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

Patient Care Coordinator

Responsible for the coordination of appointments and support services for depart...

Location

United States , Albuquerque

Salary:

16.99 - 24.79 USD / Hour

UNM Hospitals

Expiration Date

Until further notice

Requirements

High School or GED Equivalent
2 years directly related experience

Job Responsibility

Responsible for the coordination of appointments and support services for departments/physicians
Interface with insurance companies and other payors on prior authorization and referral requests
Abstract charts and assign CPT, ICD and HCPCS codes for purposes of obtaining prior authorization
Assist billing personnel with preparation of denials and submitting appeals for payment
Assist in resolving patient problems, concerns and complaints
Serve as patient advocate and liaison, interface with patients, families, staff and department/physicians
Serve as a role model to promote organizational values, a positive work environment and efficient, quality patient care
Ensure adherence to Hospitals and department policies and procedures
Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups

Fulltime

Rn-prior authorization/referral procedure and insurance coordinator

RN, Prior Authorization/Referral/Procedure and Insurance Coordinator functions a...

Location

United States , Des Moines

Salary:

Not provided

IntelyCare

Expiration Date

Until further notice

Requirements

Graduate of an accredited school of nursing or IA Board of Nursing approved nursing program
Current licensure in good standing to practice as a Registered Nurse in Iowa
Valid driver's license
Basic Life Support (BLS) ceritification or obtain certification within three months from date of hire
Mandatory Report Certification
Two (2) years of RN experience

Job Responsibility

Coordinates and develops ongoing patient care, including appointments, communication, and instruction
Function as a clinician, educator and resource for patients within their specialty of care
Assist provider and clinical staff with patient prep for examinations, treatments, and minor clinic procedures
Delivers high quality care utilizing the nursing process while demonstrating knowledge and clinical skills in accordance with established policies, procedures, and standards of care throughout the clinic and across the health care continuum
Maintain flexibility by demonstrating an ability and willingness to perform a variety of duties and accept changes or additions to assignments
Thoroughly understand testing (lab and procedures) values and relationship to patient status with accountability to take next steps, as appropriate to scope and licensure
Utilize critical thinking in making independent judgements and maintains responsibility and accountability for the knowledge of conditions of assigned patients
Builds and maintains positive working relationships with patients, physicians, and all others
Perform other duties as requested by Manager of Oncology Services to facilitate the smooth and effective operations of the hosp/clinics
Maintains knowledge of clinical protocols to facilitate timely and complete work up of patients

What we offer

paid time off
parental leave
401K matching
employee recognition program
Dental and health insurance
paid holidays
short and long-term disability
pet insurance
Early access to earned wages with Daily Pay
tuition reimbursement

Fulltime

Medical Appeals/Grievance Specialist II - Registered Nurse

Responsible for utilizing clinical acumen and managed care expertise related to ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

1 year experience in clinical and health insurance or other healthcare related field
3 years experience in clinical and health insurance or other healthcare related field AND 1 year Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
5 years experience in clinical and health insurance or other healthcare related field AND 2 years Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
8 years experience in clinical and health insurance or other healthcare related field AND 3 years above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Associate’s Degree in a healthcare field of study or Nursing Diploma
Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) or a compact state as a Registered Nurse (RN), a Physical Therapist (PT) or a Licensed Master Social Worker LMSW.
Intermediate PC proficiency
Intermediate skill using office equipment, including copiers, fax machines, scanner and telephones
Maintain confidentiality and privacy
Advanced clinical knowledge

Job Responsibility

Perform in-depth analysis, clinical review and resolution of provider appeals/inquiries, corrected claims and subscriber reconsiderations, member appeals, corrected claims and provider grievances for all lines of business
Identify, research, process, resolve and respond to customer inquiries primarily through written / verbal communication.
Respond to a diverse and high volume of health insurance appeal related correspondence on a daily basis.
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of appeal, grievance and reconsideration requests.
Maintain complete and accurate records per department policy.
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations.
Demonstrate ability to apply plan policies and procedures effectively.
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
Attend staff and interdepartmental meetings.
Participate in continuing education and current developments in the fields of medicine and managed care.

Fulltime

Insurance Authorization Coordinator

We are looking for an Insurance Authorization Coordinator to join our team on a ...

Location

United States , Reno

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 1 year of experience in insurance verification or prior authorizations within a healthcare setting
Proficiency in handling administrative tasks such as scheduling and documentation
Strong communication skills for managing inbound calls and patient inquiries
Familiarity with medical insurance policies and verification processes
Ability to manage multiple tasks and prioritize work effectively
Detail-oriented approach to ensure accuracy in authorization and scheduling processes
Knowledge of healthcare regulations and compliance standards
Proficiency in using relevant software for administrative and verification tasks

Job Responsibility

Process and obtain prior authorizations for medical services and medical devices
Verify patient insurance coverage and eligibility for prescribed treatments and equipment
Respond to inbound calls promptly, providing clear and thorough assistance to patients and providers
Schedule appointments and services in coordination with patients, ensuring accuracy and timeliness
Maintain detailed and accurate records of authorization requests and approvals
Collaborate with healthcare providers and insurance representatives to address any issues or delays in the authorization process
Ensure compliance with relevant healthcare regulations and insurance policies
Communicate effectively with patients to explain the authorization process and address their concerns
Support administrative tasks to streamline operations and improve efficiency

What we offer

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

Medical Administrative Assistant

Our client is seeking a detail-oriented Medical Administrative Assistant with pr...

Location

United States , North Little Rock

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Previous experience in a medical administrative role, ideally supporting a surgical or specialty clinic
Demonstrated expertise in prior authorizations and pre-certifications for surgical procedures
Hands-on experience with insurance verification and benefits coordination
Strong scheduling, time management, and multitasking skills
Proficiency with medical practice management software and electronic health records (EHR)
Excellent communication, customer service, and organizational abilities
Familiarity with HIPAA compliance and patient confidentiality standards

Job Responsibility

Process and manage prior authorizations and pre-certifications for surgeries
Verify patient insurance coverage, benefits, and coordinate with payers to assure approvals for scheduled treatments
Schedule patient appointments, surgeries, and follow-ups, ensuring efficient workflow and accurate calendar management
Communicate effectively with patients, insurance companies, medical providers, and other clinic staff
Maintain detailed and accurate patient records in compliance with HIPAA and clinic policies
Prepare and submit documentation required for insurance claims and authorizations
Provide general administrative support including phone coverage, patient check-in/check-out, filing, faxing, and office correspondence
Assist with billing inquiries and act as a liaison between patients and the billing department to resolve issues promptly
Support neurosurgeons and clinical staff with logistics and necessary paperwork for pre- and post-surgical processes

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
Enrollment in company 401(k) plan

Fulltime

Manager / Senior Manager - Real Estate & Infrastructure

We are looking for a proactive and detail-oriented Real Estate & Project Operati...

Location

India

Salary:

Not provided

Emeritus

Expiration Date

Until further notice

Requirements

6 - 8 years of experience in real estate operations, project coordination, facilities, or infrastructure roles
Experience with commercial / institutional real estate or large office environments
Prior exposure to working with landlords, architects, PMCs, and local authorities is essential
Understanding of real estate administration, project workflows, and documentation
Working knowledge of municipal processes and authority coordination
Project management mindset with strong follow-through and attention to detail
Comfortable managing multiple stakeholders and parallel workstreams
Tech-comfortable: trackers, documentation systems, basic project tools and structured reporting
Highly organised, proactive, and dependable
Able to work independently in a fast-paced, evolving environment

Job Responsibility

Regulatory & Statutory Coordination: Support BMC and other local authority applications, approvals, renewals, and inspections
Coordinate with architects, consultants, and PMCs on statutory submissions and compliance documentation
Track approval timelines, follow up with authorities, and maintain records of statutory clearances and NOCs
Lease & Landlord Administration: Day-to-day coordination with landlords and property management teams
Support Leave & License Agreements (LLAs), amendments, renewals, and related documentation
Manage rent invoices, escalations, reconciliations, and coordination with finance for timely payments
Maintain lease trackers, compliance calendars, and documentation repositories
Project & Stakeholder Coordination: Act as a coordination bridge between architects, PMCs, universities, landlords, and internal stakeholders
Support project documentation, approvals, and information flow across multiple sites
Track action items, dependencies, and milestones to ensure smooth progress

Fulltime

Care Coordinator

Our client is seeking a detail-oriented, service-driven Care Coordinator to supp...

Location

United States , Spring, TX

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in DME, medical billing, utilization management, or care coordination preferred
Familiarity with Medicaid processes and insurance authorization workflows
Brightree software experience is a plus
Strong attention to detail and documentation accuracy
Excellent verbal and written communication skills
Comfortable handling frequent and sometimes emotionally intense phone conversations
Ability to manage multiple priorities in a fast-paced healthcare environment

Job Responsibility

Coordinate care services for pediatric patients and foster families
Communicate regularly with patient families, physicians, and community partners
Submit patient requests to physicians and follow up on required documentation
Secure eligibility information and request prior authorizations from insurance providers
Support medical billing and coding activities as needed
Maintain strict compliance with Medicaid and HIPAA regulations
Collaborate with referring agencies and healthcare providers
Coordinate durable medical equipment (DME) services
Deliver timely, accurate service while maintaining professionalism in high-stress situations

What we offer

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

Lead Receptionist

The Lead Receptionist serves as the operational lead of the front desk, balancin...

Location

United States , Brooklyn

Salary:

30.00 - 36.00 USD / Hour

Premium Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
3 – 5 years professional experience preferred
1 year experience in managerial/supervisory role preferred
Highly organized with a strong ability to manage people, time, and competing priorities
Ability to exercise sound judgement and discretion when analyzing and interpreting situations when problems arise, utilizing knowledge and skills, general precedents and practices.
Strong customer service skills
Excellent communication skills (verbal and written), communicating with diverse populations, including physicians, employees, patients, and families
Listening skills, empathy, and compassion
Effective collaborator and works well with others
Demonstrated ability to exhibit a calm, friendly, and professional demeanor, even in high-pressure, fast-paced situations.

Job Responsibility

Greet patients warmly and create a welcoming, professional environment that ensures an exceptional patient experience.
Coordinate patient flow to minimize wait times and optimize daily schedules.
Provide daily oversight of front desk operations, including scheduling, appointment confirmations, and handling patient inquiries.
Monitor front desk workflows and communication channels, including Teams chats, fax queues, email inboxes, and daily operational reports.
Conduct daily provider check-ins to address scheduling needs, patient flow concerns, and operational issues.
Adjust schedules as needed to support daily operations and communicate changes clearly with Front Desk (FD) and Call Center (CC) teams.
Step in as a Medical Receptionist in any department as needed to ensure uninterrupted operations.
Ensure compliance with practice policies, procedures, and HIPAA regulations.
Manage the day-to-day activities of the reception area, ensuring seamless workflow and operational efficiency.
Serve as the first-line escalation point for front desk staff, providers, and patients.

What we offer

Paid Time Off
Medical, Dental, Vision and Life coverage

Fulltime

Prior Authorization Coordinator

Robert Half

Location:
United States , St. Louis Park

Category:
-

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 08, 2026

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