR) system
Track approvals, expirations, and reauthorization requirements
Assist with appeals processes for denied prior authorizations
Provide administrative support to clinicians, including faxing, scanning, and documentation assistance
Coordinate with pharmacies regarding medication access issues

What we offer

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

Fulltime

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

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Prior Authorization Coordinator

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