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Assistant Prior Authorization Jobs (NOW HIRING)

Advocare LLC

Prior Authorization Specalist

Marlton, NJ · On-site

$19.25/hr

Description A medical prior authorization specialist obtains approval from insurance companies for ... Often involves working in a team with other medical staff, such as Providers and Medical Assistants.

BCforward

Prior Authorization

Raleigh, NC · On-site

$17.50 - $23.25/hr

Provide functional and/or technical expertise to plan, analyze, define and support the delivery of future functional and technical capabilities for an application or group of applications. Assist in ...

Apex Recruiting Professionals

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Prior Authorization Specialist - Intake Specialist

Sandy, UT · On-site

$23 - $29/hr

A rapidly growing, multi-state healthcare organization is seeking an experienced Medical Assistant with Prior Authorization and Intake experience to join its Revenue Cycle team. This organization has ...

Medix

Prior Authorization Coordinator

Chandler, AZ · On-site

$19 - $21/hr

High-volume prior authorization experience and patient care coordination ... Manage front desk activities, scheduling, and phone calls alongside remote assistants. * Verify ...

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Assistant Prior Authorization information

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.

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Assistant Prior Authorization jobs near you
Infographic showing various Assistant Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Prior Authorization Assistant

Integrated Resources INC

Milwaukee, WI • On-site

$18 - $23.50/hr

Contractor

Re-posted yesterday

Job description

Job Description

Duration: 3 to 6 months

Medicaid/Medicare background preferred but not required.

Job Description

Nature of Work:

This position provides assistance to the Prior Authorization Department. This position reports to the Prior Authorization Manager.

Duties and Responsibilities:

  • Duties listed below may vary in terms of importance and other duties may be added or eliminated as this position develops.
  • Essential Duties and Responsibilities:
  • Process and documents all incoming inpatient and outpatient prior authorization (PA) requests as outlined by Client policies and procedures.
  • Contacts providers via phone or fax to request additional information or clarification as needed per established process.
  • Communicates effectively with customers/providers (both internally and externally) regarding the status of PA requests.
  • Enters PA requests into the prior authorization database , prepares documentation, and tasks to the appropriate staff member for clinical review.
  • Completes special projects as requested.

Marginal Functions:

Required Qualifications:

  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
  • A combination of education, training and experience which provides the necessary knowledge, skills, and abilities as listed below will be considered:
  • Ability to communicate effectively both verbally and in writing.
  • Knowledge of general business practices
  • Detail oriented and organized work ethic.
  • Ability to work independently as well as in a team environment.
  • Ability to use a personal computer and Microsoft Office software applications, including Word and Excel.
  • Knowledge of appropriate telephone etiquette and general business practices

Desirable Qualifications:

  • Previous experience in a clinical environment.
  • Previous experience working in managed health care setting or insurance environment.
  • Knowledge of Medical Terminology.
  • Knowledge of additional Microsoft Office software such as PowerPoint.

Physical Demands:

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
  • Must be able to communicate with members, providers, and staff in an effective manner via the telephone and in person.
  • Must be able to communicate in writing and understand written materials of a complicated manner.
  • Must be able to use a computer terminal to input and access information in a timely manner.
  • Must be able to work in a fast-paced environment.
  • More than 50% of the time, employee will be working at a desk, with a PC terminal.

Work Conditions/Environment:

Additional Information

All your information will be kept confidential according to EEO guidelines.

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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