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Medical Billing Prior Authorization Jobs (NOW HIRING)

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 ...

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 ...

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 ...

Medix

Prior Authorization Specialist

Phoenix, AZ · On-site

$20 - $24/hr

Hiring Prior Authorization Specialist in Phoenix Responsibilities * Communicates with insurance ... Medical Billing and Coding Diploma Schedule/Shift * M-F 8:00-4:30pm (they can skip lunch break if ...

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

As of Jul 26, 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 are the key skills and qualifications needed to thrive as a Medical Billing Prior Authorization Specialist, and why are they important?

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 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 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.

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.
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:
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Medical Billing Prior Authorization jobs near you
Infographic showing various Medical Billing Prior Authorization job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 100% In-person job distribution, with an average salary of $42,673 per year, or $20.5 per hour.
Medical Biller for Private Outpatient Psychiatry Practice

Medical Biller for Private Outpatient Psychiatry Practice

Empire Psychiatry

Rockville Centre, NY • Remote

$21 - $23/hr

Part-time

Posted 25 days ago

Job description

Position Summary:
We are seeking a detail-oriented and compassionate Medical Biller/Prior Authorization Specialist to support our outpatient psychiatric practice. This dual role involves coordinating medication pre-authorizations, and supporting billing and administrative tasks. Ideal for someone experienced in behavioral health settings who thrives in a fast-paced, patient-focused environment.
Key Responsibilities:
Medication Prior Authorizations:
 Coordinate prior authorization requests for psychiatric medications with insurance
companies.
 Follow up with insurance providers to track status and obtain approvals.
 Collaborate with prescribers and pharmacies to ensure timely medication access.
 Maintain accurate records of all authorization processes and outcomes.
Billing:

 Help resolve billing issues and enter charges to patient accounts as needed.
 Provide support with patient billing questions and statements.
Administrative Support:

 Maintain confidentiality and uphold HIPAA regulations at all times.
 Support the billing department and clinicians with ad-hoc tasks as assigned.
Qualifications:

 Experience: Minimum 3 years in medical billing, prior authorizations, or related roles
(psychiatry or behavioral health preferred).
 Knowledge: Familiarity with insurance processes, psychiatric medications, and
electronic medical records (EMRs).
 Skills: Excellent communication, attention to detail, organizational skills, and ability to
work independently.
 Tech: Experience with EMR systems (e.g., Office Ally, Dr Chrono, etc.), Microsoft
Office or GSuite.
Preferred:
 Knowledge of mental health medications and terminology.
 Experience working in a remote or hybrid setting.

This is a remote position.

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About Empire Psychiatry

Sourced by ZipRecruiter

At Empire Psychiatry we’re in network with most insurance plans and Medicare. Our staff will work with you to check your insurance plan’s mental health benefits leaving you with one less thing to worry about.

Industry

Outpatient health care

Headquarters location

Glen Head, NY, US

View All Empire Psychiatry Jobs