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Full Time Aetna Prior Authorization Jobs (NOW HIRING)

MC-Rx

Prior Authorization Coordinator

Gainesville, GA

$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

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 ...

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 14, 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

Cornerstone Family Healthcare

Middletown, NY • On-site

$21/hr

Full-time

Medical, Retirement, PTO

Re-posted 18 hours ago

Job description

Job Type
Full-time
Description
Cornerstone Family Healthcare is actively recruiting for a Prior Authorization Specialist to join our growing team in Middletown, NY.
RATE OF PAY/SALARY: $21.00 per hour
WORK LOCATION(S): Middletown, NY
STATUS: Full-time
CORNERSTONE'S MISSION:
Cornerstone Family Healthcare is a non-profit Federally Qualified Health Center with a mission to provide high quality, comprehensive, primary and preventative health care services in an environment of caring, dignity and respect to all people regardless of their ability to pay. For more than fifty years, Cornerstone has been responsive to meeting the needs of the communities in which we serve with a continued emphasis on the underserved and those without access to health care regardless of race, economic status, age, sex, sexual orientation or disability.
CORNERSTONE BENEFITS:
Competitive salaries I Health Benefits I Retirement plan I Paid Time Off I Sick Time I Flexible Spending I Dependent Care I Paid Holidays
Job Duties:
  • Assists patients in obtaining prior authorizations for treatment requiring insurance pre-authorization.
  • Handles all prior authorization submissions to proper insurances.
  • Documents in EMR authorization status, actions, and outcomes.
  • Communicates well with internal providers to obtain all the required information to submit prior authorization efficiently.
  • Has medical terminology knowledge, i.e. ICD, CPT, Procedure Codes/Names, & Test Names.
  • Responsible for notifying the appropriate internal departments of any information that they need to be aware of, including complaints or adverse event notifications.
  • Communicates and builds relationships with insurance carriers and servicing providers or facilities.
  • Schedule peer to peer meeting between CFH provider and insurance company for prior authorization denials.
  • Request and prepare supporting documentation for the medical necessity for the service being authorized, examples include medical records, labs, previous prior authorization(s), appeals, denials and prescriptions.
  • Sorts daily work queues and is accountable to identify and process the daily work.
  • Preforms initial insurance benefit verification and pre-surgical authorization for new OB/GYN or Podiatry surgical cases.
  • Advises Provider and patients of any changes or cancellations of surgical/procedure bookings.
  • Fields phone calls from staff and service providers and resolves inquiries related to prior authorizations.
  • Easily manages multiple authorization requests at once.
  • Exemplifies excellent customer service with patients, visitors, and other employees; shows courtesy, friendliness, helpfulness, and respect.
  • Consistently demonstrates respect for the capabilities, different cultures and/or personalities of internal and external customers.
  • Maintains and ensures patient privacy and confidentiality.
  • Takes the initiative to proactively assist others.
  • Maintains open and effective communication with providers and employees to ensure quality.
  • Perform other related duties as assigned

Requirements
  • Bilingual (English & Spanish)
  • At least one-year clerical experience in a health-related field
  • Knowledge of data entry
  • Pleasant telephone manner

Salary Description
21.00 hourly

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