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Full Time Prior Authorization Analyst Jobs (NOW HIRING)

Brownhealth

Prior Authorization Coord

Boston, MA

$19.03 - $31.39/hr

... obtaining prior authorization as necessary. Analyzes orders, authorizations and records ... Analytical skills to evaluate effectiveness of work flowwith the ability to make recommendations ...

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Full Time Prior Authorization Analyst information

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$31K

$73.3K

$130K

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

As of Jun 10, 2026, the average yearly pay for full time prior authorization analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

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

AspectFull Time Prior Authorization AnalystMedical Claims Processor
CredentialsTypically requires healthcare-related certifications or experienceOften requires knowledge of billing and coding, but fewer certifications
Work EnvironmentHealthcare offices, insurance companies, or hospital settingsInsurance companies, healthcare providers, or billing departments
Job FocusReviewing and approving prior authorization requests for treatments or proceduresProcessing and reviewing medical claims for reimbursement

The Full Time Prior Authorization Analyst primarily focuses on evaluating and approving requests for medical procedures before treatment, ensuring compliance with insurance policies. In contrast, the Medical Claims Processor handles the processing of claims after services are provided, verifying accuracy and facilitating reimbursement. While both roles require healthcare knowledge, the analyst role emphasizes authorization and compliance, whereas the claims processor centers on claims management and billing.

More about Full Time Prior Authorization Analyst jobs
What are the most commonly searched types of Prior Authorization Analyst jobs? The most popular types of Prior Authorization Analyst jobs are:
What job categories do people searching Full Time Prior Authorization Analyst jobs look for? The top searched job categories for Full Time Prior Authorization Analyst jobs are:
Full Time Prior Authorization Analyst jobs near you
Infographic showing various Full Time Prior Authorization Analyst job openings in the United States as of June 2026, with employment types broken down into 2% Internship, 33% Full Time, 49% Part Time, and 16% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.
Prior Authorization Specialist (Full-Time Days)

Prior Authorization Specialist (Full-Time Days)

Mille Lacs Health System

Onamia, MN • On-site

$20.61 - $30.92/hr

Full-time

Posted 6 days ago

Job description

Summary

The Prior Authorization Specialist works under the direction of the Health Information Manager. This role ensures that payers are prepared to reimburse Mille Lacs Health System for scheduled services in accordance with payer-provider contracts. Responsibilities include requesting service authorizations, preparing, and submitting documentation, and managing appeals. The position requires strong communication, insurance knowledge, and the ability to work independently and collaboratively in a fast-paced healthcare environment.

Job Duties

The essential functions of this job are identified with an asterisk (*) at the end of the bullet point.

  • Receive and monitor prior authorization requests in accordance with MLHS standards. *
  • Review accuracy and completeness of documentation and ensure all supporting materials are present. *
  • Assist with medical necessity documentation to expedite approvals. *
  • Collaborate with departments and providers to obtain authorizations and support appeals. *
  • Write and submit appeals to insurance providers, including physician input when needed. *
  • Manage correspondence with insurance companies and document all interactions in the EMR. *
  • Record prior authorization details including approval dates, billing units, procedure codes, and authorization numbers. *
  • Review insurance denials and proactively submit appeals. *
  • Track and renew expiring authorizations. *
  • Work closely with other staff performing prior authorization functions. *
  • Secure patient demographics and medical information in compliance with HIPAA regulations. *
  • Complete all required duties, projects, and reports in a timely manner. *
  • Attend mandatory meetings and complete required training. *

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Employee will comply with all Mille Lacs Health System (MLHS) policies, including safety policies, procedures, and rules. All will be expected to report unsafe conditions to a member of management.


Required Education and Experience
  • Medical Assistant (MA) certification or Licensed Practical Nurse (LPN) licensure in the State of Minnesota
  • Minimum 1-2 years of prior authorization experience in a healthcare setting
  • Experience with medical terminology and insurance processes
  • Strong verbal and written communication skills
  • Proficient computer and business skills
  • Ability to manage multiple priorities and work independently or in a team
  • Knowledge of insurance eligibility and HIPAA compliance
Preferred Education and Experience
  • 5 years of prior authorization experience
  • 5 years of experience in a healthcare setting
Additional Eligibility Qualifications
  • Detail-oriented and self-directed
  • Ethical conduct and professionalism
  • Initiative and flexibility
  • Time management and stress management
  • Teamwork orientation and technical capacity
  • Quality and safety focused

Position Type/Expected Hours of Work

  • Full-time: 40 hours/week
  • Monday-Friday, 8:00 AM - 4:30 PM (training hours may vary)
  • No evenings or weekends

Supervisory Responsibility

None


Job Posted by ApplicantPro