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Manager Prior Authorization Jobs (NOW HIRING)

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The Prior Authorization Specialist will handle all aspects of prior authorizations and referrals ... Manage the daily inbox, ensuring documents are processed promptly. * Review medical records to ...

Prior Authorization Specialist

Palo Alto, CA ยท On-site

$35.81 - $38.96/hr

As a key member of the administrative team, you will manage the end-to-end prior authorization process for medications, ensuring timely submissions, tracking, and documentation. Your meticulous ...

Prior Authorization Coordinator

Atlanta, GA ยท On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... You'll manage the entire authorization process for interventional pain management procedures ...

Prior Authorization Specialist

Smyrna, GA ยท On-site

$18 - $24/hr

Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to ...

Prior Authorization Specialist

Hamden, CT ยท On-site

$48K - $62K/yr

The Role This role is responsible for prior authorization workflows, patient-specific electronic fax management, and clinical support within the EPIC EMR, ensuring timely, accurate coordination ...

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Manager Prior Authorization information

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$31.5K

$83.5K

$150K

How much do manager prior authorization jobs pay per year?

As of Jun 23, 2026, the average yearly pay for manager prior authorization in the United States is $83,482.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $103,000.00 per year, depending on experience, location, and employer.

What is a Manager Prior Authorization job?

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 in the Manager Prior Authorization position, and why are they important?

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.

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Prior Authorization Specialist

WASHINGTON COUNTY HOSPITAL AND CLINICS

Washington, DC โ€ข On-site

$20.50 - $27.25/hr

Full-time

Posted 6 days ago


Job description

SUMMARY

Determines which patient services have third party payor requirements and is responsible for verifying eligibility, obtaining insurance benefits and ensuring prior authorization requirements are met prior to the delivery of tests, treatments, and medications

DUTIES/RESPONSIBILITIES (include but are not limited to the following)

  • Reviews and processes all assigned prior authorization requests to completion. Diligently reviews patient health care data, diagnostic testing and treatment information for completeness for insurance requirements and prior authorization process.
  • Communicates with providers, and clinical staff as needed to obtain and understand clinical documentation requirements. Provide required clinical documentation to payers via phone, faxed forms, and/or website.
  • Maintains documentation of authorization approvals and denials, including authorization numbers and associated codes, dates, and other relevant data
  • Communicates effectively with clinical staff, payor representatives, and providers
  • Recommends process improvements for increased efficiencies

EDUCATION AND/OR EXPERIENCE

  • Minimum (2) years experience in an hospital setting required, prior authorization experience preferred
  • Knowledge of medical terminology, CPT and ICD-10 codes
  • Must demonstrate consistent professional conduct and meticulous attention to detail
  • Must possess excellent verbal and written communication skills as well as interpersonal skills with patients, staff and other healthcare professionals
  • Critical thinking skills and a positive attitude

SKILLS AND ABILITIES

  • Must be proficient with computer applications necessary for effective management of all scheduling processes.