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Dermatology Prior Authorization Jobs (NOW HIRING)

Pure Infusion

Prior Authorization Specialist

Sandy, UT · On-site

$24 - $28/hr

... Dermatology, Neurology, or Immunology preferred. • Excellent communication and customer service ... prior authorization systems. • Works comfortably in software like a PMS or EMR to track ...

Dermatology Partners

Medical Triage

Reading, PA · On-site

$16.25 - $21.25/hr

Join us at Dermatology Partners, where your career flourishes alongside your health and happiness ... Providing pathology results and Prior authorizations as allowed * Respond within 24 hours to ...

RecruitWell

Dermatology Physician

Wilmington, DE

$168.27 - $264.42/hr

Part-Time or Full-Time - Wilmington, Delaware, Dermatology Job * Clinical Role: * Do you know ... Prior Authorization Department, In-House Lab, In-House Pathology, In-House Plastics, Research ...

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Dermatology Prior Authorization information

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How much do dermatology prior authorization jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for dermatology prior authorization in the United States is $24.86, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $21.88 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in dermatology prior authorization, and why are they important?

To excel in Dermatology Prior Authorization, you need a solid understanding of medical terminology, dermatological treatments, and insurance processes, often supported by experience in healthcare administration or a related certification. Familiarity with electronic health records (EHR) systems, insurance portals, and prior authorization management software is typically required. Attention to detail, strong communication, and problem-solving abilities are valuable soft skills in this role. These qualifications ensure accurate and efficient processing of authorizations, minimize treatment delays, and enhance patient care outcomes.

What is dermatology prior authorization?

Dermatology prior authorization is a process used by insurance companies to determine if a specific dermatological treatment, medication, or procedure will be covered before it is provided. This often involves submitting detailed medical documentation and justification from a dermatologist to the insurer. The goal is to ensure that the requested service is medically necessary and meets the insurance plan’s criteria. Prior authorization can help manage costs but may also delay access to certain treatments or medications. Patients and providers often work together to gather and submit the necessary information for approval.

What is the difference between Dermatology Prior Authorization vs Dermatology Nurse?

AspectDermatology Prior AuthorizationDermatology Nurse
CredentialsTypically requires healthcare provider credentials, such as MD or DORegistered Nurse (RN) or Licensed Practical Nurse (LPN) certification
Work EnvironmentInsurance companies, healthcare provider offices, or hospitals for approval processesClinics, hospitals, or dermatology practices providing patient care
Primary RoleReviewing and obtaining insurance approval for dermatology treatmentsProviding patient care, education, and assisting dermatologists

While Dermatology Prior Authorization focuses on securing insurance approval for treatments, Dermatology Nurses deliver direct patient care and support dermatologists. Both roles are essential in dermatology but serve different functions within the healthcare process.

What are some common challenges faced by professionals in dermatology prior authorization roles, and how can they be addressed?

Professionals in Dermatology Prior Authorization often face challenges such as navigating complex insurance requirements, managing high volumes of requests, and ensuring timely approvals for patient treatments. Staying up-to-date with various insurers' policies and maintaining clear communication with providers and patients are crucial to overcoming these hurdles. Developing strong organizational skills and leveraging electronic prior authorization tools can help streamline workflows and reduce administrative burdens.
More about Dermatology Prior Authorization jobs
What cities are hiring for Dermatology Prior Authorization jobs? Cities with the most Dermatology Prior Authorization job openings:
What states have the most Dermatology Prior Authorization jobs? States with the most job openings for Dermatology Prior Authorization jobs include:
What job categories do people searching Dermatology Prior Authorization jobs look for? The top searched job categories for Dermatology Prior Authorization jobs are:
Dermatology Prior Authorization jobs near you
Infographic showing various Dermatology Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 74% Full Time, and 26% Part Time. Highlights an 100% In-person job distribution, with an average salary of $51,716 per year, or $24.9 per hour.

Prior Authorization Specialist

Pure Infusion

Sandy, UT • On-site

$24 - $28/hr

Full-time

Posted 12 days ago

Job description

Position Summary:
The Prior Authorization Specialist is a vital team member responsible for efficiently managing the prior authorization process to ensure seamless patient care and timely treatment. This position requires a solid understanding of medical benefits, step therapy, and authorization policies, along with exceptional organizational, communication, and problem-solving skills. The role involves consistent collaboration with providers, clinical teams, local PACs, and sales representatives, requiring outstanding professionalism and multitasking abilities.
• The Specialist will manage a caseload of at least 30 active authorizations and must skillfully navigate systems such as Salesforce, WeInfuse, and AMD to track and update case progress, send communications, and meet critical deadlines. This role is key to maintaining operational efficiency and directly contributes to Pure's standard of excellence and patient satisfaction.
Key Responsibilities
• Processes prior authorizations accurately and efficiently, including reviewing step therapy, minimum authorization requirements, and payer-preferred medications.
• Manages appeals and denials, escalating cases when necessary, and follows appropriate payer protocols.
• Analyzes insurance policies for each case and communicates with internal teams or providers to obtain needed documentation when the case does not align with policy.
• Verifies insurance benefits and determines in-network (INN) or out-of-network (OON) status across various payers and states under Intake standards.
• Evaluates medical and pharmacy benefits to determine patient eligibility for treatment.
• Maintains clear, professional communication with providers, patients, internal teams, and stakeholders.
• Accurately documents all case-related conversations and updates within Salesforce within required timeframes.
• Prioritizes personal tasks and authorizations to ensure timely completion and follow-up.
• Collaborates with internal team members (e.g., PACs, clinical staff, sales) to gather or clarify case information.
• Investigates and resolves complex cases using strong critical thinking and problem-solving skills.
• Organizes and manages authorization workload efficiently to meet performance goals.
• Follow and produce by Intake standards for accuracy and completion standards.
Required Knowledge and Skills
• Minimum 2-3 years of experience as a Medical Assistant (MA), with direct prior authorization and biologic therapy experience.
• Proven ability to interpret clinical documentation and understand commercial and Medicare Advantage policies, including Local Coverage Determinations (LCDs).
• Strong experience working with systems like Salesforce, WeInfuse, and AMD.
• Background in a specialty field such as Rheumatology, Gastroenterology, Dermatology, Neurology, or Immunology preferred.
• Excellent communication and customer service skills with both clinical teams and patients.
• Highly organized and capable of managing multiple priorities in a fast-paced environment.
• Strong documentation habits and time management skills.
• Education/Licensure/Technical Requirements
• High School diploma or equivalent required.
• Certification or formal training as a Medical Assistant required
• Biologic Authorization experience required
• Must meet U.S. employment eligibility requirements.
• Proficiency with EMRs, CRMs (Salesforce), and prior authorization systems.
• Works comfortably in software like a PMS or EMR to track information, schedule and make notes.
• Ability to meet U.S. employment and eligibility requirements
About PURE
Pure Infusion Suites is a fast-growing healthcare start-up, recognized as the fastest-growing company in Utah as of October 2024. Our success comes from our remarkable team, shared values, and a supportive culture that shows in every interaction, whether with patients in our clinics or with insurance companies and vendors at our corporate headquarters. If you are detail-oriented, self-directed, and passionate about ensuring claims are processed quickly and accurately, this could be the perfect role for you.
OUR CORE VALUES
We live by four core values that define our culture and guide our hiring:
• People-obsessed
• Passionate
• Builder
• Grateful
The pay range for this role is:
24 - 28 USD per hour (Sandy HQ)

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