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Medical Pre Authorization Jobs (NOW HIRING)

UHS

Pre-Authorization Representative

Aiken, SC · On-site

$15.25 - $20.50/hr

Responsibilities Pre-Authorization Representative Aiken Regional Medical Centers, located in Aiken ... Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the American ...

UHS

Pre-Authorization Representative

Aiken, SC · On-site

$15.25 - $20.50/hr

Responsibilities Pre-Authorization Representative Aiken Regional Medical Centers, located in Aiken ... Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the American ...

RIA

Pre-Authorization Specialist

Centennial, CO · On-site

$20 - $24/hr

Pre-Authorization Specialist Invision Sally Jobe (ISJ) is a network of imaging centers built and ... Minimum of 2-3 years of experience in medical field preferably in radiology or diagnostic imaging.

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 ...

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Medical Pre Authorization information

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How much do medical pre authorization jobs pay per hour?

As of Sep 14, 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.
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 are popular job titles related to Medical Pre Authorization jobs?

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

Medical Pre Authorization jobs near you
Infographic showing various Medical Pre Authorization job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution, with an average salary of $41,194 per year, or $19.8 per hour.

Pre-Authorization Representative

Aiken, SC • On-site

UHS
Health Care and Social Assistance • 10K+ employees
Learn more about UHSexternal

$15.25 - $20.50/hr

Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 255 frontline employees who took The Breakroom Quiz

Job description

Responsibilities
Pre-Authorization Representative
Aiken Regional Medical Centers, located in Aiken, South Carolina, is a 273-bed acute care facility providing top quality and safe healthcare to the residents of Aiken and surrounding communities since 1917. Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the American Heart Association for its treatment of heart attack, heart failure and Stroke, and most recently, coronary artery disease.
Additionally, Aiken Regional provides comprehensive healthcare services such as behavioral health ( Aurora Pavilion Behavioral Health ), emergency medical care (main hospital and ER at Sweetwater ), orthopedic surgeries, maternity, rehabilitation services( Hitchcock Rehabilitation Services ), imaging, and wound care.
Visit us online at: https://www.aikenregional.com
Position Description:
The Pre-Authorization Specialist is responsible for identifying prior authorization requirements by insurance /payer, processes, and obtains prior authorizations for scheduled and add on services. Determines if services are a covered benefit, obtains pre-authorization and documents information in CERNER. Communicates with the ordering Provider's office if services were approved or denied and facilitates peer-to-peer reviews when needed to prevent denials and improve Physician satisfaction.
Duties:
  • Locates, reviews and obtains appropriate chart documentation from all sources (Physician, CERNER, etc.) based on payer requirements needed to obtain prior authorization for scheduled/ add-on IP and OP procedures/admissions/surgeries.
  • Communicates with physician office regarding status of authorization, information needed, facilitates, and completes peer-to-peer reviews when needed.
  • Initiate appeals for denied authorizations prior to service rendered avoiding denials and/or penalties to the facility.
  • Understands Insurance processing requirements i.e.; (verification, authorization, terms, requirements and regulations) and familiar with payer processes to obtain authorization in a timely manner.

Benefit Highlights
  • Unlimited Employee Referral Bonus Program
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • Tuition/Certification Reimbursement after 6 months
  • Culture of Excellence - Employee Recognition program
  • Challenging and rewarding work environment
  • Clinical Nursing Ladder opportunities
  • SoFi student loan refinancing program
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: uhsguest.com

About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
Requirements:
  • Associate degree in business or related major preferred and/or 5 years or more of directly related experience performing same or similar job function. CHAA - (Certified Healthcare Access Associate) certification preferred.
  • Five (5) years' experience in a health care facility or equivalent position performing same or similar job duties required.
  • Medical Terminology completion preferred, understanding of third-party payer requirements (Authorization, verification and regulations).
  • Ability to receive and express detailed information through oral and written communication.

EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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