ZipRecruiter

Log In

2

Full Time Optum Prior Authorization Jobs (NOW HIRING)

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

Floyd Valley Healthcare in Le Mars, IA has a full-time Centralized Authorization Representative ... Appropriately document prior authorization and communicate information to performing facility ...

Cencora

Prior Authorization Coordinator

Reading, PA · On-site

$18 - $23.50/hr

Job Details The Prior Authorization Coordinator is a pharmacy technician who will act as onsite ... For details, visit Full time Equal Employment Opportunity Cencora is committed to providing equal ...

previous page

Showing results 41-60

All JobsOptum Prior Authorization JobsFull Time Optum Prior Authorization Jobs

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 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.

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.
More about Full Time Optum Prior Authorization jobs

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

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

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 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Prior Authorization Assistant

CentraCare Health

Saint Cloud, MN • On-site

$21.12 - $31.68/hr

Full-time

Medical, Dental, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

CentraCare rating

6.9

Company rating: 6.9 out of 10

Based on 156 frontline employees who took The Breakroom Quiz

459th of 887 rated healthcare providers

Job description

Find your purpose as a Prior Authorization Assistant with CentraCare. The Prior Authorization team processes all health plan/payer utilization review requirements, which include managed care referrals, pre-certifications, and prior authorizations in a timely and accurate manner. They work closely with internal physicians and staff as well as health care providers outside the clinic to facilitate quality patient care and demonstrate excellent customer service. Supporting and implementing patient safety and other safety practices as appropriate. A Prior Authorization Assistant supports and demonstrates Family Centered Care principles when interacting with patients and their families and with co-workers.

Schedule:

  • Full-time | 80 hours every two weeks 
  • Day shift | 8-hour shifts | 8am-4:30pm

Pay and Benefits:

  • Starting pay begins at $23.30 per hour; exact wage determined by years of related experience
    • Pay range:  $21.12 - $31.68 per hour
  • Tuition reimbursement and college grant programs available
  • Full-time benefits: Medical, dental, PTO, retirement, employee discounts and more!

Qualifications:

  • Associate's degree, preferably in Health Information Technology (HIT) or another health-care related program
  • 1 year of relevant healthcare experience in lieu of education
  • Minimum 1 year experience in prior authorization preferred
  • Knowledge of health care and medical practices preferred


CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.
 

What CentraCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

CentraCare logo

About CentraCare

Sourced by ZipRecruiter

CentraCare has grown to meet the needs of the communities and is now one of the largest health systems in Minnesota. This means we are able to offer the latest advancements in care, technology and treatments close to home. But what makes CentraCare special is not our facilities or technology. It is our people. We live in the communities we serve. We are neighbors, friends and family. And when you need us, we are here for you.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

St. Cloud, MN, US

Year founded

1886

View All CentraCare Jobs

Apply