We are looking for an Insurance Authorization Coordinator to join our team on a contract-to-permanent basis in Pewaukee, Wisconsin. This role is vital in managing insurance authorizations for medical procedures and services, ensuring patients receive timely care while adhering to healthcare regulations. As part of the transport industry, this position offers the opportunity to collaborate with healthcare providers, patients, and insurance carriers to maintain efficient workflows. Responsibilities: • Secure prior authorizations from insurance providers for medical procedures, tests, and referrals, ensuring timely approvals. • Verify patient insurance coverage and eligibility, and communicate requirements for obtaining authorizations. • Collaborate with healthcare providers, billing teams, and patients to gather necessary clinical and demographic information. • Maintain accurate records of authorizations, denials, and correspondence using electronic health record systems. • Inform patients and healthcare teams about authorization statuses and address any related inquiries. • Resolve issues with insurance carriers regarding coverage, eligibility, or denied authorizations. • Ensure compliance with healthcare regulations, privacy standards, and internal policies throughout the authorization process. • Stay updated on changes in insurance guidelines, payer policies, and authorization requirements. • Prepare documentation to support appeals for denied authorizations when necessary. • Track and report authorization-related metrics to management as needed.

• High school diploma or equivalent; an associate degree is preferred. • Previous experience in healthcare, medical billing, or insurance authorization roles. • Familiarity with medical terminology, insurance plans, and authorization procedures. • Strong organizational skills with exceptional attention to detail. • Effective verbal and written communication skills. • Proficiency in insurance verification software and electronic health record systems. • Ability to handle multiple priorities in a fast-paced setting. • Knowledge of healthcare regulations and privacy standards.

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Pewaukee, WI
onsite
Contract / Temporary to Hire
23.00 - 25.00 USD / Hourly
We are looking for an Insurance Authorization Coordinator to join our team on a contract-to-permanent basis in Pewaukee, Wisconsin. This role is vital in managing insurance authorizations for medical procedures and services, ensuring patients receive timely care while adhering to healthcare regulations. As part of the transport industry, this position offers the opportunity to collaborate with healthcare providers, patients, and insurance carriers to maintain efficient workflows. Responsibilities: • Secure prior authorizations from insurance providers for medical procedures, tests, and referrals, ensuring timely approvals. • Verify patient insurance coverage and eligibility, and communicate requirements for obtaining authorizations. • Collaborate with healthcare providers, billing teams, and patients to gather necessary clinical and demographic information. • Maintain accurate records of authorizations, denials, and correspondence using electronic health record systems. • Inform patients and healthcare teams about authorization statuses and address any related inquiries. • Resolve issues with insurance carriers regarding coverage, eligibility, or denied authorizations. • Ensure compliance with healthcare regulations, privacy standards, and internal policies throughout the authorization process. • Stay updated on changes in insurance guidelines, payer policies, and authorization requirements. • Prepare documentation to support appeals for denied authorizations when necessary. • Track and report authorization-related metrics to management as needed.
2025-12-09T01:53:36Z

Insurance Authorization Coordinator Job in Pewaukee | Robert Half