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Medical Billing Prior Authorization Jobs (NOW HIRING)

HealthQ

Medical Billing Assistant

Beverly, MA · On-site

$18.50 - $23/hr

Medical Billing Assistant Full-Time (37.5 hours per week) About HealthQ: Established in 1971 ... Obtain prior authorizations for services when required by insurance plans. * Submit clinical ...

HealthQ

Medical Billing Assistant

Beverly, MA

$18.50 - $23/hr

Description Medical Billing Assistant Full-Time (37.5 hours per week) About HealthQ: Established in ... Obtain prior authorizations for services when required by insurance plans. * Submit clinical ...

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... Medical billing experience * Familiarity with various commercial and government payer systems (e.g ...

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... Medical billing experience * Familiarity with various commercial and government payer systems (e.g ...

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How much do medical billing prior authorization jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for medical billing prior authorization in the United States is $20.52, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.60 per hour, depending on experience, location, and employer.

What is medical billing prior authorization?

Medical billing prior authorization is a process where healthcare providers obtain approval from a patient's insurance company before delivering certain medical services, procedures, or medications. This step is required to ensure that the insurance plan will cover the requested service, helping to prevent claim denials and unexpected costs for patients. The process typically involves submitting detailed clinical information to the insurer, who then reviews it to determine if the service is medically necessary. Prior authorization helps control healthcare costs and ensures appropriate care, but it can sometimes delay treatment if not handled efficiently.

What are the key skills and qualifications needed to thrive as a medical billing prior authorization specialist?

To thrive as a Medical Billing Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or a related certification. Familiarity with electronic health record (EHR) systems, payer portals, and billing software is typically required. Attention to detail, problem-solving abilities, and effective communication skills help you navigate complex approvals and coordinate with providers and insurance companies. These skills ensure accurate, timely authorizations that support patient care and efficient healthcare operations.

What are some common challenges faced in a medical billing prior authorization role, and how can they be managed?

Professionals in Medical Billing Prior Authorization often encounter challenges such as navigating complex insurance requirements, managing frequent updates to payer policies, and dealing with time-sensitive approvals. Staying organized and maintaining up-to-date knowledge of insurance guidelines is key to success. Building strong communication skills is also essential, as the role requires frequent coordination with healthcare providers, insurance companies, and patients to resolve issues efficiently.

What is the difference between Medical Billing Prior Authorization vs Medical Coding Specialist?

AspectMedical Billing Prior AuthorizationMedical Coding Specialist
CredentialsTypically requires certification in medical billing or coding, such as CPC or CPC-HRequires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentOffice-based, healthcare provider or insurance companyOffice-based, healthcare facilities or billing companies
Primary ResponsibilitiesSecuring prior approvals for procedures and treatmentsAssigning standardized codes to diagnoses and procedures
Industry UsageCommonly used in medical billing and insurance claimsUsed in medical billing, coding, and health information management

While both roles involve medical billing processes, Medical Billing Prior Authorization focuses on obtaining approval for procedures, whereas Medical Coding Specialists assign codes to diagnoses and treatments. Both require similar certifications and work environments, but their core functions differ within the billing cycle.

Are medical billing prior authorization jobs in high demand?

Medical billing prior authorization jobs are in steady demand due to the increasing complexity of insurance processes and the need for accurate documentation. These roles often require knowledge of healthcare regulations and familiarity with billing software, making them a stable career option in the healthcare industry.

How do I become a medical billing prior authorization specialist?

To become a medical billing prior authorization specialist, you typically need a high school diploma or equivalent, along with training in medical billing and coding. Certification such as the Certified Professional Biller (CPB) or Certified Coding Associate (CCA) can enhance job prospects, and familiarity with billing software and insurance policies is important for success.

Is medical billing prior authorization a stressful job?

Medical billing prior authorization can be stressful due to the need for accuracy, attention to detail, and managing strict deadlines. The job often involves handling complex insurance policies and communicating with healthcare providers and insurers, which can contribute to workload pressure. However, with proper training and organization, many find it manageable and routine.

What career paths follow medical billing prior authorization?

Medical billing prior authorization experience can lead to roles such as medical billing specialist, insurance claims analyst, healthcare administrative assistant, or healthcare compliance coordinator. Gaining knowledge of insurance policies, coding, and billing software can facilitate advancement into these positions or specialized areas within healthcare administration.
More about Medical Billing Prior Authorization jobs

What cities are hiring for Medical Billing Prior Authorization jobs?

Cities with the most Medical Billing Prior Authorization job openings:

What states have the most Medical Billing Prior Authorization jobs?

States with the most job openings for Medical Billing Prior Authorization jobs include:

What job categories do people searching Medical Billing Prior Authorization jobs look for?

The top searched job categories for Medical Billing Prior Authorization jobs are:

Medical Billing Prior Authorization jobs near you
Infographic showing various Medical Billing Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $42,673 per year, or $20.5 per hour.

Prior Authorization Specialist

Midwest Vision Partners

Stow, OH

$16.50 - $22/hr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 8 days ago

Midwest Vision Partners rating

4.6

Company rating: 4.6 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

Description
Utilizing billing, clinical resources, and customer service skills to effectively and efficiently triage for prior authorization requirements as needed for coverage.  Performs day to day Insurance Verification and Prior Authorization activities to support the Revenue Cycle and to ensure reimbursement for services in a timely and accurate manner.
Schedule
Monday - Friday 8 am - 5 pm



Key Responsibilities
The identification of Duties and Responsibilities does not display an exhaustive list of all duties that may be assigned to this position, nor does it restrict the related work that may be assigned to this position.
What you will be working on:
  • Review insurance requirements to determine if prior authorization is required.
  • Utilizes resources to identify any testing that may require prior authorization.
  • Review chart documentation to ensure patients meets payers medical necessity policy guidelines.
  • Review requisition to determine billing information, including insurance carrier and complete/submit accurate documents as required.
  • Coordinate with client to obtain needed medical documentation.
  • Ability to accurately complete the necessary paperwork to submit prior authorization request to insurance via phone, website, software, or fax
  • Timely follow-up with insurance carriers on pending prior authorization requests
  • Timely notification of appropriate RCM department of prior authorization status
  • Maintains current knowledge of payer policies and requirements and acts as a resource to team members and patients.
  • Maintain HIPAA Compliance



Skills Knowledge and Expertise
What will make you awesome:
  • Ability to review patient chart to ensure completeness and accuracy of information.
  • To be well-organized with a strong attention to detail is essential.
  • Ability to work efficiency and effectively under tight deadlines and high work volume
  • Advance knowledge of medical billing and coding
  • Ability to assist consistently with patient and physician request and act as a resource regarding insurance and authorization requirements. 
  • Excellent problem-solving skills.

What you know:
  • Possess at least one year of experience in a clinical setting
  • Knowledge of medical billing and coding.
  • High school graduate or equivalent
  • Ability to work as a team member as well as independently.
  • Strong interpersonal and communication skills.

Benefits
  • Competitive wages
  • Robust benefit package including medical, dental, life and disability (short- and long-term) insurance
  • Generous paid time off (PTO) program
  • Seven (7) company paid holidays
  • 401(k) retirement plan with company match
  • An organization focused on People, Passion, Purpose and Progress
  • Inspirational culture

What Midwest Vision Partners employees say

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