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Medical Pre Authorization Jobs (NOW HIRING)

Advanced Pain Care

Pre-Authorization Specialist

Austin, TX · On-site

$18 - $22/hr

Completes accurate documentation in electronic medical record. • Completes notification to all ... Pre-Authorization Manager MINIMUM QUALIFICATIIONS: Education: Requires a high school diploma or GED ...

Advanced Pain Care

Pre-Authorization Specialist

Austin, TX · On-site

$18 - $22/hr

Completes accurate documentation in electronic medical record. • Completes notification to all ... Pre-Authorization Manager MINIMUM QUALIFICATIIONS: Education: Requires a high school diploma or GED ...

Advanced Pain Care

Pre-Authorization Specialist

Austin, TX · On-site

$18 - $22/hr

Completes accurate documentation in electronic medical record. • Completes notification to all ... Pre-Authorization Manager MINIMUM QUALIFICATIIONS: Education: Requires a high school diploma or GED ...

Advanced Pain Care

Pre-Authorization Specialist

Austin, TX · On-site

$18 - $22/hr

Completes accurate documentation in electronic medical record. • Completes notification to all ... Pre-Authorization Manager MINIMUM QUALIFICATIIONS: Education: Requires a high school diploma or GED ...

University of Colorado

Pre-Authorization Specialist

Aurora, CO · On-site

$18.25 - $24.50/hr

The Orthotics Pre-Authorization Specialist is responsible for managing all aspects of Durable Medical Equipment (DME) precertification and preauthorization within the Department of Orthopedics. This ...

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Medical PRE Authorization information

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How much do medical pre authorization jobs pay per hour?

As of Jul 27, 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 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.

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 are the key skills and qualifications needed to thrive as a Medical Pre-Authorization Specialist, and why are they important?

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.
More about Medical PRE Authorization jobs
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 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 $41,194 per year, or $19.8 per hour.
Pre-Authorization Specialist

Pre-Authorization Specialist

Advanced Pain Care

Austin, TX

$18 - $22/hr

Other

Posted 21 days ago

Job description

Description

***Must be local to Austin/ the surrounding area**


Pre-Authorization Specialist Job Purpose: The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of outpatient and ancillary services. The Pre-Authorization Specialist provides detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record. Other duties as assigned.


DUTIES INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:


Verifies insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt.

Successfully works with payers via electronic/telephonic and/or fax communications.

Responsible for verification and investigation of pre-certification, predetermination, and referral requirements for services.

Determines medical necessity by reviewing the appropriate medical policies established for each insurance payer.

Collaborates with designated clinical contacts regarding encounters that require escalation to peer-to-peer review.

Communicates with patients, clinical navigators, financial counselors, and others as necessary to facilitate authorization process.

Facilitates submission of clean claims and reduction in payer denials by adhering to both organizational and departmental policies and procedures and maintaining departmental productivity and quality goals.

Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner. Completes accurate documentation in electronic medical record.

Completes notification to all payers via electronic/fax/telephonic means within 24 business hours of service to ensure compliance with Managed Care contractual requirements.

Follows departmental policies and procedures when necessary authorization is not obtained prior to service date.

Answers provider, staff, and patient questions surrounding insurance authorization requirements.

Operates standard office equipment (e.g. copier, personal computer, fax, etc.).

Has regular and predictable attendance.

Adheres to Advanced Pain Care's Policies and procedures.

Performs other duties as assigned.


Requirements

SUPERVISION:

Pre-Authorization Manager


MINIMUM QUALIFICATIIONS:

Education:

Requires a high school diploma or GED


Experience:

Minimum of three years' experience in billing/pre-authorization or insurance verification with demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO's and PPO's required.



WORKING CONDITIONS:

Environmental Conditions:

Medical Office environment


Physical Conditions:

Must be able to work as scheduled - typically from 8:00 - 5:00 M-F

Must be able to sit for prolonged periods of time


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