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Assistant Prior Authorization Jobs in Florida (NOW HIRING)

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Medical Assistant - Rheumatology (4-Day Workweek | Specialty Practice) We are a well-established ... Obtain Medication prior authorization and outside imaging authorizations * Assisting patients with ...

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Medical Assistant - Rheumatology (4-Day Workweek | Specialty Practice) We are a well-established ... Obtain Medication prior authorization and outside imaging authorizations * Assisting patients with ...

Certified Pharmacy Technician

Orlando, FL · On-site

$16.75 - $20.50/hr

Contact providers for additional clinical or administrative information required to complete prior authorization reviews. * Assist with inbound and outbound patient or physician calls as needed, with ...

Medical Assistant

Clearwater, FL · On-site

$16.25 - $21/hr

Obtain prior authorizations for oral and injectable medications using CoverMyMeds and other payer ... Medical Assistant certification or diploma (CMA, RMA, CCMA or similar) * Experience in a medical ...

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Pay: From $18.00 per hour We are looking for a full-time medical assistant. You will support ... Occasionally fill out forms for medication prior authorization and diabetic supplies Skills

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Medical Assistant Nephrology

Pembroke Pines, FL · On-site

$16.50 - $21/hr

The Medical Assistant in Nephrology plays a critical role in supporting the nephrology clinic team ... Manage appointment scheduling, prescription refills, and insurance/prior authorization processing

Showing results 21-40

Assistant Prior Authorization information

See Florida salary details

$9

$16

$30

How much do assistant prior authorization jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for assistant prior authorization in Florida is $16.49, according to ZipRecruiter salary data. Most workers in this role earn between $12.06 and $18.00 per hour, depending on experience, location, and employer.

What is an assistant prior authorization?

Assistant Prior Authorization jobs involve supporting healthcare providers and insurance companies by helping to obtain approval for specific medical procedures, treatments, or medications. These assistants review patient information, coordinate with physicians and insurance representatives, and ensure all necessary documentation is submitted for approval. The role is crucial in helping patients receive timely care by navigating insurance requirements and reducing delays. Strong organizational and communication skills are essential in this position.

What are the key skills and qualifications needed to thrive as an assistant prior authorization?

To thrive as an Assistant Prior Authorization, you generally need a strong understanding of medical terminology, health insurance processes, and prior authorization requirements, often supported by a high school diploma or medical office training. Familiarity with electronic health record (EHR) systems, payer portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are standout soft skills in this position. These skills ensure accurate and timely processing of authorizations, minimize insurance denials, and support efficient patient care coordination.

What are some common challenges faced by an assistant prior authorization, and how can they be effectively managed?

Assistant Prior Authorization professionals often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and ensuring timely communication between healthcare providers, patients, and insurance companies. Staying organized and maintaining up-to-date knowledge of payer policies are essential for success. Using electronic health records efficiently and fostering strong teamwork with clinical staff can help streamline the approval process and reduce delays, ultimately improving patient care.

What is the difference between Assistant Prior Authorization vs Medical Billing Specialist?

AspectAssistant Prior AuthorizationMedical Billing Specialist
Required CredentialsHigh school diploma, certification in healthcare administration or relatedHigh school diploma, certification in medical billing or coding
Work EnvironmentHealthcare offices, insurance companies, hospitalsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesObtaining prior approvals from insurance for procedures/servicesProcessing and submitting medical claims, coding, and billing
Industry UsageCommonly used in healthcare and insurance sectorsWidely used in healthcare billing and revenue cycle management

While both roles operate within the healthcare industry, an Assistant Prior Authorization focuses on securing insurance approvals before procedures, whereas a Medical Billing Specialist handles claims processing and billing after services are rendered. Understanding these differences helps clarify career paths and employer expectations in healthcare administration.

What are the most commonly searched types of Prior Authorization jobs in Florida?

The most popular types of Prior Authorization jobs in Florida are:

What cities in Florida are hiring for Assistant Prior Authorization jobs?

Cities in Florida with the most Assistant Prior Authorization job openings:

Infographic showing various Assistant Prior Authorization job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $34,304 per year, or $16.5 per hour.

Authorization Representative II - BioPlus Specialty Pharmacy

Elevance Health

Lake Mary, FL • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago


Elevance Health rating

7.5

Company rating: 7.5 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

215th of 315 rated insurance


Job description

Job Description

Pharmacy Prior Authorization Specialist - BioPlus Specialty Pharmacy

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.

ThePharmacy Prior Authorization Specialist will be responsible for the administration of prior authorizations requests for patients whose health plan requires drug prior authorizations for different therapy types.

How you will make an impact:

  • Reviews accuracy and completeness of prior authorization information requested and ensures supporting documents are present and meet company set standards.

  • Assists with the completion of medical necessity documentation to expedite approvals and ensures that appropriate follow up is performed.

  • Collaborates with other departments to assist in obtaining prior authorizations/appeals.

  • Documents insurance company interactions and all prior authorization information in the system.

  • Reviews insurance denials and submits appeals as permitted by payor.

  • Contacts physician offices as needed to obtain demographic information or medical data.

Minimum Requirements:

  • Requires a HS diploma or GED and a minimum of 2 years of experience processing pharmacy prior authorizations, and a minimum of 1 year of experience applying knowledge of Medicare, Medicaid and Managed Care reimbursement guidelines; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • Specialty pharmacy experience highly preferred.

  • Medical terminology training is preferred.

  • Prior Authorization experience is highly desired.

  • Use critical thinking to interpret oncology regimens and supporting clinical documentation, anticipates payer criteria (e.g., step therapy, site-of-care, NCCN-guided rationale), and determine the best authorization strategy and next step is desired.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.


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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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