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Contract Insurance Prior Authorization Jobs (NOW HIRING)

Foothills Neurology

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Prior Authorization Specialist

Phoenix, AZ · On-site

$20 - $25/hr

The Prior Authorization Specialist will handle all aspects of prior authorizations and referrals ... Submit requests to insurance companies and follow up until completion. * Follow payer guidelines ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Communicate with practices, vendors, insurance companies, patients, and management to secure ...

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Contract Insurance Prior Authorization information

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$65.7K

$83.5K

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

As of Jun 22, 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.

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Contract Insurance Prior Authorization jobs near you

Prior Authorization Specialist

WASHINGTON COUNTY HOSPITAL AND CLINICS

Washington, DC

$20.50 - $27.25/hr

Full-time

Posted 5 days ago

Job description

SUMMARY

Determines which patient services have third party payor requirements and is responsible for verifying eligibility, obtaining insurance benefits and ensuring prior authorization requirements are met prior to the delivery of tests, treatments, and medications

DUTIES/RESPONSIBILITIES (include but are not limited to the following)

  • Reviews and processes all assigned prior authorization requests to completion. Diligently reviews patient health care data, diagnostic testing and treatment information for completeness for insurance requirements and prior authorization process.
  • Communicates with providers, and clinical staff as needed to obtain and understand clinical documentation requirements. Provide required clinical documentation to payers via phone, faxed forms, and/or website.
  • Maintains documentation of authorization approvals and denials, including authorization numbers and associated codes, dates, and other relevant data
  • Communicates effectively with clinical staff, payor representatives, and providers
  • Recommends process improvements for increased efficiencies

EDUCATION AND/OR EXPERIENCE

  • Minimum (2) years experience in an hospital setting required, prior authorization experience preferred
  • Knowledge of medical terminology, CPT and ICD-10 codes
  • Must demonstrate consistent professional conduct and meticulous attention to detail
  • Must possess excellent verbal and written communication skills as well as interpersonal skills with patients, staff and other healthcare professionals
  • Critical thinking skills and a positive attitude

SKILLS AND ABILITIES

  • Must be proficient with computer applications necessary for effective management of all scheduling processes.

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