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Medical Authorization Jobs (NOW HIRING)

Enovis

Medical Authorization Specialist

Dallas, TX · On-site

$17.75 - $23.75/hr

Medical Authorization Specialist Reports To : Sr. Manager, RCM Operations Location: Lewisville, Texas Dallas Headquarters Business Unit Description : Revenue Cycle Management Job Title/High Level ...

Enovis

Medical Authorization Specialist

Dallas, TX

$17.75 - $23.75/hr

Medical Authorization Specialist Reports To : Sr. Manager, RCM Operations Location: Lewisville, Texas Dallas Headquarters Business Unit Description : Revenue Cycle Management Job Title/High Level ...

Bioventus

Medical Authorization Specialist II

Memphis, TN · On-site

$17.50 - $23.25/hr

As a Medical Authorization Specialist (MAS) you will draw upon your experience in reviewing medical records and insurance carrier policies to ensure that patients recovering from bone injuries ...

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$12

$22

$55

How much do medical authorization jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for medical authorization in the United States is $22.95, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $24.28 per hour, depending on experience, location, and employer.

What are medical authorization specialists?

Medical authorization specialists are professionals who handle the process of obtaining approval from insurance companies for certain medical procedures, treatments, or medications. They work closely with healthcare providers and payers to ensure that all required documentation is submitted and that the requested services are covered. Their role helps prevent delays in patient care and ensures compliance with insurance policies and regulations.

What is the difference between Medical Authorization vs Medical Assistant?

AspectMedical AuthorizationMedical Assistant
Required CredentialsTypically requires certification or licensing specific to medical authorization rolesHigh school diploma or equivalent; certification preferred
Work EnvironmentPrimarily administrative, working with healthcare providers and insurance companiesClinical and administrative tasks in healthcare settings
Employer & Industry UsageHospitals, clinics, insurance companies, healthcare providersHospitals, clinics, physician offices, outpatient facilities

Medical Authorization specialists focus on obtaining and managing authorizations for medical procedures and treatments, often working closely with insurance companies. Medical Assistants perform both clinical and administrative duties to support healthcare providers. While their roles differ, both are essential in healthcare settings, with overlapping knowledge of medical procedures and healthcare processes.

What are the main challenges faced in a Medical Authorization role, and how can I prepare for them?

One of the main challenges in a Medical Authorization role is navigating complex insurance requirements and ensuring timely approvals for patient treatments or procedures. You'll often need to manage multiple cases simultaneously, communicate effectively with healthcare providers and insurance representatives, and stay up-to-date on changing policies. To prepare, it helps to develop strong organizational skills, attention to detail, and a working knowledge of medical terminology and insurance processes. Proactive communication and persistence are key to overcoming common roadblocks in this role.

What are the career paths in prior authorization?

Career paths in prior authorization include roles such as authorization specialists, case managers, and healthcare administrators. Advancement can involve gaining certifications like Certified Medical Manager (CMM) or Certified Professional Coder (CPC), and moving into supervisory or managerial positions within healthcare or insurance companies.

What does a medical authorization do?

A medical authorization is a formal approval from a healthcare provider that allows specific medical procedures, treatments, or medications to be administered or covered. It ensures that the treatment is necessary and complies with insurance or regulatory requirements, often involving documentation and certification. This process is common in healthcare roles that handle patient care, insurance claims, or treatment planning.

What are the key skills and qualifications needed to thrive as a Medical Authorization Specialist, and why are they important?

To thrive as a Medical Authorization Specialist, you need a strong understanding of healthcare regulations, insurance verification, and medical terminology, typically supported by a high school diploma or associate degree. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is essential. Attention to detail, strong organizational skills, and effective communication help you navigate complex approval processes and coordinate with providers, payers, and patients. These competencies ensure timely and accurate authorizations, minimizing delays in patient care and optimizing reimbursement for healthcare services.

How to become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in medical billing or coding. Certification in medical billing or coding, such as CPC or CCS, can enhance job prospects, and strong knowledge of insurance policies and medical terminology is essential. On-the-job training is common, and proficiency with electronic health records (EHR) systems is often required.

What is a medical authorization specialist?

A medical authorization specialist is a healthcare professional responsible for obtaining prior authorizations from insurance companies to approve medical procedures, treatments, or medications. They review patient information, ensure documentation is complete, and communicate with providers and insurers to facilitate timely approvals, often using specialized billing and authorization software.
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Medical Authorization jobs near you
Infographic showing various Medical Authorization job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $47,733 per year, or $22.9 per hour.
Medical Authorization Specialist

Medical Authorization Specialist

Enovis

Dallas, TX • On-site

$17.75 - $23.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Enovis rating

8.9

Company rating: 8.9 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

Job description

Who We Are
ABOUT ENOVIS™
Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company's extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. For more information about Enovis, please visit www.enovis.com.
What You'll Do
At Enovis™ we pay attention to the details. We embrace collaboration with our partners and patients and take pride in the pursuit of scientific excellence - with the goal of transforming medical technology as we know it.
Because that's how we change the lives of patients for the better. And that's how we create better together. Why work at Enovis? See for yourself.
As a key member of the Revenue Cycle Management team, you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes.
Job Title:
Medical Authorization Specialist
Reports To:
Sr. Manager, RCM Operations
Location:
Lewisville, Texas Dallas Headquarters
Business Unit Description:
Revenue Cycle Management
Job Title/High Level Position Summary: Medical Authorization Specialist Representatives seek benefit coverage for patients from insurance groups with the responsibility of timely and compliant order entry, benefit verification and prompt follow up. This position works collaboratively with cross-functional internal and external teams to obtain necessary documentation required to obtain insurance authorizations.
Key Responsibilities:
  • Answers inbound and outbound calls, research, and identifies insurance to ensure compliant/proper account resolution.
  • Verifies insurance eligibility and follows coordination of benefits guidelines.
  • Determines revenue amounts based on allowable, benefits, unit price, payer guidelines, copayment, and contract pricing.
  • Pursues supporting documentation from Sales Team to ensure all required documents are received prior to invoicing.
  • Works to resolve submission issues which can include obtaining the appropriate Medical Record documentation or validation of coding.
  • Appropriately challenges insurance companies by communicating information on Medical Necessity and negotiating coverage and pricing for the purchase of Enovis products that meet all applicable payor guidelines.
  • Communicates with Management and Payor Development regarding payer trends.
  • Maintains professional and technical knowledge by staying current on relevant products (both of Enovis and its competitors), reviewing clinical publications/studies, and establishing personal networks.
  • Demonstrates commitment to the Compliance & Ethics Program, the Enovis Code of Conduct, the Enovis Sales and Marketing Code of Conduct, the AdvaMed Code of Ethics, and all supporting and applicable regulations, policies, and procedures.
  • Other duties as assigned.

Minimum Basic Qualifications:
  • High School Diploma or GED required.
  • Minimum of 3 years of experience with compliant patient billing, customer service, claims processing or related experience in a health care environment required.
  • Knowledge of ICD-10 coding, medical terminology, third party billing and collections, and managed care requirements required.
  • Proficiency in Microsoft Office applications required.
  • Strong attention to detail and passion for patient care and doing the right thing when decisions need to be made.
  • Must have full understanding of customer service and compliant insurance follow-up processes (i.e., Billing, Collections, Managed Care, Medicare, Medicaid, and Commercial payor practices).
  • Experience responding to patient and insurance inquiries preferred.
  • Experience using DataWorks, Computers Unlimited TIMS, or similar case management software strongly preferred.

Travel Requirements:
  • This position does not require travel

Desired Characteristics:
  • Exhibit a strong desire for technical knowledge, skills, and judgment to effectively serve customers and achieve goals.
  • Demonstrates excellent attention to detail.
  • Communicates effectively at all levels of an organization.

Currently, Enovis does not provide sponsorship for employment visas (e.g., H-1B) and will not offer such sponsorship in the future. Applicants must already have full-time work authorization in the United States, both now and in the future, without requiring sponsorship.
"Creating better together". It's the Enovis purpose, and it's what drives us and empowers us every day on a global scale. We know that the power to create better - for our customers, our team members, and our shareholders - begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes.
What does creating better together mean to us at Enovis? Discover the "why" behind our purpose, values and behaviors:
Our Enovis Purpose, Values and Behaviors on Vimeo
We offer a comprehensive benefits package that includes:
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Spending and Savings Accounts
  • 401(k) Plan
  • Vacation, Sick Leave, and Holidays
  • Income Protection Plans
  • Discounted Insurance Rates
  • Legal Services

Join us in creating better together.
#LI-RC2
EQUAL EMPLOYMENT OPPORTUNITY
Enovis provides equal employment opportunities based on merit, experience, and other work-related criteria without regard to race, color, ethnicity, religion, national origin, sex, age, pregnancy, disability, veteran status, or any other status protected by applicable law. We also strive to provide reasonable accommodation to employees' beliefs and practices that do not conflict with Enovis policies and applicable law. We value the unique contributions that every employee brings to their role with Enovis.

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About ENOVIS

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Wilmington, DE, US

Year founded

1995

Social media

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