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Healthcare Prior Authorization Jobs (NOW HIRING)

OneOncology LLC

Prior Authorization Specialist

Huntsville, AL · On-site

$17.75 - $23.75/hr

... compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every ... Must have knowledge of Health Insurance Plans * Experience in obtaining Health Plan Prior ...

OneOncology LLC

Prior Authorization Specialist

Huntsville, AL · On-site

$17.75 - $23.75/hr

... compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every ... Must have knowledge of Health Insurance Plans * Experience in obtaining Health Plan Prior ...

Axelon

Prior Authorization Clinician

Charlestown, MA · On-site

$50/hr

Prior Authorization Clinician Pay Rate: $50/hr Remote Outpatient Home Care experience directly with ... and timely care to support members in achieving optimal health outcomes. Key Functions ...

OneOncology LLC

Prior Authorization Specialist

Huntsville, AL · On-site

$17.75 - $23.75/hr

... compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every ... Must have knowledge of Health Insurance Plans * Experience in obtaining Health Plan Prior ...

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How much do healthcare prior authorization jobs pay per hour?

As of Sep 14, 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

Norwood, OH • On-site

Riverhills Neuroscience
Health Care and Social Assistance • 51 - 200 employees
Learn more about Riverhills Neuroscienceexternal

$18 - $22/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Job description

Prior Authorization Specialist

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.

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.

Apply