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Medical Authorization Jobs (NOW HIRING)

Nexus HR

Authorization Specialist & Scheduler

Denver, CO · On-site

$27 - $28/hr

Submit accurate documentation and ensure medical necessity compliance. * Track, follow up, and resolve pending, denied, or appealed authorizations. * Support patient intake, benefits review, and ...

Pain Specialist of America LLC

Authorization Coordinator

$19 - $23.50/hr

The Authorization Coordinator is responsible for ensuring that all payor requirements are met to ... Verifies Eligibility and Benefits - Coordinate with patient's medical coverage to ensure coverage ...

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Medical Authorization information

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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.
More about Medical Authorization jobs
What cities are hiring for Medical Authorization jobs? Cities with the most Medical Authorization job openings:
What are the most commonly searched types of Medical Authorization jobs? The most popular types of Medical Authorization jobs are:
What states have the most Medical Authorization jobs? States with the most job openings for Medical Authorization jobs include:
What job categories do people searching Medical Authorization jobs look for? The top searched job categories for Medical Authorization jobs are:
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.
Authorization Specialist & Scheduler

Authorization Specialist & Scheduler

Nexus HR

Denver, CO • On-site

$27 - $28/hr

Full-time

Medical

Posted 4 days ago

Job description

Authorization Specialist & Scheduler - Denver, CO
Compensation: $28 Hourly
Schedule: 3 days a week (Monday - Friday)
Project-based with potential for full-time
Overview
Nexus HR is seeking a highly organized and detail-oriented Authorization Specialist & Scheduler to support surgical coordination and insurance authorization functions within a fast-paced ENT and Facial Plastic Surgery practice.
About the Job
The Authorization Specialist & Scheduler role is critical in driving operational efficiency, ensuring seamless patient experiences, and optimizing revenue cycle performance through accurate scheduling and timely authorizations.
Duties and Responsibilities:
Surgical Scheduling & Coordination
  • Schedule surgical and in-office procedures efficiently, maximizing block time utilization.
  • Coordinate pre- and post-operative appointments and prepare pre-op packets.
  • Communicate procedures, expectations, and financial responsibilities to patients.
  • Ensure timely follow-up on scheduling requests and patient outreach.
  • Act as liaison between patients, providers, and clinical teams.
  • Collect payments for cosmetic procedures per policy.

Insurance Authorization & Patient Access
  • Manage insurance verification and prior authorizations end-to-end.
  • Submit accurate documentation and ensure medical necessity compliance.
  • Track, follow up, and resolve pending, denied, or appealed authorizations.
  • Support patient intake, benefits review, and financial guidance.

Administrative & Operational Excellence
  • Maintain accurate EMR documentation and reports.
  • Complete tasks within 24-hour turnaround standards.
  • Monitor open orders and optimize workflow efficiency.
  • Collaborate on process improvements and ensure regulatory compliance.

Qualifications:
  • 2+ years in surgery scheduling and/or medical authorization.
  • Experience in ENT, facial plastics, or specialty care preferred.
  • Strong knowledge of insurance workflows and EMR systems.
  • Highly organized with strong communication and problem-solving skills.

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