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Full Time Aetna Prior Authorization Jobs (NOW HIRING)

Logan Health

Prior Authorization Specialist

$18.50 - $24.50/hr

Variable Shift - 8 Hours | Full-Time - 40 Hours At Logan Health, we're more than just healthcare ... Obtain prior authorizations for facility and professional charges following departmental protocols.

Logan Health

Prior Authorization Specialist

$18.50 - $24.50/hr

Variable Shift - 8 Hours | Full-Time - 40 Hours At Logan Health, we're more than just healthcare ... Obtain prior authorizations for facility and professional charges following departmental protocols.

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Full Time Aetna Prior Authorization information

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$87K

$134.7K

$189K

How much do full time aetna prior authorization jobs pay per year?

As of Aug 21, 2026, the average yearly pay for full time aetna prior authorization in the United States is $134,701.00, according to ZipRecruiter salary data. Most workers in this role earn between $104,000.00 and $163,500.00 per year, depending on experience, location, and employer.

What is a full time Aetna prior authorization specialist?

A Full Time Aetna Prior Authorization specialist is a healthcare professional responsible for obtaining approval from Aetna insurance for specific medical procedures, medications, or services before they are provided to patients. This role involves reviewing clinical documentation, communicating with healthcare providers, and ensuring all necessary criteria are met for insurance coverage. The specialist helps reduce claim denials and ensures patients receive timely care by facilitating the authorization process.

What are the key skills and qualifications needed to thrive as a full time Aetna prior authorization specialist?

To thrive as a Full Time Aetna Prior Authorization Specialist, you need a solid understanding of healthcare insurance processes, medical terminology, and prior authorization requirements, often supported by experience in medical billing or a healthcare-related certification. Familiarity with insurance portals, electronic medical record (EMR) systems, and Aetna-specific authorization platforms is essential. Strong attention to detail, organizational skills, and clear communication with both providers and patients help ensure accurate and timely processing. These skills are crucial for minimizing delays in patient care and ensuring compliance with insurance policies.

What are some common challenges faced by full time Aetna prior authorization specialists, and how can they be addressed?

Full Time Aetna Prior Authorization specialists often navigate complex insurance policies and medical guidelines, which can make case reviews challenging, especially when dealing with urgent requests or incomplete documentation. Staying current with frequent policy changes and maintaining clear communication with providers and patients are key to success. Building strong organizational skills and collaborating closely with clinical teams helps streamline the process and improves approval outcomes. Many specialists find that regular training and supportive teamwork are essential for managing workload and reducing stress.

What is the difference between Full Time Aetna Prior Authorization vs Medical Claims Processor?

AspectFull Time Aetna Prior AuthorizationMedical Claims Processor
CredentialsTypically requires healthcare-related certifications or experienceUsually requires knowledge of billing and coding, with relevant certifications
Work EnvironmentOffice-based, healthcare insurance settingOffice-based, insurance or healthcare organization
Industry UsageUsed in health insurance companies for approval processesUsed in insurance companies for processing claims
Primary FocusReviewing and approving prior authorization requestsProcessing and reviewing insurance claims for payment

Full Time Aetna Prior Authorization specialists focus on reviewing requests for medical services before approval, ensuring compliance with insurance policies. Medical Claims Processors handle the processing of insurance claims after services are rendered. Both roles are essential in healthcare insurance operations but differ in their primary functions and workflow.

What cities are hiring for Full Time Aetna Prior Authorization jobs?

Cities with the most Full Time Aetna Prior Authorization job openings:

What are the most commonly searched types of Aetna Prior Authorization jobs?

The most popular types of Aetna Prior Authorization jobs are:

What states have the most Full Time Aetna Prior Authorization jobs?

States with the most job openings for Full Time Aetna Prior Authorization jobs include:

Full Time Aetna Prior Authorization jobs near you

Prior Authorization Specialist - Prior Authorization - Full time

Aspenvalleyhealth

Basalt, CO • On-site

$24.25 - $38.81/hr

Full-time

Medical, Retirement, PTO

Posted 8 days ago

Job description

We are currently hiring for a full time Prior Authorization Specialist within the Prior Authorization department here at Aspen Valley Health.

Work Shift:

Days - 8 Hour

Compensation Range:

$24.25 - $38.81

The compensation range listed is an estimate. Final compensation will be determined based on your qualifications including years of experience performing similar work, level of formal education in a relevant field of study, and any professional certifications related to the position.

Requirements:

Preferred Qualifications
  • Previous experience working in a healthcare setting preferred.
  • Experience with EPIC preferred.
  • Bilingual in Spanish preferred.

We will consider equivalent combinations of experience and education for certain jobs. If you don't meet the job requirements as listed, but you believe you possess equivalent experience or education, you are encouraged to apply.

Position Overview:

The Prior Authorization Specialist is an advocate for the patient's medical needs and financial health as they facilitate the process from provider through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care as they secure payer authorization for medical services and optimize patient health outcomes by minimizing interruptions to ongoing treatments due to payer coverage restrictions or denials. The Prior Authorization Specialist minimizes the patient's financial risk with a thorough review of the health plan benefits and coverage restrictions, proactively advising the provider and patient of any authorization delay or denial.

What to Love:

Aspen Valley Health has earned numerous accolades and awards, which are a tribute to the tradition of high-tech, high-touch care we provide for our patients.


What We Offer:

Our comprehensive benefits package can be viewed here.

  • Continuing education, professional development, and tuition assistance.
  • Healthcare as low as $46 per month, plus an additional 50% off of all AVH services for you AND your family!
  • All preventative services covered at 100%, zero copay.
  • Virtual and robust mental health resources available.
  • Earn up to 22 days PTO within your first year. Rollover what you don't use.
  • Bereavement Leave that covers miscarriages, extended family, and pets.
  • Robust Paid Medical and Family Leave. Weeks 1-6 are paid at 100% for parental or personal illness/injury.
  • You will be automatically enrolled into the 457b plan at 6% to kick start your retirement savings.
  • In addition, AVH matches 50% of your 457b contributions up to a max of 3% of earnings each pay period into our 401a plan.
  • In lieu of Social Security, AVH contributes 7.5% of your annual salary each year to the Cash Balance Pension Plan. This means you are no longer paying social security taxes out of your paycheck! (Your take home will be much higher!)
  • Housing assistance - We provide resources to establish roots in the Roaring Fork Valley.
  • Employee referral bonuses.
  • Discounted ski passes!
  • Transportation discounts and carpool incentives.

Environment and Culture:

Aspen Valley Health is a twenty-five-bed community hospital that represents the best of two worlds - the warmth and friendliness of a small town and the technical expertise of a major medical center.


"I love the people, the sense of family and community on this team and in a broader sense across the hospital as a whole.I have worked for a HUGE corporation, and this is so much better!!It's like CHEERS, where everybody knows your name." - Stacy


"I love the flexibility that this job gives me, and the people I get to connect with and learn from. The job is challenging and ever-changing, which helps keep my brain sharp! AVH has been a great company to work for over the last 8 years, and it shows in how employees are valued and cared for." - Melissa


"The team members are incredibly dedicated to the delivery of care for our patients, to helping our staff feel valued and supported, and to the fiscal health of the hospital. They also genuinely care about each other, are able to laugh at themselves, and tease each other because there is a basis of trust and mutual support. I have laughed so hard at meetings that I have actually cried." - Diana


It's no surprise that our retention rate is BETTER than 90% of all other hospitals in the country!


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