How to Apply
A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.
Mission Statement
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job Summary
The Authorization Coordinator is responsible for processing healthcare service requests from providers and patients, including verification and documentation of prior authorization requirements for medical services and equipment. Ensures timely review by confirming eligibility, provider participation, and benefit coverage through phone and electronic systems.
Responsibilities*
Complete all aspects of the insurance pre-authorization process to ensure timely approval for scheduled services, including verifying coverage, applying appropriate coding, and communicating with insurance carriers.
Monitor and manage patient accounts,work queues,and insurance documentation to support accurate billing and minimize denials or delays in care.
Identify when prior authorizations, waivers, or patient notifications are required; prepare documentation and collaborate with front desk and clinical teams to ensure proper follow- through.
Respond to patient inquiries related to billing and insurance denials, providing clear explanations and resolving issues or referring to appropriate financial resources as needed.
Resolve authorization-related claim rejections and initiate retro-authorization requests when appropriate to support revenue recovery.
Act as a resource to providers and staff by answering coverage-related questions and coordinating with insurance carriers on complex or specialty-specific services.
Maintain accurate and thorough documentation of all actions, contacts, and outcomes in accordance with standardized workflows.
Collaborate with clinical and administrative teams to ensure proper documentation and compliance with billing and reimbursement guidelines.
Support process improvements, participate in departmental meetings, and contribute to team goals related to efficiency, quality, and patient satisfaction.
Assist with onboarding and training of new staff by providing guidance and sharing expertise as needed.
Required Qualifications*
Graduation from high school or equivalent com bination of education and experience
Desired Qualifications*
Experience with insurance authorization, medical billing, or healthcare administrative support.
Familiarity with CPT/ICD-10 coding, claims processing, and insurance guidelines.
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled any time after the minimum posting period has ended.
U-M EEO Statement
The University of Michigan is an equal employment opportunity employer.