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Insurance Prior Authorization Jobs in Michigan (NOW HIRING)

Secure payor sources or prior authorization in multiple states through various state, commercial and private insurances. * Consistently checks eligibility for every resident and submits prior ...

Secure payor sources or prior authorization in multiple states through various state, commercial and private insurances. * Consistently checks eligibility for every resident and submits prior ...

Secure payor sources or prior authorization in multiple states through various state, commercial and private insurances. * Consistently checks eligibility for every resident and submits prior ...

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Medical Receptionist

Flint, MI · On-site

$14 - $15/hr

Collect copayments and/or co-insurance * Obtain prior authorization and referrals as needed * Detail Oriented * Able to work independently

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Medical Receptionist

Flint, MI · On-site

$14 - $15/hr

Collect copayments and/or co-insurance * Obtain prior authorization and referrals as needed * Detail Oriented * Able to work independently

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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 14, 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:
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.
Ancillary Product Coordinator

Ancillary Product Coordinator

360care

Troy, MI • On-site

Full-time

Re-posted 29 days ago


Job description

This position is responsible for efficiently securing prior authorization or payor source for dentures in multiple states.  Duties will include assisting patients, providers and billing staff with coordinating of referrals, obtaining authorizations and scheduling for delivery.  This coordinator must understand benefits coverage, coding of services, billing and ensure patient’s care is coordinated from scheduling to delivery of devices.


  • Secure payor sources or prior authorization in multiple states through various state, commercial and private insurances.
  • Consistently checks eligibility for every resident and submits prior authorization when applicable.
  • Coordinate and prepare financial estimates, purchase orders and invoices for patients and nursing homes.
  • Reviews benefits and educates patient or nursing homes employees on insurance coverage.
  • Follows-up in a timely manner on all prior authorizations to ensure no care gaps.
  • Maintains denture tracking in EMR systems.
  • Design, develop, update and manage Company user and system administration guides, videos and ancillary training documentation ensuring the content is up to date at all times.
  • Develop curriculum and materials to support new providers.
  • Responsible for post-op of all ancillary specialties, including claim creation.
  • Maintains data management and processing referrals in assigned territory for all ancillary specialties.
  • Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.
  • Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times.
  • Reacts positively to change and performs other duties as assigned.

  • High School Diploma (or GED) required, college degree or experience preferred.
  • Dental experience both front and back office preferred.
  • Electronic Medical Records experience required.
  • Critical thinking/Solution-based skills required for a time sensitive environment.
  • Strong time management skills.
  • Ability to multi-task and work within a fast-paced environment.
  • Strong attention to detail.
  • Must be deadline driven and have a sense of urgency.
  • Must have excellent communication skills, both written and verbal.
  • Proficiency with Microsoft Office Suite required.

We will only employ those who are legally authorized to work in the United States. Any offer of employment is conditional upon the successful completion of a background investigation and drug screen.

We are an equal opportunity employer.