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How much do dermatology prior authorization jobs pay per hour?

As of Aug 2, 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.
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Dermatology Prior Authorization jobs near you
Infographic showing various Dermatology Prior Authorization job openings in the United States as of July 2026, with employment types broken down into 71% Full Time, and 29% Part Time. Highlights an 100% In-person job distribution, with an average salary of $51,716 per year, or $24.9 per hour.

Supervisor, Medical Prior Authorization

House Rx

Pittsburgh, PA • On-site

Full-time

Medical, Dental, Vision, PTO

Posted 24 days ago

Job description

House Rx is on a mission to make specialty medications more affordable and accessible for patients suffering from chronic illnesses like cancer and autoimmune disorders. We provide clinics with specialized technology and support from pharmacists and care coordinators to dispense medication directly to their patients, known as medically integrated dispensing (MID).
The Medication Authorization Supervisor is responsible for building the playbook and leading the daily operations of the Medical Benefit Authorization team. This leader ensures patients receive timely access to therapy by driving operational excellence across benefit investigations, medical prior authorizations, payer documentation, appeals, and authorization renewals.
This role balances people leadership with operational ownership, ensuring quality, productivity, turnaround time, and customer satisfaction while continuously improving workflows across multiple specialties.
What You'll Do
Team Leadership
  • Lead, coach, and develop a team of Medication Authorization Specialists.
  • Monitor daily workload and staffing to meet service level expectations.
  • Conduct quality reviews, provide coaching, and implement performance improvement plans when necessary.
  • Train new employees and establish ongoing competency programs.
  • Foster a culture focused on accountability, collaboration, and continuous improvement.
Operational Excellence
  • Oversee end-to-end medical authorization workflows for provider-administered specialty medications.
  • Ensure timely submission of medical prior authorizations, predeterminations, and supporting clinical documentation.
  • Monitor authorization turnaround times and proactively resolve barriers impacting patient care.
  • Develop and maintain standard operating procedures.
  • Partner with Product and Operations teams to improve workflows and automate manual processes.
  • Identify trends impacting payer approvals and implement process improvements.
Clinical & Reimbursement Expertise
  • Serve as the escalation point for complex medical authorization cases.
  • Maintain expertise in commercial, Medicare Advantage, Medicaid, and other payer medical policies.
  • Review payer guidelines, clinical criteria, and authorization requirements.
  • Support appeals and peer-to-peer preparation when appropriate.
  • Collaborate with providers and clinical staff to obtain necessary documentation.
Cross-Functional Collaboration
  • Partner closely with Customer Success, Operations, Pharmacy, Finance, and Implementation teams.
  • Communicate payer changes that impact customer workflows.
  • Support implementation of new clinics and specialty service lines.
  • Participate in customer escalations as the medical authorization subject matter expert.
Performance Management
  • Monitor KPIs including:
    • Authorization turnaround time
    • Approval rate
    • First-pass submission quality
    • Productivity
    • Appeal success rate
    • Customer SLA adherence
  • Utilize reporting to identify trends and implement corrective actions.
Qualifications
Required
  • 5+ years of experience in medical benefit prior authorizations or specialty reimbursement.
  • 2+ years of people leadership or supervisory experience.
  • Experience supporting provider-administered specialty medications.
  • Strong knowledge of commercial, Medicare, and Medicaid medical benefit authorization processes.
  • Experience with infusion therapies, biologics, oncology, rheumatology, gastroenterology, neurology, or dermatology medications.
  • Strong understanding of payer medical policies and clinical documentation requirements.
  • Exceptional organizational and communication skills.
  • Ability to manage multiple priorities in a fast-paced environment.
Preferred
  • Experience working within specialty pharmacy, physician dispensing, infusion centers, or specialty physician practices.
  • Experience with appeals, medical necessity documentation, and peer-to-peer support.
  • Knowledge of EMRs such as Epic, eClinicalWorks, or OncoEMR.
  • Experience with specialty reimbursement platforms and authorization management systems.
  • Bachelor's degree or equivalent healthcare experience
Why You Should Join Our Team
A career at House Rx offers the chance to work with a talented group of entrepreneurs, healthcare professionals, and technology builders who are passionate about improving specialty care and making it easier for patients to access the medication that they need.
At House Rx, we strive to build and maintain an environment where employees from all backgrounds are valued, respected, and have the opportunity to succeed. You'll find a culture that supports open communication, embracing failure as a learning opportunity, and always being open to new ideas-no matter how radical. We're committed to creating a positive and collaborative culture to achieve our mission, all while supporting our team members in all aspects of their lives-at home, at work, and everywhere in between.
In particular, we offer:
  • Flexible paid time off
  • Generous parental leave
  • Comprehensive healthcare, vision and dental benefits
  • Competitive salary and equity stake

We're backed by forward-thinking investors committed to transforming healthcare, including Bessemer Venture Partners, First Round Capital, NEA, Town Hall Ventures, Khosla Ventures, Maverick Ventures, 1984.vc, and Character.

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