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Insurance Prior Authorization Jobs in Michigan (NOW HIRING)

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$16.25 - $21.50/hr

Medical, vision, dental, life, and disability insurance * 401K match * 8 paid holidays * Employee ... Educates patients and staff about the process of medication prior authorizations. * Processes ...

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Medical, vision, dental, life, and disability insurance * 401K match * 8 paid holidays * Employee ... Educates patients and staff about the process of medication prior authorizations. * Processes ...

Trinity Health

Pharmacy Technician Level 3

Grand Rapids, MI · On-site

$16.75 - $20.50/hr

... Insurance prior authorizations; collects necessary information for submission. • Order packaging and scheduling deliveries. • Works Epic Multi-Step Order Transmittal work queue. • Perform ...

Trinity Health

Pharmacy Technician Level 3

Grand Rapids, MI · On-site

$16.75 - $20.50/hr

... Insurance prior authorizations; collects necessary information for submission. • Order packaging and scheduling deliveries. • Works Epic Multi-Step Order Transmittal work queue. • Perform ...

Trinity Health

Pharmacy Technician Level 3

Grand Rapids, MI · On-site

$16.75 - $20.50/hr

... Insurance prior authorizations; collects necessary information for submission. • Order packaging and scheduling deliveries. • Works Epic Multi-Step Order Transmittal work queue. • Perform ...

Trinity Health

Pharmacy Technician Level 3

Grand Rapids, MI · On-site

$16.75 - $20.50/hr

... Insurance prior authorizations; collects necessary information for submission. • Order packaging and scheduling deliveries. • Works Epic Multi-Step Order Transmittal work queue. • Perform ...

Trinity Health

Pharmacy Technician Level 3

Grand Rapids, MI · On-site

$16.75 - $20.50/hr

... Insurance prior authorizations; collects necessary information for submission. • Order packaging and scheduling deliveries. • Works Epic Multi-Step Order Transmittal work queue. • Perform ...

Synergy Health Partners MSO, LLC

Be Seen First

Insurance Verification Specialist

Troy, MI · On-site

$18 - $22/hr

Obtain prior authorization and verification of eligibility from insurance carrier for office visits, procedures, and MRI's. * Investigate and interprets all incoming insurance information regarding ...

Trinity Health

Pharmacy Technician Level 3

Grand Rapids, MI · On-site

$16.25 - $19.75/hr

... · Insurance prior authorizations; collects necessary information for submission. · Order packaging and scheduling deliveries. · Works Epic Multi-Step Order Transmittal work queue. · Perform ...

Epitec

Clinical Pharmacist/Pharmacist

Detroit, MI · On-site

$70 - $71/hr

Job #105035 Remote Clinical Pharmacist - Prior Authorization Reviewer (Medicare Pharmacy) Location ... Benefits: 40-80 hours paid time off, medical insurance contributions, dental & vision and our 401k ...

EPITEC

Clinical Pharmacist/Pharmacist

Detroit, MI · On-site

$70 - $71/hr

Job #105035 Remote Clinical Pharmacist - Prior Authorization Reviewer (Medicare Pharmacy) Location ... Benefits: 40-80 hours paid time off, medical insurance contributions, dental & vision and our 401k ...

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All JobsInsurance Prior Authorization JobsInsurance Prior Authorization Jobs in Michigan

Insurance Prior Authorization information

See Michigan salary details

$22.2K

$57.2K

$72.8K

How much do insurance prior authorization jobs pay per year?

As of Jul 13, 2026, the average yearly pay for insurance prior authorization in Michigan is $57,221.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,200.00 and $67,100.00 per year, depending on experience, location, and employer.

What is insurance prior authorization?

Insurance prior authorization is a process where healthcare providers must obtain approval from a patient's insurance company before performing certain medical procedures, prescribing medications, or providing specific services. This ensures that the recommended treatment is covered under the patient's insurance plan and is deemed medically necessary. The process may involve submitting clinical information and waiting for a decision from the insurance provider. Prior authorization is intended to control costs and ensure appropriate care, but it can sometimes delay access to treatment.

Is prior authorization a stressful job?

Insurance prior authorization is often considered a stressful role due to the need for accuracy, meeting strict deadlines, and handling complex cases. The job requires strong attention to detail, communication skills, and familiarity with insurance policies and medical documentation, which can contribute to work-related stress.

What are the key skills and qualifications needed to thrive in Insurance Prior Authorization, and why are they important?

To thrive in Insurance Prior Authorization, you need a solid understanding of medical terminology, insurance policies, and healthcare regulations, often supported by experience in a healthcare or insurance setting. Familiarity with electronic health record (EHR) systems, insurance portals, and authorization management software is typically required. Attention to detail, strong organizational skills, and effective communication are critical soft skills for managing complex cases and coordinating with providers and payers. These competencies ensure timely approvals, reduce claim denials, and improve patient access to necessary medical treatments.

How much do precertification specialists make?

Precertification specialists typically earn between $35,000 and $55,000 annually, depending on experience, location, and employer. They often require knowledge of insurance policies and may use claims processing software as part of their role.

What jobs pay 4000 a week without a degree?

Insurance prior authorization specialists typically do not earn $4,000 weekly without relevant experience or certifications. High-paying roles that can reach this level often include sales positions, real estate brokers, or skilled trades like certain construction or electrical work, which may require licenses but not necessarily a college degree. These jobs often demand strong skills, experience, or licensing rather than formal education.

How to become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with knowledge of insurance policies and medical terminology. Relevant skills include attention to detail, communication, and familiarity with electronic health record (EHR) systems. Certification in medical billing or coding can enhance job prospects.

What are some common challenges faced in an Insurance Prior Authorization role, and how can they be effectively managed?

One of the main challenges in Insurance Prior Authorization is navigating the varying requirements and documentation standards of different insurance providers. This often requires staying updated on policy changes and maintaining close attention to detail to prevent delays or denials. Effective communication with healthcare providers and insurance representatives is also essential, as misunderstandings or incomplete information can slow down the process. Building strong organizational skills and using robust tracking systems can help manage workloads and ensure timely approvals, ultimately supporting patient care.

What is the difference between Insurance Prior Authorization vs Insurance Claims Specialist?

AspectInsurance Prior AuthorizationInsurance Claims Specialist
Required CredentialsKnowledge of insurance policies, healthcare regulationsUnderstanding of claims processing, coding, documentation
Work EnvironmentHealthcare providers, insurance companies, hospitalsInsurance companies, healthcare organizations, billing departments
Employer & Industry UsageUsed to approve coverage before services are renderedHandles post-service claims, reimbursement processing
Search & Comparison IntentUnderstanding pre-authorization processClaims processing and reimbursement procedures

Insurance Prior Authorization involves obtaining approval from insurance companies before healthcare services are provided, ensuring coverage. In contrast, Insurance Claims Specialists process claims after services are rendered to secure payment. Both roles require knowledge of insurance policies but focus on different stages of the insurance process.

What cities in Michigan are hiring for Insurance Prior Authorization jobs? Cities in Michigan with the most Insurance Prior Authorization job openings:
Insurance Prior Authorization jobs near you
Infographic showing various Insurance Prior Authorization job openings in Michigan as of July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $57,221 per year, or $27.5 per hour.
Prior Authorization Specialist

Prior Authorization Specialist

Grace Health

Battle Creek, MI • On-site

$16.25 - $21.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Grace Health (Kentucky) rating

7.8

Company rating: 7.8 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

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 weeks of PTO in the first year! Other perks include no nights or weekend work.

** $1,000 Sign-on bonus ($500 after successful completion of your probationary period and $500 after 6 months).
**

Benefits

  • Medical, vision, dental, life, and disability insurance
  • 401K match
  • 8 paid holidays
  • Employee wellness program focusing on physical, mental, and financial wellness

EXAMPLES OF DUTIES: (This list may not be all inclusive.)

  1. Educates patients and staff about the process of medication prior authorizations.
  2. Processes medication prior authorization requests.
  3. Communicates with patients, Grace Health staff and other offices or health care agencies regarding medication prior authorization.
  4. Develops and maintains a tracking system for medication prior authorizations.
  5. Documents appropriate information in the medical record.
  6. Maintains current resources related to medication prior authorizations.
  7. May assist staff and patients with the managed care process.

Requirements:

1. High school Diploma or GED

2. Completion of Medical Terminology

3. Ambulatory and Pharmacy experience preferred

4. Certified Clinical Medical Assistant Preferred

**

What Grace Health (Kentucky) employees say

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