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How much do full time prior authorization jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for full time prior authorization in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What is the difference between Full Time Prior Authorization vs Full Time Medical Coder?

AspectFull Time Prior AuthorizationFull Time Medical Coder
CredentialsTypically requires healthcare administration or insurance-related certificationsRequires coding certifications like CPC or CCS
Work EnvironmentHealthcare offices, insurance companies, hospitalsHospitals, clinics, billing companies
Employer & IndustryInsurance providers, healthcare facilitiesMedical billing companies, healthcare providers

Full Time Prior Authorization specialists focus on reviewing and approving insurance requests for procedures or treatments, requiring knowledge of insurance policies. Medical Coders translate medical reports into standardized codes for billing, requiring coding certifications. While both roles are healthcare-related, they differ in responsibilities, certifications, and work settings.

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Full Time Prior Authorization jobs near you

Prior Authorization Specialist

Riverhills Neuroscience

Cincinnati, OH • On-site

$18 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Job description

About Us:
For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries.
Position: Prior Authorization Specialist
Location: Norwood Office
Department: Billing
Schedule: Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote after full in office training.
Pay: $18-22 per hour
Key Benefits for Full-Time Employees:
  • Competitive pay based on experience, minimum $18
  • 401k with Profit Sharing and 4% Company Match
  • Comprehensive Medical, Dental, and Vision insurance
  • Long-Term and Short-Term Disability Insurance
  • Company Paid Life Insurance
  • Paid Holidays
  • Over three weeks of Paid Time Off
  • Continuing Education Reimbursement
  • Uniform Allowance
  • Free Parking

Responsibilities:
As a Prior Authorization Specialist at Riverhills Neuroscience, you will play a vital role in ensuring the efficiency and accuracy of our billing processes. Your responsibilities include:
  • Streamline pre-certification, authorization, and referral processes, ensuring compliance with insurance requirements
  • Coordinate with insurance entities, review organizations, and clinical contacts for effective communication and benefit determination
  • Facilitate peer-to-peer reviews for escalated encounters and address inquiries from providers, staff, and patients
  • Ensure timely and accurate insurance authorizations, conduct medical benefits investigations, and manage authorizations for botulinum toxin procedures
  • Monitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/update the ordering spreadsheet
  • Initiate patient education on available assistance programs

Background and Experience:
  • 1-2 years of relevant experience in medical billing and/or prior authorization within a healthcare practice
  • Pain Management experience is a plus
  • Experience with an Electronic Medical Record (EMR) and practice management system
  • Knowledge of Medicare/Medicaid and major insurance carrier's guidelines
  • Working knowledge of ICD-9-10 medical coding and billing and medical terminology
  • Superior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendors

If you're eager to contribute to a world-class healthcare team, apply today. We look forward to welcoming dedicated professionals to contribute to the growth of our practice.
Equal Opportunity/Drug-Free Workplace:
Riverhills Neuroscience is an equal opportunity employer and maintains a drug-free workplace.
#IND3

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