ZipRecruiter

Log In

1

Insurance Prior Authorization Jobs (NOW HIRING)

Actalent

Prior Authorization Specialist

Ogdensburg, NJ · On-site

$18.50 - $24.75/hr

Verify patient insurance coverage prior to visits and collect applicable copayments and account ... Recent prior authorization experience, specifically handling authorizations for procedures and ...

New

MC-Rx

Prior Authorization Coordinator

Miramar, FL · On-site

$21 - $23/hr

Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored ... Ensure adherence to all regulatory and privacy requirements, including the Health Insurance ...

Aquent

Prior Authorization Specialist

Palo Alto, CA · On-site

$35.81 - $38.96/hr

Conduct timely outreach via phone to pharmacy benefit managers (insurers), pharmacies, and patients to gather necessary information, resolve issues, and communicate prior authorization status.

Medix

Prior Authorization Specialist

Phoenix, AZ · On-site

$18 - $21/hr

Communicates with insurance providers to verify patient eligibility, confirm coverage and benefits, and secure required prior authorizations. * Manages and processes prior authorization requests ...

MDxHealth

Prior Authorization Specialist

Irvine, CA · On-site

$19.26 - $23/hr

Interacts with clients, insurance companies, patients, and sales representatives, as necessary, to request for prior authorizations. Responsible for documenting account activity, updating patient and ...

next page

Showing results 1-20

People also search for

All JobsInsurance Prior Authorization Jobs

Insurance Prior Authorization information

See salary details

$25.5K

$65.7K

$83.5K

How much do insurance prior authorization jobs pay per year?

As of Jun 4, 2026, the average yearly pay for insurance prior authorization in the United States is $65,651.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,000.00 and $77,000.00 per year, depending on experience, location, and employer.

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.

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 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.

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.

More about Insurance Prior Authorization jobs
What cities are hiring for Insurance Prior Authorization jobs? Cities with the most Insurance Prior Authorization job openings:
What are the most commonly searched types of Insurance Prior Authorization jobs? The most popular types of Insurance Prior Authorization jobs are:
What states have the most Insurance Prior Authorization jobs? States with the most job openings for Insurance Prior Authorization jobs include:
Insurance Prior Authorization jobs near you
Infographic showing various Insurance Prior Authorization job openings in the United States as of May 2026, with employment types broken down into 3% As Needed, 19% Full Time, and 78% Part Time. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $65,651 per year, or $31.6 per hour.

Prior Authorization Specialist

PRECISION HEALTHCARE SPECIALISTS LLC

Naples, FL • On-site

$17.50 - $23.25/hr

Full-time

Posted 24 days ago

Job description

Description:

The Prior Authorization Specialist is a key member of the Revenue Cycle team, responsible for obtaining timely insurance authorizations for procedures, diagnostic testing, treatments, and services across multiple specialties. This role ensures compliance with payer requirements, minimizes claim denials, and supports seamless patient access to care at Precision Healthcare Specialists.


Key Responsibilities
  • Obtain prior authorizations and referrals for outpatient and inpatient services, procedures, imaging, and treatments
  • Review provider orders and clinical documentation to ensure accuracy and completeness prior to submission
  • Submit authorization requests through payer portals, phone, fax, or electronic systems
  • Track authorization status and follow up with insurance carriers to ensure timely determinations
  • Communicate authorization approvals, denials, and requests for additional information to clinical and scheduling teams
  • Verify insurance benefits and coverage requirements related to authorizations
  • Maintain accurate documentation of authorization activity in the EMR and billing systems
  • Identify and escalate authorization denials or delays to leadership when appropriate
  • Stay current on payer-specific guidelines, policies, and medical necessity criteria
  • Collaborate closely with front desk, clinical staff, billing, and coding teams to support clean claims and reduce denials
  • Assist with appeals for denied authorizations as needed
  • Ensure compliance with HIPAA and company policies at all times
Requirements:
  • High school diploma or equivalent required; associate degree preferred
  • Minimum 1–2 years of experience in prior authorizations, referrals, or revenue cycle operations (healthcare required)
  • Strong knowledge of insurance plans, payer requirements, and authorization workflows
  • Experience working with EMR/EHR systems and payer portals
  • Familiarity with CPT, ICD-10, and medical terminology preferred
  • Excellent organizational skills with the ability to manage high volumes and deadlines
  • Strong communication skills, both verbal and written
  • Detail-oriented with the ability to multitask in a fast-paced environment
Preferred Experience
  • Experience in a multi-specialty or physician practice setting
  • Knowledge of Medicare, Medicaid, and commercial insurance plans
  • Experience supporting clinical teams across specialties (ENT, Pulmonary, Urology, etc.)
Skills & Competencies
  • Time management and prioritization
  • Problem-solving and follow-up skills
  • Team collaboration
  • Accuracy and attention to detail
  • Patient-centered communication
Why Precision Healthcare Specialists
  • Collaborative, team-oriented environment
  • Opportunity to work within a growing, multi-specialty organization
  • Supportive leadership and structured workflows
  • Focus on quality care and operational excellence