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Medical Pre Authorization Jobs (NOW HIRING)

SNI USA Inc

Medical Pre-Authorization Associate

Princeton, NJ · On-site

$17.75 - $22.50/hr

Medical Pre-Authorization Associate Location: Mercer County, NJ Company: SNI Companies (Partnering with a large, well-established medical practice) SNI Companies is seeking a detail-oriented and ...

SNI USA Inc

Prior Authorization Associate

Princeton, NJ · On-site

$21 - $24/hr

Medical Pre-Authorization Associate Mercer County, NJ SNI Companies (partnering with a large, well-established medical practice) SNI Companies is seeking a detail-oriented and customer-focused ...

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How much do medical pre authorization jobs pay per hour?

As of Aug 23, 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, 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 $41,194 per year, or $19.8 per hour.

Medical Pre-Authorization Associate

SNI USA Inc

Princeton, NJ • On-site

$17.75 - $22.50/hr

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 19 days ago

Job description

Medical Pre-Authorization Associate
Location: Mercer County, NJ
Company: SNI Companies (Partnering with a large, well-established medical practice)
SNI Companies is seeking a detail-oriented and customer-focused Medical Pre-Authorization Associate to support a high-volume outpatient medical practice in Mercer County, NJ. This is an excellent opportunity for candidates with experience in insurance verification, authorizations, co-pays, and referrals who are looking to grow within a reputable healthcare organization.
Key Responsibilities
  • Verify insurance eligibility and obtain pre-authorizations for medical testing.
  • Communicate with insurance companies, referring physicians, and patients regarding authorization status.
  • Update, edit, and maintain accurate information in the office database.
  • Manage exam certifications, including upgrades and downgrades.
  • Maintain up-to-date knowledge of participating insurance plans, pre-auth workflows, and Exchange EDI requirements.
  • Greet and direct patients, physicians, and visitors in a professional manner.
  • Accurately enter insurance information and process documentation (referrals, waivers, signatures, etc.).
  • Scan insurance cards, referrals, waivers, and FTPs.
  • Collect co-payments when applicable.
  • Schedule walk-in appointments and provide exceptional customer service.
Schedule
  • Monday-Friday, 8:30 AM-5:00 PM
  • One rotating Saturday every 4-5 weeks
Benefits
  • Health, dental, and vision insurance
  • Company-paid life and long-term disability insurance
  • 401(k) profit-sharing plan

If you have strong communication skills, enjoy working in a fast-paced medical office environment, and are passionate about supporting patient care, we encourage you to apply.

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