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Entry Level Prior Authorization Specialist Jobs (NOW HIRING)

Las Vegas Pain Institute and Medical Center

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Prior Authorization Specialist

Las Vegas, NV · On-site

$16 - $18/hr

A prior authorization specialist is a healthcare administrative professional who secures approval from insurance companies before a patient undergoes specific procedures and/or treatments. They act ...

Pure Infusion

Prior Authorization Specialist

Sandy, UT · On-site

$17 - $22.75/hr

Prior Authorization Specialist Behind every approved infusion treatment is a Prior Authorization Specialist who navigated payer policy, step therapy requirements, and paperwork so the patient never ...

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Entry Level Prior Authorization Specialist information

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How much do entry level prior authorization specialist jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for entry level prior authorization specialist in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What does an entry level prior authorization specialist do?

An Entry Level Prior Authorization Specialist is responsible for obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. They review medical records, verify insurance coverage, and communicate with healthcare providers and insurance representatives to ensure all necessary documentation is submitted. This role helps prevent claim denials and ensures patients receive the care they need without unnecessary delays.

What are the key skills and qualifications needed to thrive as an entry level prior authorization specialist?

To thrive as an Entry Level Prior Authorization Specialist, you need a basic understanding of medical terminology, insurance processes, and strong attention to detail, typically supported by a high school diploma or equivalent. Familiarity with healthcare management systems, electronic health records (EHRs), and insurance verification tools is commonly required. Strong communication, problem-solving abilities, and organizational skills help you efficiently coordinate authorizations and interact with healthcare providers and insurers. These skills ensure accurate and timely processing of prior authorizations, which is critical for patient care and organizational efficiency.

What are some common challenges faced by entry level prior authorization specialists and how can they be addressed?

Entry Level Prior Authorization Specialists often encounter challenges such as managing high volumes of authorization requests, navigating complex insurance policies, and communicating with both healthcare providers and insurance representatives. Staying organized and developing effective time management skills are essential for handling multiple cases efficiently. Building a solid understanding of insurance terminology and procedures also helps in quickly resolving issues and improving approval rates. Collaborating with experienced team members and seeking mentorship can further ease the transition into the role and enhance problem-solving abilities.

What is the difference between Entry Level Prior Authorization Specialist vs Medical Billing Specialist?

AspectEntry Level Prior Authorization SpecialistMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification optional
Work EnvironmentHealthcare offices, insurance companiesHealthcare offices, billing companies
Job FocusSecuring insurance approvals for treatmentsProcessing and submitting medical claims
Common UsageInsurance and healthcare providersMedical practices, billing services

While both roles involve healthcare administrative tasks, the Entry Level Prior Authorization Specialist primarily focuses on obtaining insurance approvals for patient treatments, whereas the Medical Billing Specialist handles billing and claims processing. Understanding these differences helps job seekers identify the right career path in healthcare administration.

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Entry Level Prior Authorization Specialist jobs near you
Infographic showing various Entry Level Prior Authorization Specialist job openings in the United States as of August 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.

Prior Authorization Specialist

Bartlett Regional Hospital

Juneau, AK • On-site

$19 - $25.50/hr

Full-time

Posted 4 days ago

Job description

Bartlett Regional Hospital is searching for an Prior Authorization Specialist to join our Prior Authorization Team!
Pay Information:
Internal Hires: Pay rate will be determined based on applicable personnel rule or union contract terms.
Job Summary
Prior Auth Specialist 1: The Prior Authorization Specialist 1 performs routine prior authorization and insurance verification functions in support of patient access and revenue cycle operations. Under general supervision, this role determines authorization requirements, verifies insurance coverage and eligibility, submits standard requests, and monitors status to ensure timely processing and scheduling. The position follows established workflows, ensures required documentation is complete, communicates updates with staff and payers, and escalates complex issues as needed while developing foundational knowledge of payer requirements, insurance verification, and authorization processes.
Prior Auth Specialist 2: The Prior Authorization Specialist 2 independently manages prior authorization and insurance verification processes across multiple service lines, ensuring accurate eligibility determination, timely approval of services, and minimal delays in patient care. This role applies advanced knowledge of payer requirements, benefit structures, clinical documentation standards, and authorization workflows to resolve complex issues, including denials, coverage discrepancies, and incomplete requests.
The Specialist 2 serves as a resource to staff and providers on authorization and insurance-related questions, supports process improvement efforts, and helps identify trends impacting access and reimbursement. This position is responsible for ensuring accuracy, compliance, and efficiency across all authorization and insurance verification activities.
Minimum Qualifications for the Job:
Prior Auth Specialist 1
  • Education: High School diploma or equivalent
  • Experience: One (1) year of experience in data entry, billing, accounting, or similar experience
  • License(s): None
  • Certification(s): None

Prior Auth Specialist 2
  • Education: High School diploma or equivalent
  • Experience: One (1) year of direct prior authorization experience in a hospital
  • License(s): None
  • Certification(s): None

Practice Notices:
  • All new employees are required to produce a negative drug screen for all illegal substances in the State of Alaska prior to start of employment.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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