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Medical Pre Authorization Jobs (NOW HIRING)

SimonMed Imaging

Pre-Authorization Representative

Orlando, FL · On-site

$16 - $20.25/hr

What You Bring Insurance and authorization expertise: You verify insurance coverage, obtain pre ... Competitive wages No nights/no calls/no weekends Medical, dental, and vision insurance 401(k) ...

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 ...

SMI IMAGING LLC

Pre-Authorization Representative

Phoenix, AZ · On-site

$39K - $54K/yr

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 ...

SMI IMAGING LLC

Pre-Authorization Representative

Phoenix, AZ · On-site

$39K - $54K/yr

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 ...

SimonMed Imaging

Pre-Authorization Representative

Orlando, FL · On-site

$16 - $20.25/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 ...

SMI IMAGING LLC

Pre-Authorization Representative

Orlando, FL · On-site

$37K - $51K/yr

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 ...

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 ...

SimonMed Imaging

Pre-Authorization Representative

Reno, NV · On-site

$39K - $54K/yr

Obtains pre-certification and registration prior to a patient's appointment. * Gathers pertinent ... At SimonMed Imaging, we offer medical, vision and dental insurance, 401(k) eligibility, paid ...

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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.

Pre-Authorization Coordinator - Patient Registration

Lima Memorial Health System

Lima, OH • On-site

$18 - $22.50/hr

Part-time

Re-posted 2 days ago

Lima Memorial Health System rating

6.2

Company rating: 6.2 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

Functioning within the Health System's mission, values, objectives, policies and procedures, the Pre-Authorization Coordinator will manage the prior-authorization process for both outpatient and inpatient procedures. Enters appropriate data (dates, CPT codes, and insurance data) into ARM module in Meditech for diagnostic testing, surgeries, caths, and PTCA's. Accesses and uses payor websites (Availity, Navinet, Evicore, etc.) to verify insurance, submit authorization requests, and utilize tools within site. Assumes responsibility for staying current on clinical procedures and other information as related to job duties. Maintains current knowledge of which payors and procedures require pre-certifications and authorizations, and maintains necessary and accurate records.
Education: High School diploma or equivalent (e.g. GED) is required. Completion of Medical Assisting or Medical Coding coursework is desired.
Licensure/Certification: None required
Experience: Three to five (3-5) years medical office or admissions and insurance experience is required. Working knowledge of ICD and CPT codes, as well as understanding of insurance payer medical policies.
Skills: Must have excellent communication, organizational, and "customer service" skills, including the ability to exhibit patience and tact with all customers. Must have a working knowledge of ancillary department/support functions and diagnostic procedures. Knowledge of reimbursement/third party payer guidelines preferred.

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