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Entry Level Prior Authorization Specialist Jobs (NOW HIRING)

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

Prior Authorization Specialist Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its ...

Oxford Solutions

Prior Authorization Specialist

Pittsburgh, PA · On-site

$16.75 - $22.50/hr

Days & Evenings (EST) Pay Rate: 18-20+/hr (depending on experience level) Oxford Solutions is seeking a Pharmacy Prior Authorization Specialist to join a growing pharmacy support team in Pittsburgh.

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

The Prior Authorization Specialist handles all prior authorizations, third party appeals, and pending third party payer issues across all Equitas Health medical centers. This individual will work ...

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$17.50 - $23.50/hr

Prior Authorization Specialist Join a leading healthcare company At Curant Health, our vision is personalize healthcare driven by choice and defined by value. As a Curant Health employee, your role ...

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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 Aug 15, 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 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.

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.
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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 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.

Prior Authorization Specialist

General Physician

Buffalo, NY • On-site

$17.90 - $20/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 23 days ago

Job description

Pay Range: $17.90 - $20.00*
General Physician, P.C. is one of WNY's largest and most respected multi-specialty medical groups! We are committed to providing comprehensive, high-quality patient-centered care to improve the overall quality of the lives of our patients.
Currently, we are seeking a Prior Authorization Specialist for our Cardiology office located in Buffalo, NY! This is a full-time position, scheduled Monday - Friday, and includes Free Parking!
No nights, weekends, or holidays!
We offer our Prior Authorization Specialist:
Employees are benefit-eligible on the first of the month following their start date
This includes:

  • Medical, dental, vision & much more
  • Generous PTO and paid holidays
  • Competitive salary
  • 401(K) 3% employer contribution
  • Verizon Wireless discount
  • Uniforms provided
Essential Duties of a Prior Authorization Specialist:
The primary purpose of this position is to: Obtain prior authorization for medications, imaging, and surgeries. Verify insurance and help patients apply for financial assistance.
  • Obtain prior authorizations for all oral medications, surgery, and blood work for all providers in Cardiology.
  • Verify eligibility for oral medications, chemotherapy, surgery, and blood work; 3. Find and set up financial assistance (copay assistance) for patients
  • Fax all infusion orders to the infusion center
  • Act as the point person if there is an issue with a prior authorization or a code for the hospital
  • Track prior authorizations for expiration dates
  • Manage incoming document bins and assist with the completion of necessary forms
  • Deliver exemplary customer service to provide a positive patient experience across the organization
  • Perform other duties assigned by management.
Minimum Qualifications of a Prior Authorization Specialist:
  • High school diploma required, two-year college degree preferred
  • Proven work experience in a healthcare facility and/or strong customer service experience preferred
  • Knowledge of insurance and medical terminology
  • Strong written and verbal communication skills with ability to utilize computer programs

General Physician P.C. is proud to be an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status, or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
* The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant at the time of posting. When determining pay, several factors will be considered including but not limited to location, specialty, service line, years of relevant experience, education, professional credentials, internal equity, and budget.

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