Insurance and Prior Authorization Manager

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. Maintain positive leadership and give frequent performance feedback, encouraging two‑way communication. Coach employees when needs are identified, holding them accountable 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. Produce productivity and error reports to assess staff performance. Prioritize work to maximize turn‑around time. Contact insurance plans to determine eligibility and obtain coverage and benefit information. Contact insurance plans to obtain prior authorization for services. Document findings thoroughly and accurately. Perform training with organizational staff on procedures for requesting, documenting, and processing prior authorizations. Complete additional duties as assigned. Qualifications 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 401(k) #J-18808-Ljbffr USA Clinics Group