Top 127 Authorization representative Jobs in Mchenry, Il

Prior Authorization/Referral Specialist
Froedtert South, Inc. —Pleasant Prairie, WI
- $17.00 - $25.25 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- 403(b) matching
- Health insurance
Quick Apply
Patient Service Representative-Cardiology McHenry Full Time Days
Northwestern Memorial Healthcare —McHenry, IL
- $18.64 - $26.10 an hour
- Full-time
- Bilingual
- Background check
- High school diploma or GED
- Tuition reimbursement
- 401(k) matching
Quick Apply
5d
Patient Service Representative-Medical Oncology McHenry Full Time Days
Northwestern Memorial Healthcare —McHenry, IL
- $18.64 - $26.10 an hour
- Full-time
- Bilingual
- Background check
- High school diploma or GED
- Tuition reimbursement
- 401(k) matching
Quick Apply
1d
Patient Service Representative-Occupational Health McHenry Casual Days
Northwestern Memorial Healthcare —McHenry, IL
- $18.64 - $26.10 an hour
- 8 hour shift
- Bilingual
- Background check
- Hospital
- Tuition reimbursement
- 401(k) matching
Quick Apply
Associate Hospital Sales Health and Science Representative (Inside Sales)
Pfizer —Lake Forest, IL
- $64,700 - $121,800 a year
- Online Application
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Paid holidays
- Health insurance
Admission Representative Clerk - Hawthorn Surgery Center
SCA Health —Vernon Hills, IL
- $16.88 - $30.53 an hour
- Full-time
- Computer literacy
- HIPAA
- High school diploma or GED
- Disability insurance
- Health insurance
11d
Dispute Analytics Representative
Capital One —Riverwoods, IL
- Email
- Marketing
- Research
- Mid-level
Associate Hospital Sales Health & Science Representative (Inside Sales)
Pfizer —Lake Forest, IL
- $64,700 - $121,800 a year
- Online Application
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Paid holidays
- Health insurance
3d
Patient Service Representative - Pulmonary
Endeavor Health —Arlington Heights, IL
- Full-time
- HIPAA
- Mid-level
- Windows
- Free parking
- Wellness program
Scheduler & Pre-Access Representative - Sleep Center
Advocate Aurora Health —Barrington, IL
- $20.80 - $31.20 an hour
- Part-time
- Computer literacy
- Writing skills
- Basic math
Patient Service Representative-Immediate Care Center Crystal Lake Part Time Days
Northwestern Memorial Healthcare —Crystal Lake, IL
- $18.64 - $26.10 an hour
- 8 hour shift
- Bilingual
- Background check
- High school diploma or GED
- Tuition reimbursement
- 401(k) matching
Quick Apply
9d
Medical Physicist-Huntley Outpatient Clinic Full-time
Northwestern Memorial Healthcare —Huntley, IL
- $82.77 - $107.60 an hour
- Full-time
- Background check
- Computer literacy
- Mid-level
- Tuition reimbursement
- 401(k) matching
Quick Apply
Press Feeder - Sheetfed
sg360° —Wheeling, IL
- Overtime
- Ability to walk for extended periods
- Mid-level
- 3 years
- Paid holidays
- Disability insurance
12d
Automotive Service Advisor
Al Piemonte Chevrolet —East Dundee, IL
- $50,000 - $100,000 a year
- 8 hour shift
- Driver's License
- Driving
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
Patient Accounts Representative (Hospital Billing Experience Preferred)
Streamwood Behavioral Healthcare System —Streamwood, IL
- $19.45 - $29.17 an hour
- Full-time
- Background check
- Basic math
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Customer Service Representative
Quanta U.S., Inc. —Arlington Heights, IL
- $23 - $28 an hour
- Full-time
- Spanish
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply
5d
Financial Advisor (Sales Training + Development Provided)
Northwestern Mutual —Schaumburg, IL
- From $75,000 a year
- Full-time
- Sales
- Military
- Mid-level
- Paid training
- Health insurance
Quick Apply
11d
Sales Representative - No Experience Required
CHAMBERLAIN —Zion, IL
- $70,000 - $85,000 a year
- Full-time
- Background check
- No experience needed
- Business development
- Opportunities for advancement
Quick Apply
Patient Service Representative - Ortho
Endeavor Health —Kildeer, IL
- $18.38 - $26.65 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Travel
- Free parking
- Wellness program
Histotechnician-Inpatient Casual Nights
Northwestern Memorial Healthcare —Woodstock, IL
- $28.56 - $39.99 an hour
- Part-time
- Background check
- Surgery
- Hospital
- Tuition reimbursement
- 401(k) matching
Quick Apply

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Prior Authorization/Referral Specialist

Froedtert South, Inc. -
Pleasant Prairie, WI

Quick Apply

Job Details

Part-time
$17.00 - $25.25 an hour

Benefits

403(b) matching
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
Employee discount
403(b)

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Customer service
Word embeddings
High school diploma or GED
Documentation tools
Patient interaction
Medical terminology

Full Job Description

POSITION PURPOSE
- The Prior-Authorization/Referral Specialist plays a key role in supporting patient access to care by verifying insurance eligibility and benefits, and securing required pre-certifications, authorizations, and referrals for both facility and professional services. This position ensures timely and accurate communication with payors and healthcare providers, obtains necessary clinical documentation to support medical necessity, and maintains detailed records throughout the authorization process.
MINIMUM EDUCATION REQUIRED
- High School or GED
MINIMUM EXPERIENCE REQUIRED
- One (1) year of insurance/prior authorization experience (preferred)
- Experience and familiarity with using insurance portals
LICENSES / CERTIFICATIONS REQUIRED
- None
KNOWLEDGE, SKILLS & ABILITIES REQUIRED
- Strong customer service orientation with excellent interpersonal and computer skills.
- Working knowledge of medical terminology and healthcare documentation standards.
- Demonstrated ability to manage time effectively, prioritize tasks, and maintain accuracy in a high-volume environment.
- Proficient with internet-based tools, email communication, and Microsoft Office applications (e.g., Word, Excel, Outlook).
- Strong written and verbal communication skills, with the ability to interact professionally with patients, clinicians, and insurance representatives.
- Proven experience in prior authorizations, referrals, patient registration, insurance verification, and understanding of various health insurance plans (preferred).
- Proficient in navigating online prior authorization portals and working with multiple commercial and government payors (preferred).
- Knowledge of medical coding systems, including ICD-10, CPT, and HCPCS codes (preferred).
PRINCIPLE ACCOUNTABILITIES AND ESSENTIAL DUTIES
- Verify insurance eligibility and benefits for scheduled services to determine prior-authorization or referral requirements.
- Initiate and follow through on prior-authorization and referral requests with payors, ensuring timely approvals.
- Collect and submit required clinical documentation to support medical necessity and facilitate authorization.
- Document all authorization activities accurately in the electronic health record (EHR) and/or designated tracking systems.
- Communicate authorization status and requirements clearly to providers, clinical staff, and patients as needed.
- Coordinate with providers and clinical teams to obtain additional information or clarification required by payors.
- Maintain up-to-date knowledge of payer policies, coding guidelines (ICD-10, CPT, HCPCS), and authorization processes.
- Ensure timely resolution of authorization-related issues to prevent delays or denials in patient care or billing.
- Provide exceptional customer service when interacting with internal teams, external payors, and patients.
- Participate in continuous quality improvement efforts, including audits, training, and performance reviews.
  
  Salary Range: $17.00 to $25.25/hr (based on experience)
  Benefits:
  
  Medical, dental and vision benefits available
  403(b) company match available
  Tuition reimbursement
  Employee discount program
  Competitive PTO

Location: Froedtert South, Inc. · PATIENT ACCESS
Schedule: Regular Part-Time, Days, 40

Quick Apply

Refine Your Search

authorization representative jobs in mchenry, il

Prior Authorization/Referral Specialist

Patient Service Representative-Cardiology McHenry Full Time Days

Patient Service Representative-Medical Oncology McHenry Full Time Days

Patient Service Representative-Occupational Health McHenry Casual Days

Associate Hospital Sales Health and Science Representative (Inside Sales)

Admission Representative Clerk - Hawthorn Surgery Center

Dispute Analytics Representative

Associate Hospital Sales Health & Science Representative (Inside Sales)

Patient Service Representative - Pulmonary

Scheduler & Pre-Access Representative - Sleep Center

Patient Service Representative-Immediate Care Center Crystal Lake Part Time Days

Medical Physicist-Huntley Outpatient Clinic Full-time

Press Feeder - Sheetfed

Automotive Service Advisor

Patient Accounts Representative (Hospital Billing Experience Preferred)

Customer Service Representative

Financial Advisor (Sales Training + Development Provided)

Sales Representative - No Experience Required

Patient Service Representative - Ortho

Histotechnician-Inpatient Casual Nights

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