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Healthcare Prior Authorization Jobs (NOW HIRING)

Guided Care

ABA Prior Authorization Specialist

Brooklyn, NY · On-site

$55K - $65K/yr

The ABA Prior Authorization Specialist reports to their Supervisor of Prior Authorizations. Key ... healthcare setting. * ABA verification and authorization experience preferred. * Independent and ...

Posted today

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$16.25 - $21.50/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$18 - $24/hr

JOIN A LEADING HEALTHCARE COMPANY At Curant Health, our vision is Personalize healthcare driven by ... The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ...

RPC

Prior Authorization Specialist

Farmers Branch, TX · On-site

$22 - $24/hr

The ideal candidate is organized, patient-focused, and comfortable working in a fast-paced healthcare environment. You will manage prior authorization requests, assist patients with questions ...

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How much do healthcare prior authorization jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for healthcare prior authorization in the United States is $19.34, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $23.32 per hour, depending on experience, location, and employer.

Are healthcare prior authorization jobs in high demand?

Healthcare prior authorization jobs are in steady demand due to the increasing need for insurance verification and approval processes in healthcare settings. These roles often require knowledge of medical billing, coding, and familiarity with healthcare management systems, making them a stable career option in the healthcare industry.

How do you become a healthcare prior authorization specialist?

To become a healthcare prior authorization specialist, individuals typically need a high school diploma or equivalent, along with knowledge of medical billing, insurance processes, and healthcare regulations. Relevant skills include attention to detail, communication, and familiarity with electronic health record (EHR) systems; certifications such as the Certified Professional Coder (CPC) can enhance job prospects.

What career paths follow healthcare prior authorization?

Healthcare prior authorization professionals can advance into roles such as healthcare administrators, case managers, or insurance claims specialists. Gaining experience in medical billing, coding, and understanding insurance policies can facilitate career growth within healthcare administration or managed care organizations.

What cities are hiring for Healthcare Prior Authorization jobs?

Cities with the most Healthcare Prior Authorization job openings:

What states have the most Healthcare Prior Authorization jobs?

States with the most job openings for Healthcare Prior Authorization jobs include:

What are popular job titles related to Healthcare Prior Authorization jobs?

For Healthcare Prior Authorization jobs, the most frequently searched job titles are:

Healthcare Prior Authorization jobs near you

Prior Authorization Specialist - Orthopedics & Pain Management

Remote

Staffingly, Inc
Business Management Consulting • 51 - 200 employees
Learn more about Staffingly, Incexternal

$18.50 - $24.50/hr

Other

Posted 7 days ago

Job description

Prior Authorization Specialist – Orthopedics & Pain Management

Location: Kondapur, Hyderabad

Employment Type: Full-Time

Job Summary

We are looking for an experienced Prior Authorization Specialist with expertise in Orthopedics and Pain Management to support a U.S.-based healthcare practice. The ideal candidate should have hands-on experience obtaining prior authorizations for orthopedic procedures, pain management treatments, imaging services, injections, medications, and surgical procedures. The candidate must be familiar with U.S. insurance guidelines, payer portals, and EMR/EHR systems while ensuring timely approvals and minimizing treatment delays.

Key Responsibilities
  • Submit and manage prior authorization requests for orthopedic and pain management services.
  • Process authorizations for procedures, surgeries, injections, imaging (MRI, CT, X-ray), physical therapy, durable medical equipment (DME), and specialty medications.
  • Verify patient insurance eligibility, benefits, and authorization requirements.
  • Communicate with insurance companies to obtain approvals, provide clinical documentation, and resolve authorization issues.
  • Follow up on pending prior authorizations and appeals to ensure timely decisions.
  • Coordinate with physicians, medical assistants, and clinical staff to gather required medical records and supporting documentation.
  • Document authorization status, reference numbers, and payer communications accurately in the EMR/EHR.
  • Stay updated on payer policies, medical necessity guidelines, and insurance requirements.
  • Escalate urgent or complex authorization cases when necessary.
  • Maintain productivity and accuracy while meeting turnaround time expectations.
Required Qualifications
  • Minimum 2+ years of experience in U.S. Healthcare Prior Authorization.
  • Hands-on experience with Orthopedics and Pain Management prior authorizations.
  • Strong knowledge of commercial insurance, Medicare, Medicaid, and managed care plans.
  • Experience with payer portals such as CoverMyMeds, Availity, Carelon, RadMD, Evicore, Cohere, UHC, and other payer websites.
  • Familiarity with EMR/EHR systems such as Athenahealth, eClinicalWorks (eCW), Epic, Kareo, NextGen, or similar platforms.
  • Excellent verbal and written English communication skills.
  • Strong analytical, problem-solving, and multitasking abilities.
  • Ability to work independently in a fast-paced remote environment.
Preferred Qualifications
  • Experience handling orthopedic surgeries, spinal procedures, pain injections, nerve blocks, epidural steroid injections, radiofrequency ablation (RFA), joint injections, physical therapy, DME, and musculoskeletal imaging authorizations.
  • Experience with authorization appeals and peer-to-peer coordination is an added advantage.

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