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Medical Pre Authorization Jobs (NOW HIRING)

Boystown

Pre-Authorization Specialist- Part Time

Omaha, NE

$17.25 - $23/hr

... and pre-certification / authorization of surgeries and/or other clinical services performed at ... Knowledge of insurance terms, reimbursement procedures, rates and policies related to medical ...

Boys Town

Pre-Authorization Specialist- Part Time

Omaha, NE · On-site

$17.25 - $23/hr

... and pre-certification / authorization of surgeries and/or other clinical services performed at ... Knowledge of insurance terms, reimbursement procedures, rates and policies related to medical ...

WVU Medicine

Pre-Authorization Scheduling Coord.

Keyser, WV · On-site

$19.50 - $24.25/hr

Completed Medical Assistant (MA) degree OR; Associate Degree. CORE DUTIES AND RESPONSIBILITIES: The ... Verify insurance; validate pre-cert/pre-auth information after completion of insurance verification ...

SimonMed Imaging

Pre-Authorization Representative

Phoenix, AZ · On-site

$17 - $21.50/hr

Obtains pre-certification and registration prior to a patient's appointment. * Gathers pertinent ... At SimonMed Imaging, we offer medical, vision and dental insurance, significant Imaging discounts ...

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How much do medical pre authorization jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for medical pre authorization in the United States is $19.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.19 per hour, depending on experience, location, and employer.

What is medical pre-authorization?

Medical pre-authorization, sometimes called prior authorization, is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before certain medical treatments are provided, your healthcare provider must obtain approval from your insurance company to ensure the service is medically necessary. This step helps control healthcare costs and ensures that patients receive appropriate care. The process may require submitting documentation about your medical condition and the proposed treatment, which can take several days to complete.

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

To thrive as a Medical Pre-Authorization Specialist, you need a solid understanding of medical terminology, insurance policies, and healthcare regulations, often supported by a high school diploma or an associate’s degree in healthcare administration. Familiarity with electronic health record (EHR) systems, insurance verification platforms, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills for excelling in this role. These abilities ensure accurate, timely processing of pre-authorizations, prevent claim denials, and support efficient patient care delivery.

What are some common challenges faced by medical pre-authorization specialists, and how can they be addressed?

Medical Pre Authorization specialists often face challenges such as navigating complex insurance policies, managing a high volume of authorization requests, and ensuring timely approval to avoid delays in patient care. To address these challenges, it's important to stay updated on payer guidelines, develop strong organizational skills, and maintain clear communication with healthcare providers and insurance representatives. Many organizations also offer training and support to help specialists stay current and manage their workload effectively.

What is the difference between Medical Pre Authorization vs Medical Billing Specialist?

AspectMedical Pre AuthorizationMedical Billing Specialist
Required CredentialsOften requires knowledge of insurance policies and medical documentationRequires coding certifications and billing knowledge
Work EnvironmentHealthcare facilities, insurance companies, or third-party administratorsMedical offices, hospitals, or billing companies
Industry UsageUsed to approve procedures before treatmentHandles billing and claims processing after services

Medical Pre Authorization focuses on obtaining approval for procedures before they are performed, ensuring coverage. Medical Billing Specialists process claims and handle payments after services. Both roles are essential in healthcare but serve different stages of patient care and billing processes.

How do I become a medical pre authorization specialist?

To become a medical pre-authorization specialist, typically one needs a high school diploma or equivalent, along with knowledge of medical billing, coding, and insurance processes. Relevant skills include attention to detail, communication, and familiarity with healthcare management software; certifications such as Certified Medical Administrative Specialist (CMAS) can enhance job prospects.
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What states have the most Medical Pre Authorization jobs?

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

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

The top searched job categories for Medical Pre Authorization jobs are:

Medical PRE Authorization jobs near you
Infographic showing various Medical Pre Authorization job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $41,194 per year, or $19.8 per hour.

Insurance Pre-Authorization Coordinator

Summit Spine and Joint Centers

Lawrenceville, GA • On-site

$17 - $21/hr

Full-time

Re-posted 27 days ago

Job description

Company Overview:
Summit Spine and Joint Centers (SSJC) is a rapidly growing, multi-state Interventional Pain Management group practice providing integrated clinical, surgical, and imaging services. With clinic locations across Georgia, North Carolina, South Carolina, and Tennessee, our care teams include Integrated Pain Solutions in North Carolina and Savannah Pain Management in Georgia, all operating as part of the SSJC organization. As one of the largest single-specialty practices in the nation, we are committed to collaboration, high-quality patient-centered care, and supporting our teams as we continue to expand. We are seeking motivated, qualified professionals to join us in delivering exceptional care across our growing network.
Job Description Summary:
Under general supervision of a licensed provider, as an Insurance Authorization Coordinator one must be detail oriented with excellent phone call diction, and outstanding customer service skills. We are seeking motivated individuals who can problem-solve and multitask as we are a fast-paced practice. Gain skills and knowledge of organization policies and procedures in support of the department.
This job is a full-time, benefited position at Summit Spine & Joint Centers that reports to the Insurance Manager.
Responsibilities:
  • Obtain insurance authorizations for surgical procedures by using online applications or by contacting insurance company directly.
  • Comfortable working in a growing organization and able to navigate change.
  • Address insurance related patient concerns
  • Self-motivated with the ability to multi-task and prioritize work in a fast-paced team environment
  • Review schedule ahead of time to determine pre-certification and prior authorization requirements.
  • Must be familiar with Medicare and Commercial Insurances.
  • Maintain organized working files of all authorization requests and enter approved authorizations into the system.
  • Coordinate and document all financial responsibilities related to patient deductibles, coinsurance, and copays owed at the time of service.
  • Other Insurance duties as assigned

Skills And Abilities:
  • Must be personable and detail oriented as a representative of the practice while callers rely on proper information
  • Excellent verbal and written skills for proper documentation of encounters.
  • Bilingual candidates are encouraged to apply

Education And Experience:
  • Minimum of 2 years' experience in an outpatient medical office, working in an Insurance Authorization or Pre-Authorization/Certification role.
  • Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required
  • Authorization portal experience required
  • Experience in Pain Management Authorizations required
  • EMR/EHR experience is required.

The employee must communicate professionally, respectfully, and effectively with patients, visitors, clinicians, coworkers, and vendors, including in busy, demanding, or stressful circumstances. The employee must maintain professional composure and consistently perform assigned duties throughout the scheduled work period; manage routine workplace stressors and feedback without disrupting patient care, patient-facing operations, or coworkers' work; and use established de-escalation and escalation procedures when appropriate. The employee must exercise sound judgment; maintain appropriate workplace boundaries; receive and respond to routine feedback and direction; protect confidential patient and business information; and address patient or workplace concerns through established supervisory and safety procedures. These functions are essential to the position.

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