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Entry Level Prior Authorization Team Lead Jobs (NOW HIRING)

RPC Company

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Prior Authorization Specialist

Farmers Branch, TX · On-site

$22 - $24/hr

Prior Authorization Specialist - Pharmacy Technician Pay: $22-$24 per hour Location: Onsite New ... We are committed to hiring team members who are passionate about patient care, operational ...

Pure Infusion

Prior Authorization Specialist

Sandy, UT · On-site

$17 - $22.75/hr

The Job 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 role ...

StatCare, LLC

Prior Authorization Coordinator

Knoxville, TN · On-site

$15.25 - $19/hr

Prior Authorization Coordinator is responsible for securing prior authorizations for diagnostic ... Ability to work independently and as part of a team in a fast-paced environment and multi-task.

TriHealth

Prior Authorization Specialist

Montgomery, OH · On-site

$17.25 - $23/hr

Montgomery Fitness Pavilion offers a welcoming, team-oriented environment focused on wellness ... The prior authorization specialist is responsible for coordinating all aspects of the prior ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA · On-site

$21 - $23/hr

Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored ... Support onboarding and ongoing training of team members; contribute to knowledge sharing and best ...

BrightSpring

Prior Authorization Specialist

Louisville, KY

$16.50 - $22/hr

Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed-door pharmacy ... The Prior Authorization Coordinator is responsible for striving to complete either approval for ...

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

As of Sep 4, 2026, the average hourly pay for entry level prior authorization team lead in the United States is $25.73, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $24.04 per hour, depending on experience, location, and employer.

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Entry Level Prior Authorization Team Lead jobs near you

PRIOR AUTHORIZATION SPECIALIST

Graves Gilbert Clinic

Bowling Green, KY • On-site

$17.75 - $23.50/hr

Full-time

Re-posted 15 days ago

Graves Gilbert Clinic rating

5.2

Company rating: 5.2 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

Job description

The Prior Authorization Specialist is responsible for verifying patient eligibility and insurance benefits for clinic-administered medications. This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization requests. The Specialist will obtain, monitor, and maintain authorizations through payer websites, fax, and telephone, including all necessary follow-up and reauthorization activities. This role supports revenue cycle accuracy and contributes to the delivery of high-quality patient care.
Key Responsibilities:
  • Initiate, monitor, and secure prior authorizations from third-party payers.
  • Maintain electronic documentation for all prior authorization activities in accordance with organizational standards.
  • Track pending authorizations and follow up within defined timeframes (7-10 days or payer-specific requirements) to support timely claims submission.
  • Obtain authorization renewals and verify active provider orders and medical necessity documentation.
  • Work collaboratively with clinicians, practice managers, and other team members to obtain clinical notes and documentation necessary for prior authorization approval.
  • Verify authorization quantities and effective dates; ensure accurate processing by third-party payers and correct loading of information in internal systems.
  • Review and confirm patient eligibility, insurance benefits, and plan requirements for clinic-administered medications.
  • Interpret payer pre-certification and authorization guidelines and ensure appropriate approvals are obtained and documented.
  • Input accurate Payer Plan ID numbers and related data into organizational systems to ensure correct billing for current and future services.
  • Determine patient financial responsibility, including coordination of benefits and other coverage considerations.
  • Organize workload and manage deadlines to prevent delays or loss of revenue due to filing limitations.
  • Maintain professional communication with all payers, clinicians, and other team members.
  • Perform additional duties as assigned.

Qualifications:
  • Prior experience in authorization processing and benefit investigation required.
  • Experience with specialty medication authorizations preferred.
  • Strong attention to detail and accuracy.
  • Excellent time management and organizational skills.
  • Proficiency in Microsoft Excel and related software applications.
  • Strong interpersonal and communication skills.
  • Ability to interpret insurance benefits, authorization guidelines, and medical terminology.
  • Ability to work collaboratively in a fast-paced, team-oriented environment.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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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