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Contract Insurance Prior Authorization Jobs (NOW HIRING)

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Medical, vision, dental, life, and disability insurance * 401K match * 8 paid holidays * Employee ... Educates patients and staff about the process of medication prior authorizations. * Processes ...

Hopedale MC

Prior Authorization Specialist

Hopedale, IL · On-site

$18 - $23/hr

... the payer-provider contract. The representative will contact payers to request service ... Verifies patient's insurance and benefits information. * Obtains prior authorizations from third ...

CareMed Specialty Pharmacy

$23 - $25/hr

Pharmacy Prior Authorization Specialist - CareMed Specialty Pharmacy Buffalo, NY | Full-Time | ... Company Paid Life Insurance; and Short/Long-Term Disability Why Join Us? * A career with purpose:

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Medical, vision, dental, life, and disability insurance * 401K match * 8 paid holidays * Employee ... Educates patients and staff about the process of medication prior authorizations. * Processes ...

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Contract Insurance Prior Authorization information

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$25.5K

$65.7K

$83.5K

How much do contract insurance prior authorization jobs pay per year?

As of Jun 1, 2026, the average yearly pay for contract insurance prior authorization in the United States is $65,651.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,000.00 and $77,000.00 per year, depending on experience, location, and employer.

What is the difference between Contract Insurance Prior Authorization vs Medical Insurance Claims Specialist?

AspectContract Insurance Prior AuthorizationMedical Insurance Claims Specialist
Primary RoleSecuring approval for specific procedures or treatments before serviceProcessing and managing insurance claims after services are rendered
Work EnvironmentHealthcare providers, insurance companies, or third-party administratorsHospitals, clinics, insurance companies, or claims processing centers
Required CredentialsKnowledge of insurance policies, healthcare regulations, often certifications in healthcare administrationUnderstanding of insurance billing, coding, and claims processing, often with certifications like CPC or CCS

Contract Insurance Prior Authorization involves obtaining approval before healthcare services, while Medical Insurance Claims Specialists handle post-service claims processing. Both roles require knowledge of insurance policies and healthcare regulations, but they focus on different stages of the insurance process.

More about Contract Insurance Prior Authorization jobs
What cities are hiring for Contract Insurance Prior Authorization jobs? Cities with the most Contract Insurance Prior Authorization job openings:
What are the most commonly searched types of Insurance Prior Authorization jobs? The most popular types of Insurance Prior Authorization jobs are:
What states have the most Contract Insurance Prior Authorization jobs? States with the most job openings for Contract Insurance Prior Authorization jobs include:
What job categories do people searching Contract Insurance Prior Authorization jobs look for? The top searched job categories for Contract Insurance Prior Authorization jobs are:
Contract Insurance Prior Authorization jobs near you
Infographic showing various Contract Insurance Prior Authorization job openings in the United States as of May 2026, with employment types broken down into 92% Full Time, 7% Part Time, and 1% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $65,651 per year, or $31.6 per hour.

Prior Authorization Department

One Stop Hospice Inc

Santa Ana, CA

$25/hr

Full-time

Posted 14 days ago

Job description


Position Title
Prior Authorization Specialist / Prior Authorization Coordinator
Department
Prior Authorization Department

Job Summary
The Prior Authorization Specialist is responsible for obtaining insurance authorizations and approvals for medical services, treatments, medications, procedures, and equipment. This role works closely with physicians, clinical staff, insurance companies, and patients to ensure timely approvals and accurate documentation while maintaining compliance with payer guidelines and company policies.
Essential Duties and Responsibilities
  •  Submit prior authorization requests to insurance providers for medical services, medications, procedures, and treatments 
  •  Verify patient insurance eligibility and benefits 
  •  Review clinical documentation to ensure authorization requirements are met 
  •  Communicate with physicians, nurses, pharmacies, and other departments regarding authorization status and additional documentation needs 
  •  Follow up with insurance companies on pending, denied, or incomplete authorizations 
  •  Process authorization renewals and extensions as needed 
  •  Document all authorization activities accurately in the EMR/EHR system 
  •  Maintain knowledge of insurance payer guidelines, Medicare, Medicaid, and commercial insurance requirements 
  •  Assist with appeals and denial management when authorizations are denied 
  •  Ensure all approvals are obtained prior to scheduled services when required 
  •  Maintain confidentiality of patient information in compliance with HIPAA regulations 
  •  Provide excellent customer service to patients and internal staff 
Qualifications
  •  High school diploma or equivalent required; associate degree preferred 
  •  Minimum of 1–2 years of experience in healthcare, medical billing, insurance verification, or prior authorization preferred 
  •  Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding preferred 
  •  Experience with EMR/EHR systems and insurance portals 
  •  Strong organizational and multitasking skills 
  •  Excellent communication and problem-solving abilities 
  •  Ability to work independently and in a fast-paced environment 
  •  Proficiency in Microsoft Office applications 
Preferred Experience
  •  Experience in Home Health, Hospice, Specialty Pharmacy, or Medical Office settings 
  •  Familiarity with Medicare, Medi-Cal/Medicaid, and commercial payer authorization processes 
Physical Requirements
  •  Prolonged periods of sitting and computer work 
  •  Ability to communicate effectively by phone and email 
  •  Occasional lifting of office materials up to 15 pounds 
Work Environment
  •  Office or healthcare setting 
  •  Standard business hours with occasional overtime depending on authorization volume 
Skills
  •  Attention to detail 
  •  Time management 
  •  Insurance verification and authorization processing 
  •  Data entry accuracy 
  •  Customer service 
  •  Team collaboration