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Full Time Optum Prior Authorization Jobs (NOW HIRING)

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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Full Time Optum Prior Authorization information

What is a full time Optum prior authorization specialist?

Full Time Optum Prior Authorization jobs involve reviewing and processing requests from healthcare providers to determine if certain medical procedures, medications, or services are covered under a patient’s health insurance plan. Employees in these roles work for Optum, a healthcare services company, and typically assess clinical documentation, apply medical policy guidelines, and communicate decisions to providers or members. These positions are full-time and may require collaboration with other healthcare professionals to ensure that patients receive appropriate and necessary care while managing costs.

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

To excel as a Full Time Optum Prior Authorization Specialist, you need a strong understanding of healthcare insurance processes, medical terminology, and prior authorization requirements, often supported by experience in healthcare administration. Familiarity with electronic health record (EHR) systems, claims processing software, and Optum's proprietary platforms is typically expected. Attention to detail, excellent communication, and problem-solving abilities are crucial soft skills for effectively coordinating between providers, patients, and insurance payers. These competencies ensure timely and accurate processing of authorizations, helping patients receive appropriate care while supporting organizational efficiency and regulatory compliance.

What are common challenges faced by full time Optum prior authorization specialists, and how can they be managed?

Full Time Optum Prior Authorization specialists often encounter challenges such as navigating complex insurance requirements, managing high call volumes, and ensuring timely approvals for patient medications or procedures. Staying organized, maintaining up-to-date knowledge of changing payer guidelines, and leveraging internal support tools can help manage these challenges. Collaboration with providers, pharmacists, and insurance representatives is key to resolving issues efficiently and providing excellent patient service.

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

AspectFull Time Optum Prior AuthorizationMedical Claims Processor
CredentialsTypically requires healthcare-related certifications or experienceUsually requires medical billing or coding certifications
Work EnvironmentOffice-based, healthcare insurance settingOffice-based, insurance or healthcare organization
Employer & IndustryOptum, healthcare insurance industryHealth insurance companies, healthcare providers
Primary FocusReviewing and approving prior authorization requestsProcessing and reviewing medical claims for payment

Full Time Optum Prior Authorization specialists focus on evaluating prior authorization requests to ensure coverage approval, while Medical Claims Processors handle the processing and adjudication of medical claims. Both roles require healthcare knowledge but differ in their specific responsibilities within the insurance process.

More about Full Time Optum Prior Authorization jobs

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

The most popular types of Optum Prior Authorization jobs are:

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

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

What job categories do people searching Full Time Optum Prior Authorization jobs look for?

The top searched job categories for Full Time Optum Prior Authorization jobs are:

Full Time Optum Prior Authorization jobs near you
Infographic showing various Full Time Optum Prior Authorization 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 93% Physical, 1% Hybrid, and 6% Remote job distribution.

Prior Authorization Specialist - Prior Authorization - Full time

Aspenvalleyhealth

Basalt, CO

$24.25 - $38.81/hr

Full-time

Medical, Retirement, PTO

Posted 6 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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