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Manager Prior Authorization Jobs in Kentucky (NOW HIRING)

Onco360

Pharmacy Prior Authorization Specialist

Louisville, KY · On-site

$19.75 - $25.50/hr

Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...

Onco360

Pharmacy Prior Authorization Specialist

Louisville, KY · On-site

$19.75 - $25.50/hr

Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...

Onco360

Pharmacy Prior Authorization Specialist

Louisville, KY · On-site +1

$18.75 - $24.25/hr

Manage prior authorization requests and appeals with insurance carriers. * Collaborate with physicians, pharmacists, and other departments. * Ensure HIPAA compliance while handling sensitive patient ...

BrightSpring

Prior Authorization Specialist

Louisville, KY

$18.75 - $24.25/hr

The Prior Authorization Coordinator is responsible for striving to complete either approval for ... management that helps people live their best lives.For more information, please visit www ...

Med Center Health

Authorization Specialist

Bowling Green, KY

$17.75 - $23.50/hr

... prior authorization processes and reimbursement practices preferred. * Strong verbal and written communication skills. * Strong organizational skills and attention to detail. * Ability to manage ...

Med Center Health

Authorization Specialist

Bowling Green, KY · On-site

$17.75 - $23.50/hr

... prior authorization processes and reimbursement practices preferred. * Strong verbal and written communication skills. * Strong organizational skills and attention to detail. * Ability to manage ...

Med Center Health

Authorization Specialist

Bowling Green, KY · On-site

$17.50 - $23.25/hr

... prior authorization processes and reimbursement practices preferred. * Strong verbal and written communication skills. * Strong organizational skills and attention to detail. * Ability to manage ...

Hosparus Health

Benefits & Authorization Associate

Lexington, KY · On-site

$13.75 - $18.25/hr

... prior authorizations, patient access, revenue cycle, medical billing, or related healthcare operations required. * Experience working with commercial insurance, Medicare, Medicaid, and managed care ...

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Manager Prior Authorization information

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$27.4K

$72.5K

$130.3K

How much do manager prior authorization jobs pay per year?

As of Aug 8, 2026, the average yearly pay for manager prior authorization in Kentucky is $72,506.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,200.00 and $89,500.00 per year, depending on experience, location, and employer.

What is a manager prior authorization?

A Manager of Prior Authorization oversees the authorization process for medical treatments, ensuring that required approvals are obtained from insurance providers. They manage a team handling prior authorization requests, review policies to ensure compliance, and work to optimize efficiency in approval processes. This role involves collaboration with healthcare providers, insurance companies, and patients to minimize delays in care. Strong leadership, knowledge of insurance guidelines, and experience in healthcare administration are essential for success in this position.

What are some common challenges a manager prior authorization might face, and how are they addressed?

A Manager Prior Authorization often encounters challenges such as managing high volumes of authorization requests, staying updated with changing insurance requirements, and ensuring quick turnaround times to avoid delays in patient care. Addressing these issues typically involves implementing efficient workflows, training staff on the latest policies, and leveraging technology to automate repetitive tasks. Collaboration with physicians, payers, and internal departments is also key to resolving complex authorization cases. Proactive communication and continuous process improvement help maintain compliance and streamline the overall prior authorization process.

What are the key skills and qualifications needed to thrive as a manager prior authorization?

To excel as a Manager Prior Authorization, you need expertise in healthcare administration, insurance processes, and prior authorization protocols, usually demonstrated by a bachelor's degree in healthcare or related fields and relevant experience. Familiarity with healthcare management software, electronic medical records (EMR), and insurance authorization systems is highly valuable, and certifications like Certified Prior Authorization Specialist (CPAS) can be advantageous. Outstanding leadership, attention to detail, and effective communication are pivotal for managing teams and streamlining workflows. These skills and qualities ensure compliance, reduce delays in patient care, and improve overall operational efficiency within healthcare organizations.

What are the most commonly searched types of Prior Authorization jobs in Kentucky? The most popular types of Prior Authorization jobs in Kentucky are:
What are popular job titles related to Manager Prior Authorization jobs in Kentucky? For Manager Prior Authorization jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Manager Prior Authorization jobs in Kentucky look for? The top searched job categories for Manager Prior Authorization jobs in Kentucky are:
What cities in Kentucky are hiring for Manager Prior Authorization jobs? Cities in Kentucky with the most Manager Prior Authorization job openings:
Manager Prior Authorization jobs near you

PRIOR AUTHORIZATION SPECIALIST

Graves Gilbert Clinic

Bowling Green, KY • On-site

$17.50 - $23.25/hr

Other

Re-posted 11 days ago

Graves Gilbert Clinic rating

5.8

Company rating: 5.8 out of 10

Based on 25 frontline employees who took The Breakroom Quiz

Job description

Prior Authorization Specialist

The Prior Authorization Specialist is responsible for verifying patient eligibility and insurance benefits for clinic-administered medications. This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization requests. The Specialist will obtain, monitor, and maintain authorizations through payer websites, fax, and telephone, including all necessary follow-up and reauthorization activities. This role supports revenue cycle accuracy and contributes to the delivery of high-quality patient care.

Key Responsibilities:

  • Initiate, monitor, and secure prior authorizations from third-party payers.
  • Maintain electronic documentation for all prior authorization activities in accordance with organizational standards.
  • Track pending authorizations and follow up within defined timeframes (7–10 days or payer-specific requirements) to support timely claims submission.
  • Obtain authorization renewals and verify active provider orders and medical necessity documentation.
  • Work collaboratively with clinicians, practice managers, and other team members to obtain clinical notes and documentation necessary for prior authorization approval.
  • Verify authorization quantities and effective dates; ensure accurate processing by third-party payers and correct loading of information in internal systems.
  • Review and confirm patient eligibility, insurance benefits, and plan requirements for clinic-administered medications.
  • Interpret payer pre-certification and authorization guidelines and ensure appropriate approvals are obtained and documented.
  • Input accurate Payer Plan ID numbers and related data into organizational systems to ensure correct billing for current and future services.
  • Determine patient financial responsibility, including coordination of benefits and other coverage considerations.
  • Organize workload and manage deadlines to prevent delays or loss of revenue due to filing limitations.
  • Maintain professional communication with all payers, clinicians, and other team members.
  • Perform additional duties as assigned.

Qualifications:

  • Prior experience in authorization processing and benefit investigation required.
  • Experience with specialty medication authorizations preferred.
  • Strong attention to detail and accuracy.
  • Excellent time management and organizational skills.
  • Proficiency in Microsoft Excel and related software applications.
  • Strong interpersonal and communication skills.
  • Ability to interpret insurance benefits, authorization guidelines, and medical terminology.
  • Ability to work collaboratively in a fast-paced, team-oriented environment.

High School or Equivalent or better. Prior experience in authorization processing and benefit investigation required. Experience with specialty medication authorizations preferred. Ability to interpret insurance benefits, authorization guidelines, and medical terminology.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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