ZipRecruiter

Log In

1

Medical Pre Authorization Jobs in Michigan (NOW HIRING)

Saintfrancis

Authorization Specialist I

Warren, MI · On-site

$17 - $22.50/hr

Timely facilitation of insurance approval contributes to the accuracy of patient estimates and pre ... Basic knowledge of medical billing and insurance follow-up activity. Essential Functions and ...

MyMichigan Health

Patient Referral Assistant

Alpena, MI · On-site

$14.25 - $19.50/hr

Summary The Pre-certification/Denials Specialist is responsible for obtaining prior authorizations ... They will obtain and communicate via the electronic medical record to clinic personnel, providers ...

MyMichigan Health

Patient Referral Assistant

Alpena, MI · On-site

$14.25 - $19.50/hr

Summary The Pre-certification/Denials Specialist is responsible for obtaining prior authorizations ... They will obtain and communicate via the electronic medical record to clinic personnel, providers ...

McLaren

Patient Access Scheduling Representative

Shelby, MI · On-site

$15.25 - $19.50/hr

... initiates pre-authorization and referrals process, confirms and maintains patient diagnostic appointments, surgeries and/or medical procedures for McLaren Health. Essential Functions and ...

McLaren

Patient Access Scheduling Representative

Shelby, MI · On-site

$15.25 - $19.50/hr

... initiates pre-authorization and referrals process, confirms and maintains patient diagnostic appointments, surgeries and/or medical procedures for McLaren Health. Essential Functions and ...

McLaren

Patient Access Scheduling Representative

Shelby, MI · On-site

$15.25 - $19.50/hr

... initiates pre-authorization and referrals process, confirms and maintains patient diagnostic appointments, surgeries and/or medical procedures for McLaren Health. Essential Functions and ...

McLaren

Patient Access Scheduling Representative

Shelby, MI · On-site

$15.25 - $19.50/hr

... initiates pre-authorization and referrals process, confirms and maintains patient diagnostic appointments, surgeries and/or medical procedures for McLaren Health. Essential Functions and ...

next page

Showing results 1-20

All JobsMedical Pre Authorization JobsMedical Pre Authorization Jobs in Michigan

Medical Pre Authorization information

See Michigan salary details

$9

$17

$32

How much do medical pre authorization jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for medical pre authorization in Michigan is $17.39, according to ZipRecruiter salary data. Most workers in this role earn between $13.51 and $17.73 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.

What are popular job titles related to Medical Pre Authorization jobs in Michigan?

For Medical Pre Authorization jobs in Michigan, the most frequently searched job titles are:

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

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

Medical Pre Authorization jobs near you
Infographic showing various Medical Pre Authorization job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $36,176 per year, or $17.4 per hour.

Pre-Authorization Specialist

Shoreline Orthopaedics

Holland, MI • On-site

$16.50 - $21.75/hr

Full-time

Re-posted 23 days ago

Job description

Description:

The Preauthorization Specialist is responsible for prior authorizations for orthopaedic services. They will verify insurance, ensure medical necessity, submit and track requests, communicate outcomes, and support care coordination. They will maintain accurate documentation, assist with appeals, educate patients on coverage, and ensure HIPAA compliance.


Key Responsibilities:

  • Obtain prior authorizations and referrals for orthopaedic surgeries, procedures, diagnostic imaging (MRI, CT, X-ray), injections, DME, and therapies
  • Verify patient insurance eligibility, benefits, and authorization requirements
  • Review clinical documentation to ensure medical necessity criteria are met
  • Submit authorization requests through payer portals, phone, or fax and track status to completion
  • Communicate authorization approvals, denials, and requests for additional information to providers and staff
  • Work closely with physicians, clinical staff, surgery schedulers, and billing teams to prevent delays in care
  • Appeal denied or partially approved authorizations when appropriate
  • Maintain accurate and timely documentation in the electronic health record (EHR) and practice management systems
  • Stay current on payer policies, orthopaedic procedure requirements, and authorization guidelines
  • Assist patients by explaining authorization processes, coverage limitations, and potential financial responsibility
  • Ensure compliance with HIPPA/regulatory requirements
Requirements:
  • High school diploma or equivalent required
  • Minimum of 1–2 years of experience in medical preauthorization, referrals, or insurance verification
  • Experience in orthopaedics or a surgical specialty strongly preferred
  • Knowledge of CPT, ICD-10, and medical necessity guidelines
  • Familiarity with major commercial payers, Medicare, and Medicaid
  • Proficiency with EHR and insurance web portals

Preferred Qualifications

  • Certified Professional Biller/Coder (CPB/CPC), Certified Medical Administrative Assistant (CMAA), or similar certification preferred
  • Experience with surgical authorizations and appeals
  • Understanding of workers’ compensation and motor vehicle accident claims
Working & Environmental Conditions:
  • Primarily in an indoor clinical/office setting with moderate noise levels. Occasional lifting of 50 pounds is required. The role may require prolonged periods of standing and frequent use of computer equipment. This role requires the usage of personal protective equipment and requires in-person attendance.

Apply