USA Clinics Group

Integrated ambulatory care network of clinics

Insurance and Prior Authorization Manager

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeNorthbrook, IL, USA$70k - $85kIn-person

About the Job

Requirements

A high school diploma or equivalent is required.
Three years of medical authorization experience are required.
Two or more years in a leadership role are required.
Maintain active knowledge of Centers for Medicare & Medicaid Services guidelines, contracted insurance guidelines, and coding policies.
Demonstrate the ability to lead a team with a positive attitude, openness to change, willingness to help, and respect for others and their ideas.
Demonstrate verbal and written communication skills.
Be detail-oriented and reliable, and able to multitask in a fast-paced, high-volume work environment.
Demonstrate computer literacy and math skills.
Maintain a high level of confidentiality and professionalism.

Responsibilities

Monitor and manage assigned employees’ productivity and performance, including daily, weekly, and monthly department metrics; report to senior leadership and provide action plans for improvement.
Provide leadership and frequent performance feedback to team members, and invite two-way communication.
Coach established employees when needs are identified and hold employees accountable for results through coaching and development of action plans.
Monitor prior authorization and eligibility automation processes.
Assist the IT team in developing automation processes for authorization submission and tracking, and insurance verification.
Work closely with the billing team on claim denials related to authorization and eligibility.
Produce productivity and error reports to assess staff.
Prioritize work to maximize turnaround 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.
Train organizational staff on procedures for requesting, documenting, and processing prior authorizations.

Desired Qualifications

A bachelor’s degree specializing in health information administration is preferred.
A strong background and experience in revenue cycle management are preferred.

Insurance and Prior Authorization Manager

USA Clinics Group · Northbrook, United States · Full-time · Posted 2026-07-21

Salary: USD 70,000–85,000

Workplace: on_site

Department: Insurance And Prior Authorization

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

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Apply at USA Clinics Group

About the Company

USA Clinics Group

Integrated ambulatory care network of clinics

USA Clinics Group operates over 160 outpatient clinics across the United States, housing specialized centers such as USA Vein Clinics, USA Fibroid Centers, USA Vascular Centers, USA Pain Center, USA Prostate Centers, USA Oncology Centers, USA Hemorrhoid Centers, and USA Longevity Centers. Their team of interventional radiologists and vascular surgeons offers minimally invasive treatments for conditions like varicose veins, uterine fibroids, peripheral artery disease, hemorrhoids, enlarged prostate, knee osteoarthritis, and liver cancer in outpatient settings. Care is delivered through coordinated patient-centered care paths that guide patients from diagnosis to treatment across the network. The goal is to provide safe, effective, and compassionate care that improves patients’ quality of life.

Company size: 201-500
Company stage: Not listed
Total funding: Not listed
Headquarters: Northbrook, IL
Founded: 2005

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