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Authorizations Rep Jobs (NOW HIRING)

Prior Authorization Rep

Saint Louis, MO ยท On-site

$17.75 - $25.56/hr

The role represent BJC with the highest standard of customer service, compassion and perform all ... For Ancillary Authorizations, a review of medical records may be required if initiating the ...

Prior Authorization Rep

Saint Louis, MO

$36K - $49K/yr

For Ancillary Authorizations, a review of medical records may be required if initiating the ... The role represent BJC with the highest standard of customer service, compassion and perform all ...

Pre-Authorization Rep

Burien, WA ยท On-site

$19.50 - $24.75/hr

As a Pre-Authorization Representative, you will be responsible for ensuring a smooth and efficient ... certifications and authorizations from insurance companies, and communicate financial ...

Prior Authorization Representative

Cleveland, OH ยท On-site

$38K - $53K/yr

Navigate through payer portals to initiate/obtain prior authorization status. * Provide insurance company representatives with an overview of the services being submitted for prior authorization.

The role involves verifying insurance, obtaining authorizations, and checking patients in. The ... The role represents BJC with the highest standard of customer service, compassion and performs all ...

Pre-Authorization Rep

Burien, WA ยท On-site

$19.50 - $24.75/hr

Job Summary and Responsibilities As a Pre-Authorization Representative, you will be responsible for ... certifications and authorizations from insurance companies, and communicate financial ...

Pre-Authorization Representative

Orlando, FL ยท On-site

$15.75 - $20.25/hr

At SimonMed Imaging, the Insurance Authorization Representative plays a critical role in the patient access and revenue cycle process. This position ensures that diagnostic exams are properly ...

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Authorizations Rep information

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$12

$19

$26

How much do authorizations rep jobs pay per hour?

As of Jun 4, 2026, the average hourly pay for authorizations rep in the United States is $19.53, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.91 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Authorizations Rep, and why are they important?

To thrive as an Authorizations Rep, you need strong attention to detail, knowledge of insurance policies and medical terminology, and often a high school diploma or equivalent. Familiarity with healthcare management systems, insurance verification tools, and sometimes certification in medical billing or coding is typically required. Excellent communication, problem-solving, and organizational skills help you effectively coordinate with patients, providers, and insurers. These abilities are crucial for ensuring timely and accurate authorization of services, which impacts patient care and organizational efficiency.

What are some common challenges faced by an Authorizations Rep, and how can they be managed effectively?

Authorizations Reps often face challenges such as managing a high volume of authorization requests, navigating complex insurance policies, and communicating detailed information to both providers and patients. Staying organized, keeping up-to-date with payer guidelines, and leveraging internal resources or technology can help manage these demands. Building strong relationships with healthcare teams and maintaining clear documentation also contribute to smoother workflows and reduced errors.

What does an Authorizations Rep do?

An Authorizations Representative, often working in healthcare or insurance, is responsible for reviewing and processing requests for services or procedures to ensure they meet policy guidelines and coverage requirements. They communicate with healthcare providers, patients, and insurance companies to obtain necessary documentation and determine if a service is approved or denied. Their role is essential in making sure that only eligible and medically necessary services are authorized, helping organizations manage costs and compliance. Attention to detail, knowledge of insurance policies, and strong communication skills are important for this position.

What is the difference between Authorizations Rep vs Medical Billing Specialist?

AspectAuthorizations RepMedical Billing Specialist
Required CredentialsHigh school diploma, certification in medical authorization or related fieldsHigh school diploma, certification in medical billing or coding
Work EnvironmentHealthcare offices, insurance companies, hospitalsMedical offices, billing companies, healthcare facilities
Employer & Industry UsageInsurance providers, healthcare providersHospitals, clinics, billing services
Common Search & Comparison IntentUnderstanding roles related to insurance authorizationsUnderstanding billing and coding processes

The main difference is that an Authorizations Rep focuses on obtaining prior approvals for patient treatments and services, while a Medical Billing Specialist handles billing, coding, and claims processing. Both roles require knowledge of healthcare policies, but they serve different functions within the healthcare revenue cycle.

More about Authorizations Rep jobs
Infographic showing various Authorizations Rep job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 90% Full Time, 8% Part Time, and 1% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $40,625 per year, or $19.5 per hour.
Patient Access Representative - Authorizations

Patient Access Representative - Authorizations

OSU MEDICAL CENTER

Tulsa, OK โ€ข On-site

$15.75 - $20/hr

Full-time

Posted 16 days ago


Job description

Authorizations-Patient Access Rep I

We are seeking a highly organized and detail-oriented Insurance Verification Representative to join our team. The successful candidate will be responsible for verifying insurance data, ensuring eligibility and benefits, and facilitating accurate billing. Additionally, this role involves coordinating with insurance companies for prior authorizations, preparing cost estimates, collecting payments at the time of service, and submitting medical records for clinical reviews. The ideal candidate will have strong communication skills, a keen eye for detail, and a deep understanding of insurance verification processes.

Key Responsibilities:

  • Verify insurance benefits and eligibility to ensure accurate billing and claims submission.
  • Contact insurance companies to obtain prior authorizations for medical procedures and surgeries before patient visits.
  • Review and prepare cost estimates to ensure accurate collections at the time of service.
  • Send requested medical records to insurance companies for clinical reviews, ensuring compliance with all privacy and regulatory standards.
  • Coordinate with healthcare providers to resolve any insurance-related issues and ensure timely claim processing.
  • Maintain up-to-date knowledge of insurance plans, billing guidelines, and procedures to ensure accurate and compliant practices.
  • Track and follow up on outstanding authorizations, benefits verification, and other insurance-related inquiries to ensure the timely resolution of issues.
  • Contact patients to provide estimates as needed
  • Communicate effectively with patients, insurance representatives, and internal staff to resolve billing or authorization issues promptly.
  • Assist with any other duties related to insurance verification, scheduling and billing as needed.

Education: High School Diploma or GED equivalent

Experience: 2 years in hospital insurance verification and scheduling preferred.