Authorizations Team Lead

Lead a high‑impact team that keeps patient care moving forward.

Are you a detail‑driven problem solver with strong knowledge of payer rules, coding, and medical necessity? Do you love improving processes, guiding teams, and making healthcare operations run smoothly? If so, this is the role for you!

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.

What You'll Do

As our Authorizations Team Lead, you will:

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

What You Bring

High school diploma required; associate degree preferred

2+ years' experience in prior authorizations, billing, coding, or revenue cycle

Coding certification (CPC, COC, etc.) preferred

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

Why Join Us?

At Bone & Joint, you'll lead a team that plays a critical role in supporting patient care and revenue integrity. We offer a collaborative environment, professional growth, and the chance to make a real impact every day.