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Medical Authorization Jobs (NOW HIRING)

PruittHealth

Authorization Specialist

Norcross, GA · On-site

$16.50 - $22/hr

KEY RESPONSIBILITIES: 1. Verifies insurance coverage and documents benefit maximums for all home health services in the medical record. 2. Secures prior authorization from insurance companies and ...

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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

Authorization Specialist

PruittHealth

Norcross, GA • On-site

$16.50 - $22/hr

Full-time

Posted 20 days ago

PruittHealth rating

6.3

Company rating: 6.3 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

97th of 237 rated social care providers

Job description

JOB PURPOSE:
Reporting to the Area Vice President, AVP, or the Regional Business Office Manager, RBOM, an Authorization Specialist ensures patients receive timely and authorized healthcare services. The position involves a blend of administrative tasks, customer service, and knowledge of insurance coordination of benefits.

KEY RESPONSIBILITIES:
1. Verifies insurance coverage and documents benefit maximums for all home health services in the medical record.
2. Secures prior authorization from insurance companies and documents approval details appropriately in the EHR system.
3. Collaborates daily with branch staff, insurance companies, and patients as needed to ensure a smooth authorization process.
4. Addresses issues related to denials, discrepancies, and incomplete information in a timely manner.
5. Remains abreast of changes in insurance, prior authorization requirements, and policies with contracted insurance companies.

MINIMUM EDUCATION REQUIRED:
High School Diploma or equivalent.
 

MINIMUM EXPERIENCE REQUIRED:
Applicants should possess a minimum of two years prior experience in obtaining medical authorizations.
 

KNOWLEDGE, SKILLS, ABILITIES:
Must have proficient working knowledge of a computer and all Microsoft Office products.
Successful candidates possess strong communication, organizational and time management skills to function effectively in a fast-paced environment with multiple priorities.
Knowledge and understanding of Medicare, Medicaid, Private Pay and Third Party reimbursement.
 

Disclaimer**
The above information is intended to describe the general nature and level of work being performed by people assigned to
this job. It is not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified.
Please provide all new hires with a copy of this job description and maintain a signed copy in the partner's Personnel File.
Reports as directed when called in during a disaster or other emergency situation as directed by agency operations.
Demonstrates knowledge of confidentiality and HIPAA rules/regulations, corporate compliance as well as applicable department policies and procedures and standard operation procedures (SOPs) related to confidentiality.
Provides administrative support to clinical and agency operations staff as needed.
Participation as directed in agency survey for accreditation or licensure and any subsequently required reports.
Comply with corporate compliance program.
Attends and participates in continuing education programs to keep abreast of changes in the field.
Attends mandatory in-services and meetings as assigned.
Reports any job-related functions/tasks that involve occupational hazards including exposure to blood and body fluids and others as necessary.
Follows established safety regulations, to include fire protection and prevention, smoking regulations, infection control, etc.
Perform other related duties as necessary and as directed by supervisor.

For Florida Job Postings Only:

For more information regarding Florida's Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com

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About PruittHealth

Sourced by ZipRecruiter

PruittHealth will help you conquer your career goals. At PruittHealth, we are searching for nurses who are committed to serving our residents with care and compassion, and in return, we are committed to supporting your nursing career through annual merit increases, career growth programs, preceptorship, and more.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Norcross, GA, US

Year founded

1969

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