Prior Authorization
$16.75 - $22.50/hr
General Summary The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This ...
$16.75 - $22.50/hr
General Summary The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This ...
$16.75 - $22.50/hr
General Summary The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This ...
$17 - $22.75/hr
Authorizations Specialist Wanted! EmergeOrtho is committed to being the trusted leader in innovative, quality-focused comprehensive musculoskeletal care. With offices across North Carolina, we're ...
$17 - $22.75/hr
Authorizations Specialist Wanted! EmergeOrtho is committed to being the trusted leader in innovative, quality-focused comprehensive musculoskeletal care. With offices across North Carolina, we're ...
Fort Myers, FL · On-site
$15.75 - $21/hr
Monitor the authorizations of upcoming cases on physician's calendars ensuring authorization for office visits is obtained in a timely and accurate manner. * Document authorizations and progress of ...
Fort Myers, FL · On-site
$15.75 - $21/hr
Monitor the authorizations of upcoming cases on physician's calendars ensuring authorization for office visits is obtained in a timely and accurate manner. * Document authorizations and progress of ...
Vernon, CT · On-site
$20 - $25/hr
As we continue to expand our business, we are seeking high-energy Authorization Coordinators with customer-focused ambition. An ideal candidate is a self-starter who has a passion for excellence ...
Vernon, CT · On-site
$20 - $25/hr
As we continue to expand our business, we are seeking high-energy Authorization Coordinators with customer-focused ambition. An ideal candidate is a self-starter who has a passion for excellence ...
$16.75 - $22.50/hr
Authorization Specialist GENERAL SUMMARY OF DUTIES : Responsible for obtaining managed care authorizations and verifying patient insurance benefits. Analyzing utilization data from health plans ...
$16.75 - $22.50/hr
Authorization Specialist GENERAL SUMMARY OF DUTIES : Responsible for obtaining managed care authorizations and verifying patient insurance benefits. Analyzing utilization data from health plans ...
$17 - $22.75/hr
Description As an Authorization Specialist you will be responsible for obtaining prior authorizations, creating patient financial responsibility forms, creating the ASC financial collections ...
Quick apply
$17 - $22.75/hr
Description As an Authorization Specialist you will be responsible for obtaining prior authorizations, creating patient financial responsibility forms, creating the ASC financial collections ...
$17.25 - $23/hr
Provides prior authorization of all CS procedures to ensure coverage for claim payment. * Makes direct contact with physicians/providers, nurses, and patients as well as insurance companies and their ...
$17.25 - $23/hr
Provides prior authorization of all CS procedures to ensure coverage for claim payment. * Makes direct contact with physicians/providers, nurses, and patients as well as insurance companies and their ...
$18.25 - $22.75/hr
Authorization Coordinator The Authorization Coordinator will be responsible for effectively acquiring Radiation Oncology authorizations, working denied authorizations and submitting appeals as needed.
$18.25 - $22.75/hr
Authorization Coordinator The Authorization Coordinator will be responsible for effectively acquiring Radiation Oncology authorizations, working denied authorizations and submitting appeals as needed.
Fort Myers, FL · On-site
$15.75 - $21/hr
Monitor the authorizations of upcoming cases on physician's calendars ensuring authorization for office visits is obtained in a timely and accurate manner. * Document authorizations and progress of ...
Fort Myers, FL · On-site
$15.75 - $21/hr
Monitor the authorizations of upcoming cases on physician's calendars ensuring authorization for office visits is obtained in a timely and accurate manner. * Document authorizations and progress of ...
$18.50 - $23/hr
The FH authorization process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements, and customer expectations. The FH ...
New
$18.50 - $23/hr
The FH authorization process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements, and customer expectations. The FH ...
New
$13.75 - $18.50/hr
We are looking for an Authorization Specialist to join our team. We are an established practice that is continually growing. Work with our well-respected group that has been serving the community for ...
$13.75 - $18.50/hr
We are looking for an Authorization Specialist to join our team. We are an established practice that is continually growing. Work with our well-respected group that has been serving the community for ...
York, PA · On-site
$17.75 - $23.50/hr
The Authorization Specialist will serve as a liaison between the clinical team, provider, outside facilities and the patient. SCHEDULE: Monday - Friday 8:00am - 4:30pm ESSENTIAL DUTIES AND ...
York, PA · On-site
$17.75 - $23.50/hr
The Authorization Specialist will serve as a liaison between the clinical team, provider, outside facilities and the patient. SCHEDULE: Monday - Friday 8:00am - 4:30pm ESSENTIAL DUTIES AND ...
Naples, FL · On-site
$16.75 - $22.50/hr
Authorization Specialist GENERAL SUMMARY OF DUTIES : Responsible for obtaining managed care authorizations and verifying patient insurance benefits. Analyzing utilization data from health plans ...
Naples, FL · On-site
$16.75 - $22.50/hr
Authorization Specialist GENERAL SUMMARY OF DUTIES : Responsible for obtaining managed care authorizations and verifying patient insurance benefits. Analyzing utilization data from health plans ...
$20 - $27/hr
Authorization Specialist (Healthcare) Location: Phoenix, 85016 Setting: 100% on site Schedule: Flexible start time after training (between 7a - 9a) Pay: $20 - $27 We're seeking an experienced ...
$20 - $27/hr
Authorization Specialist (Healthcare) Location: Phoenix, 85016 Setting: 100% on site Schedule: Flexible start time after training (between 7a - 9a) Pay: $20 - $27 We're seeking an experienced ...
San Antonio, TX · On-site
$16 - $23.36/hr
Authorization Specialist Job Summary: We are seeking a detail-oriented Authorization Specialist to join our team. The ideal candidate will be responsible for managing the authorization process for ...
San Antonio, TX · On-site
$16 - $23.36/hr
Authorization Specialist Job Summary: We are seeking a detail-oriented Authorization Specialist to join our team. The ideal candidate will be responsible for managing the authorization process for ...
York, PA · On-site
$17.75 - $23.50/hr
The Authorization Specialist will serve as a liaison between the clinical team, provider, outside facilities and the patient. SCHEDULE: Monday - Friday 8:00am - 4:30pm ESSENTIAL DUTIES AND ...
York, PA · On-site
$17.75 - $23.50/hr
The Authorization Specialist will serve as a liaison between the clinical team, provider, outside facilities and the patient. SCHEDULE: Monday - Friday 8:00am - 4:30pm ESSENTIAL DUTIES AND ...
Knob Noster, MO · On-site
$17.25 - $23/hr
Will be required to complete referrals and authorizations for both WMMC Knob Noster and Concordia clinics. ESSENTIAL FUNCTIONS * Verify insurance benefits for the patient. * Work directly with payer ...
Knob Noster, MO · On-site
$17.25 - $23/hr
Will be required to complete referrals and authorizations for both WMMC Knob Noster and Concordia clinics. ESSENTIAL FUNCTIONS * Verify insurance benefits for the patient. * Work directly with payer ...
As we continue to expand our business, we are seeking high-energy Authorization Coordinators with customer-focused ambition. An ideal candidate is a self-starter who has a passion for excellence ...
Quick apply
As we continue to expand our business, we are seeking high-energy Authorization Coordinators with customer-focused ambition. An ideal candidate is a self-starter who has a passion for excellence ...
San Antonio, TX · On-site
$16 - $23.36/hr
Authorization Specialist Job Summary: We are seeking a detail-oriented Authorization Specialist to join our team. The ideal candidate will be responsible for managing the authorization process for ...
San Antonio, TX · On-site
$16 - $23.36/hr
Authorization Specialist Job Summary: We are seeking a detail-oriented Authorization Specialist to join our team. The ideal candidate will be responsible for managing the authorization process for ...
Wilmington, NC · On-site
$15.50 - $20.50/hr
Description Make a Difference Every Day - Authorizations Specialist opportunity in the Coastal Region! EmergeOrtho is committed to being the trusted leader in innovative, quality-focused ...
Wilmington, NC · On-site
$15.50 - $20.50/hr
Description Make a Difference Every Day - Authorizations Specialist opportunity in the Coastal Region! EmergeOrtho is committed to being the trusted leader in innovative, quality-focused ...
$13.70 - $15.38
6% of jobs
$15.38 - $17.07
14% of jobs
$17.49 is the 25th percentile. Wages below this are outliers.
$17.07 - $18.75
20% of jobs
The median wage is $19.69 / hr.
$18.75 - $20.43
18% of jobs
$20.43 - $22.12
16% of jobs
$22.31 is the 75th percentile. Wages above this are outliers.
$22.12 - $23.80
12% of jobs
$23.80 - $25.48
7% of jobs
$25.48 - $27.16
5% of jobs
$27.16 - $28.85
2% of jobs
$28.85 - $30.53
0% of jobs
$30.53 - $32.21
0% of jobs
$13
$20
$32
| Aspect | Authorization | Credentialing Specialist |
|---|---|---|
| Required Credentials | Typically requires knowledge of insurance policies, medical billing, and healthcare regulations | Requires knowledge of provider credentials, licensing, and verification processes |
| Work Environment | Healthcare facilities, insurance companies, or billing departments | Hospitals, clinics, or healthcare organizations |
| Employer & Industry Usage | Used in healthcare to obtain approval for services | Used to verify provider qualifications and credentials |
| Common Search & Comparison | Often compared to Credentialing Specialist due to overlapping healthcare administrative functions |
Authorization involves obtaining approval from insurance companies to cover specific medical services, ensuring payer approval before treatment. Credentialing Specialist focuses on verifying healthcare providers' qualifications and licenses to ensure they meet industry standards. While both roles are essential in healthcare administration, Authorization primarily deals with patient service approval, whereas Credentialing Specialists verify provider credentials.

$16.75 - $22.50/hr
Other
Posted 12 days ago
General Summary
The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This role involves reviewing payer requirements, gathering appropriate clinical documentation, and communicating with insurance companies, pharmacies, and internal staff to facilitate authorization approvals. The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ability to manage multiple requests while maintaining organization and professionalism in a high-volume environment.Â
Key ResponsibilitiesÂ
Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required.Â
Review patient charts to obtain relevant clinical documentation needed to support authorization requestsÂ
Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates.Â
Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up.Â
Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary. Â
Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries.Â
Ensure all prior authorization submissions and supporting documentation accurately reflect the patient’s medical record and comply with payer requirements.Â
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 this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 45 pounds.
Familiarity with medical terminology and working knowledge of medical coding systems (CPT, ICD-10) relevant to prior authorization requests.Â
Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment.Â
Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff.Â
Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously.Â
Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests.Â
HS Diploma or GEDÂ required.Â
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Outpatient health care
51 - 200 Employees
Birmingham, AL, US
1940