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Full Time Aetna Prior Authorization Jobs (NOW HIRING)

IVX Health

Prior Authorization Coordinator

Brentwood, TN · On-site +1

$17.50 - $21.75/hr

In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company-provided benefits. Prior Authorization Coordinator Pay Range $22--$24 USD About IVX ...

Concept Pharmacy

Prior Authorization Specialist

Ashland, PA

$16.50 - $22/hr

Prior Authorization Specialist Full-Time | On-Site | Ashland, PA About the Role Concept Billing Solutions is seeking a detail-oriented and organized Prior Authorization Specialist to join our growing ...

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IVX Health

Prior Authorization Coordinator

$19 - $23.50/hr

In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company-provided benefits. Prior Authorization Coordinator Pay Range $22-$24 USD About IVX ...

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 ... This is a full-time position with benefits. Please visit our Contact Us/Opportunities page on our ...

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 ... This is a full-time position with benefits. Please visit our Contact Us/Opportunities page on our ...

StatCare, LLC

Prior Authorization Coordinator

Knoxville, TN · On-site

$15.25 - $19/hr

Prior Authorization Coordinator is responsible for securing prior authorizations for diagnostic ... In-Person, Full-Time, Monday - Friday BENEFITS: * 401(k) * Dental insurance * Health insurance

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PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST Location: Remote About DxTx Pain & Spine At DxTx Pain & Spine, we're redefining how pain and spine ...

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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 7, 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 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 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 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 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

Grace Health

Battle Creek, MI

$17 - $22.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Grace Health (Kentucky) rating

7.8

Company rating: 7.8 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 weeks of PTO in the first year! Other perks include no nights or weekend work.

$1,000 Sign-on bonus ($500 after successful completion of your probationary period and $500 after 6 months).

Benefits

  • Medical, vision, dental, life, and disability insurance
  • 401K match
  • 8 paid holidays
  • Employee wellness program focusing on physical, mental, and financial wellness

EXAMPLES OF DUTIES: (This list may not be all inclusive.)

    1. Educates patients and staff about the process of medication prior authorizations.
    2. Processes medication prior authorization requests.
    3. Communicates with patients, Grace Health staff and other offices or health care agencies regarding medication prior authorization.
    4. Develops and maintains a tracking system for medication prior authorizations.
    5. Documents appropriate information in the medical record.
    6. Maintains current resources related to medication prior authorizations.
    7. May assist staff and patients with the managed care process.

    Requirements:

    1. High school Diploma or GED

    2. Completion of Medical Terminology

    3. Ambulatory and Pharmacy experience preferred

    4. Certified Clinical Medical Assistant Preferred

    GH26


      Employment Type: FULL_TIME

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