Top 29 Prior authorization specialist Jobs in Deerfield, Il

Insurance and Prior Authorization Manager
USA Clinics Group —Northbrook, IL
- $70,000 - $85,000 a year
- Full-time
- Computer literacy
- Mid-level
- High school diploma or GED
- 401(k)
- Paid time off
Quick Apply
11d
Insurance Verification Specialist
Walgreens —Deerfield, IL
- $16.50 - $22.00 an hour
- Computer literacy
- Mid-level
- Windows
2d
Specialist, Access and Reimbursement
AbbVie —North Chicago, IL
- $65,500 - $125,500 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Continuous improvement
- Paid holidays
- Health insurance
Insurance Verification Specialist
USA Clinics Group —Northbrook, IL
- $48,000 - $54,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Patient Access Representative - Oncology - Days
Endeavor Health —Arlington Heights, IL
- $19.89 - $28.84 an hour
- Full-time
- Hospital
- HIPAA
- Mid-level
- Free parking
- Wellness program
Patient Access Representative II
Endeavor Health —Arlington Heights, IL
- $19.89 - $28.84 an hour
- Part-time
- HIPAA
- Mid-level
- Windows
- Free parking
- Wellness program
10d
Patient Care Specialist - Data Entry and Prior Authorization
Carepoint Healthcare LLC —Schaumburg, IL
- $20 - $23 an hour
- Full-time
- Mid-level
- Data entry
Quick Apply
Customer Service Representative
QUIPT HOME MEDICAL INC —Buffalo Grove, IL
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Pharmaceutical Billing and Coding Specialist
City Staffing —Chicago, IL
- $28 - $30 an hour
- Temporary
- Background check
- Research
- Mid-level
- Health insurance
Quick Apply
21h
Medical Scribe - Cantonese Bilingual Required
Oak Street Health —Chicago, IL
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Patient Access Specialist II - Emergency Department (Evenings) 20 hrs/week
Endeavor Health —Arlington Heights, IL
- $19.89 - $28.84 an hour
- Part-time
- HIPAA
- Mid-level
- Windows
- Free parking
- Wellness program
Referral Coordinator
AHS Vista LLC —Waukegan, IL
- $20 - $26 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Dental insurance
- 401(k)
Quick Apply
Utilization Review/Reimbursement Specialist
Sinai Chicago —Chicago, IL
- Full-time
- Nursing
- Hospital
- Customer service
- Health savings account
- AD&D insurance
Quick Apply
Referral Support Specialist (Hybrid)
ERIE FAMILY HEALTH CENTER —Chicago, IL
- $19 - $23 an hour
- Full-time
- Spanish
- Computer literacy
- English
- Paid holidays
- Disability insurance
10d
Revenue Cycle Specialist
Healthcare Alternative Systems —Chicago, IL
- $28 - $31 an hour
- Bilingual
- Microsoft Word
- HIPAA
- Health savings account
- Paid holidays
Quick Apply
Insurance Verifier/Financial Counselor
Resurrection Medical Center —Chicago, IL
- $17.15 - $24.42 an hour
- Full-time
- Hospital
- Computer literacy
- Research
- Health insurance
- Dental insurance
OB/GYN Billing Specialist
Women's Health Group —Chicago, IL
- $60,000 - $80,000 a year
- Email
- Ob/Gyn
- Senior level
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Medical Insurance Verification Specialist
Grand Vein Specialists —Chicago, IL
- From $17 an hour
- Full-time
- HIPAA
- In-person
- Medical terminology
- Health insurance
- Dental insurance
Quick Apply
3d
Medical Billler
PCC Community Wellness Center —Oak Park, IL
- $20.50 - $23.00 an hour
- Full-time
- Microsoft Word
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Referral Coordinator
Primecare Community Health —Chicago, IL
- $17.05 - $22.50 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Profit sharing
- 403(b) matching
Quick Apply
10d

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Insurance and Prior Authorization Manager

USA Clinics Group -
Northbrook, IL

Quick Apply

Job Details

Full-time
$70,000 - $85,000 a year
11 days ago

Benefits

401(k)
Paid time off
Vision insurance

Qualifications

Computer operation
Confidential information handling
Overseeing health insurance pre-certification
CMS
High school diploma or GED
CMS regulatory compliance
Math
Leading team collaboration initiatives
Centers for Medicare & Medicaid Services (CMS) billing regulations
Computer skills
Clinical documentation standards
Team motivation (leadership skill)

Full Job Description

Why USA Clinics Group?

Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, we’ve grown into the nation’s largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home.

We’re building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we’re even more excited about what’s ahead, and the team we’re building to get there. We look forward to meeting you!

Why You'll Love Working with us:

Rapid career advancement Competitive compensation package

Positive, team-oriented environment Work with cutting-ed technology

Make a real impact on patients’ lives Join a fast-growing, mission-driven company

USA Clinics Group is looking for an Insurance and Prior Authorization Manager to join our team! The Insurance and Prior Authorization Manager will collaborate with physicians, SVP of Revenue Cycle, and other members of the management team. They will serve as a critical link between providers, payers, and patients; and will directly oversee and manage the following employees:

Clinical documentation improvement specialists
Administrative staff and clerks

Position Details:

Location: Northbrook, IL
Schedule: Full-Time, Monday-Friday (on-site)
Compensation: $70,000-$85,000 based on experience and qualifications.

Responsibilities

Monitor and manage productivity and performance of assigned employees including daily/weekly/monthly department metrics to Senior Leadership and provide reporting and action plans for improvement.
Maintains positive leadership and gives frequent performance feedback to team members and invites two-way communication.
Coaches established employees when needs are identified, holding employees accountable for results through coaching and development of action plans.
Monitor Prior Authorization and Eligibility automation processes
Assist IT team in developing new automation processes for authorization submission/tracking and insurance verification
Work closely with billing team for claim denials related to authorization and eligibility
Produces productivity and error reports to assess staff.
Prioritize work to maximize turn-around time.
Contacts insurance plans to determine eligibility and obtain coverage and benefit information.
Contacts insurance plans to obtain prior authorization for services.
Documents findings thoroughly and accurately.
Performs training with organizational staff on procedures for requesting, documenting, and processing prior authorizations.
Additional duties as assigned.

Requirements

High school diploma or equivalent required.
Bachelor’s degree with specialization in health information administration preferred.
3 years medical authorization experience required
Strong background and experience in Revenue Cycle Management preferred
2+ years in a leadership role required
Active knowledge of CMS guidelines contracted insurance guidelines and coding policies
Ability to lead a team by demonstrating a positive attitude, openness to change, willingness to help, and respect for others and their ideas
Excellent verbal and written communication skills
Detail oriented, reliable, and able to multi-task in a fast-paced, high-volume work environment
Demonstrated computer literacy and excellent math skills
Ability to maintain a high level of confidentiality and professionalism

Benefits

Health
Dental
Vision
PTO
401k

Quick Apply

Refine Your Search

prior authorization specialist jobs in deerfield, il

Insurance and Prior Authorization Manager

Insurance Verification Specialist

Specialist, Access and Reimbursement

Insurance Verification Specialist

Patient Access Representative - Oncology - Days

Patient Access Representative II

Patient Care Specialist - Data Entry and Prior Authorization

Customer Service Representative

Pharmaceutical Billing and Coding Specialist

Medical Scribe - Cantonese Bilingual Required

Patient Access Specialist II - Emergency Department (Evenings) 20 hrs/week

Referral Coordinator

Utilization Review/Reimbursement Specialist

Referral Support Specialist (Hybrid)

Revenue Cycle Specialist

Insurance Verifier/Financial Counselor

OB/GYN Billing Specialist

Medical Insurance Verification Specialist

Medical Billler

Referral Coordinator

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