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Medical Prior Authorization Jobs (NOW HIRING)

General Physician

Prior Authorization Specialist

Buffalo, NY · On-site

$17.90 - $20/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Medical, dental, vision & much more * Generous PTO and paid holidays * Competitive salary * 401(K) 3% employer contribution * Verizon Wireless discount * Uniforms provided Essential Duties of a Prior ...

Keystone Advisors LLC

Prior Authorization Specialist

Matteson, IL · On-site

$17.75 - $23.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Summary The Prior Authorization Specialist is responsible for obtaining and processing all ... Assists with medical necessity documentation to expedite approvals and ensure that appropriate ...

New

Soleo Health Inc

Prior Authorization Coordinator

Atlanta, GA · On-site

$20 - $23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Affordable Medical, Dental, & Vision Insurance Plans * Company Paid Disability & Basic Life ... The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ...

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The ...

Soleo Health Inc

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$20 - $23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Affordable Medical, Dental, & Vision Insurance Plans * Company Paid Disability & Basic Life ... The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ...

TEKsystems

Prior Authorization Specialist

Wallingford, CT

$20 - $23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Skills Prior authorization, Cardiology, Medical Scheduling, Patient Access, Registration, Epic, Imaging, Mri Top Skills Details Prior authorization,Cardiology,Medical Scheduling,Patient Access ...

Midwest Vision Partners

Prior Authorization Specialist

Stow, OH · On-site

$16.50 - $22/hr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Coordinate with client to obtain needed medical documentation. * Ability to accurately complete the necessary paperwork to submit prior authorization request to insurance via phone, website, software ...

Soleo Health, Inc.

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$20 - $23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Affordable Medical, Dental, & Vision Insurance Plans * Company Paid Disability & Basic Life ... The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ...

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Medical Prior Authorization information

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$12

$22

$55

How much do medical prior authorization jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for medical prior authorization in the United States is $22.95, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $24.28 per hour, depending on experience, location, and employer.

How do I become a medical prior authorization specialist?

To become a medical prior authorization specialist, candidates typically need a high school diploma or equivalent, along with knowledge of medical billing, insurance processes, and healthcare regulations. Relevant skills include attention to detail, communication, and familiarity with electronic health record (EHR) systems; certifications such as the Certified Medical Administrative Specialist (CMAS) can enhance job prospects.

What career paths follow medical prior authorization?

Medical prior authorization professionals often advance into roles such as healthcare compliance specialists, insurance claims analysts, or healthcare administrators. They may also pursue certifications in healthcare management or coding to expand their career opportunities within the healthcare industry.

What is the difference between Medical Prior Authorization vs Medical Claims Specialist?

AspectMedical Prior AuthorizationMedical Claims Specialist
Required credentialsOften requires healthcare or insurance-related certificationsTypically requires insurance or billing certifications
Work environmentHealthcare offices, insurance companies, or hospitalsInsurance companies, healthcare providers, or billing departments
Employer and industry usageUsed in healthcare and insurance to approve proceduresUsed in insurance to process and adjudicate claims
Common search and comparison intentUnderstanding approval process for treatmentsUnderstanding claims processing and reimbursement

Medical Prior Authorization involves obtaining approval from insurance before certain treatments or procedures, ensuring coverage. Medical Claims Specialists handle the processing and reimbursement of insurance claims after services are provided. While both roles work within healthcare insurance, prior authorization focuses on pre-approval, whereas claims specialists manage post-service billing and claims processing.

What are the key skills and qualifications needed to thrive as a medical prior authorization specialist?

To thrive as a Medical Prior Authorization Specialist, you need in-depth knowledge of insurance policies, medical terminology, and healthcare regulations, typically supported by experience in medical billing or healthcare administration. Proficiency in prior authorization software, electronic health record (EHR) systems, and understanding of payer portals is essential. Strong attention to detail, excellent communication, and organizational skills help you navigate complex approval processes and interact effectively with providers and insurers. These skills ensure timely and accurate authorization of medical services, reducing delays in patient care and minimizing claim denials.

What are some common challenges faced in a medical prior authorization role, and how are they typically addressed?

A common challenge in Medical Prior Authorization is managing high volumes of requests while ensuring timely and accurate approvals. Specialists often deal with complex insurance policies and must coordinate closely with healthcare providers and insurance companies to obtain necessary documentation. To address these challenges, most teams utilize specialized software and standardized workflows, and regular training is provided to stay updated on changing regulations. Strong communication and organizational skills are essential for navigating these complexities and ensuring patients receive prompt care.

What is medical prior authorization?

Medical prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication before it is provided. Providers must submit a request for approval, including supporting documentation, to the insurance company. This process helps ensure that the service is medically necessary and meets the insurer's coverage criteria. Obtaining prior authorization does not guarantee payment, but it is often required to avoid claim denials and delays in patient care.

Are medical prior authorization jobs in high demand?

Medical prior authorization jobs are in steady demand due to the increasing need for healthcare cost management and insurance verification. These roles often require knowledge of medical billing, coding, and insurance policies, and employment opportunities are available in healthcare administration and insurance companies.
More about Medical Prior Authorization jobs

What cities are hiring for Medical Prior Authorization jobs?

Cities with the most Medical Prior Authorization job openings:

What states have the most Medical Prior Authorization jobs?

States with the most job openings for Medical Prior Authorization jobs include:

Medical Prior Authorization jobs near you
Infographic showing various Medical Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $47,733 per year, or $22.9 per hour.

Prior Authorization Specialist

General Physician

Buffalo, NY • On-site

$17.90 - $20/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 23 days ago

Job description

Pay Range: $17.90 - $20.00*
General Physician, P.C. is one of WNY's largest and most respected multi-specialty medical groups! We are committed to providing comprehensive, high-quality patient-centered care to improve the overall quality of the lives of our patients.
Currently, we are seeking a Prior Authorization Specialist for our Cardiology office located in Buffalo, NY! This is a full-time position, scheduled Monday - Friday, and includes Free Parking!
No nights, weekends, or holidays!
We offer our Prior Authorization Specialist:
Employees are benefit-eligible on the first of the month following their start date
This includes:

  • Medical, dental, vision & much more
  • Generous PTO and paid holidays
  • Competitive salary
  • 401(K) 3% employer contribution
  • Verizon Wireless discount
  • Uniforms provided
Essential Duties of a Prior Authorization Specialist:
The primary purpose of this position is to: Obtain prior authorization for medications, imaging, and surgeries. Verify insurance and help patients apply for financial assistance.
  • Obtain prior authorizations for all oral medications, surgery, and blood work for all providers in Cardiology.
  • Verify eligibility for oral medications, chemotherapy, surgery, and blood work; 3. Find and set up financial assistance (copay assistance) for patients
  • Fax all infusion orders to the infusion center
  • Act as the point person if there is an issue with a prior authorization or a code for the hospital
  • Track prior authorizations for expiration dates
  • Manage incoming document bins and assist with the completion of necessary forms
  • Deliver exemplary customer service to provide a positive patient experience across the organization
  • Perform other duties assigned by management.
Minimum Qualifications of a Prior Authorization Specialist:
  • High school diploma required, two-year college degree preferred
  • Proven work experience in a healthcare facility and/or strong customer service experience preferred
  • Knowledge of insurance and medical terminology
  • Strong written and verbal communication skills with ability to utilize computer programs

General Physician P.C. is proud to be an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status, or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
* The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant at the time of posting. When determining pay, several factors will be considered including but not limited to location, specialty, service line, years of relevant experience, education, professional credentials, internal equity, and budget.

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