Authorizations Team Lead

Bone and Joint Center, S.C.•Wausau, WI

4d•$20 - $29•Hybrid

About The Position

Bone & Joint is seeking a Prior Authorizations Team Lead to support and elevate our surgical, clinic, and physical therapy authorization operations. This role is essential to ensuring accurate, timely, and compliant authorizations that protect revenue and keep patient care on track. This is a high-impact role for a detail-driven problem solver with strong knowledge of payer rules, coding, and medical necessity, who loves improving processes, guiding teams, and making healthcare operations run smoothly.

Requirements

High school diploma required
2+ years' experience in prior authorizations, billing, coding, or revenue cycle
Strong understanding of payer rules & medical necessity
Analytical mindset with experience in reporting & trend analysis
Proven leadership or mentorship experience
Excellent communication, organization, and problem-solving skills
Proficiency with Microsoft Office and PM/EHR systems
Valid WI driver's license

Nice To Haves

associate degree preferred
Coding certification (CPC, COC, etc.) preferred

Responsibilities

Guide and support the Prior Authorizations team in processing surgical, PT, and clinic authorizations
Ensure authorizations are accurate, compliant, and submitted timely
Stay on top of payer rules, CPT/HCPCS codes, and medical necessity guidelines
Monitor turnaround times, trends, and potential bottlenecks
Identify process improvements that reduce denials and optimize revenue
Collaborate with Coding, Billing, and Clinical teams to support clean documentation
Train, mentor, and onboard new and existing staff
Support hiring, evaluations, and workflow optimization
Serve as backup when the Supervisor is out of office
Travel to Bone & Joint locations as needed for onsite leadership