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Full Time Prior Authorization Jobs (NOW HIRING)

OU Medical Center

Prior Authorization Specialist II

$18.50 - $24.50/hr

Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Candidates must reside and work full-time in OK before their first day of employment. SHIFT: M-F ...

OU Health

Prior Authorization Specialist II

$18.50 - $24.50/hr

Prior Authorization Specialist II Department: Pre-visit Services New to OU Health? Ask your ... Candidates must reside and work full-time in OK before their first day of employment. SHIFT: M-F ...

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

As of Sep 14, 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

Pharmacy Prior Authorization Specialist

Broadview Heights, OH • Remote

Communicarehealth
Health Care and Social Assistance • 10K+ employees
Learn more about Communicarehealthexternal

$17.50 - $23.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 hours ago

Communicare Health Services rating

6.1

Company rating: 6.1 out of 10

Based on 158 frontline employees who took The Breakroom Quiz

Job description

Job Address:

9299 Market Place Broadview Heights, OH 44147


Job Description: Prior Authorization Specialist

Reports to: Pharmacy Prior Authorization Manager

Job Type: Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland

Position Overview: The Prior Authorization Specialist will maintain the Prior Authorization's workflow for a set of facilities assigned by the supervisor, while providing customer service to clients. He/she wil enter required information and submit Prior Authorizations to the respective plan, follow the prior authorization to completion, identify and clarify any discrepancies with a prior authorization, and participate in the appeal process.

Key Responsibilities Include but are not limited to:

  • Work in cohesion with the Adjudication, Claim Intervention and Billing Departments
  • Submit prior authorizations in accordance with Insurance regulations
  • Ensure accurate and timely processing of prior authorizations
  • Work directly with insurance companies for prior authorization resolution
  • Communicate with facilities to gain additional information
  • Any other duties assigned
  • Follow federal and state regulations
  • Adhere to company policies and procedures
  • Follow HIPPA guidelines and regulations

Qualifications and Requirements:

  • Prior Authorization experience (not required)
  • Previous Long-Term Care pharmacy experience a plus (not required)
  • Knowledge of Framework LTC a plus (not required)

Salary and Benefits:

  • Competitive salary commensurate with experience
  • Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more

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