Prior Authorization
$16.75 - $22.50/hr
General Summary The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This ...
$16.75 - $22.50/hr
General Summary The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This ...
$16.75 - $22.50/hr
General Summary The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This ...
Lincoln, NE · On-site
$15.75 - $20.75/hr
Performs insurance prior authorizations necessary for appointments, procedures, medications, etc. Performs chart checks and maintains log for chronic care management. Works collaboratively with every ...
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Lincoln, NE · On-site
$15.75 - $20.75/hr
Performs insurance prior authorizations necessary for appointments, procedures, medications, etc. Performs chart checks and maintains log for chronic care management. Works collaboratively with every ...
San Diego, CA · On-site
$22 - $30/hr
Call insurance companies to verify coverage (PPO and HMO), obtain benefit details, and confirm authorization requirements. * Submit, track, and manage prior authorizations in a timely manner ...
San Diego, CA · On-site
$22 - $30/hr
Call insurance companies to verify coverage (PPO and HMO), obtain benefit details, and confirm authorization requirements. * Submit, track, and manage prior authorizations in a timely manner ...
Lincoln, NE · On-site
$15.75 - $20.75/hr
Performs insurance prior authorizations necessary for appointments, procedures, medications, etc. Performs chart checks and maintains log for chronic care management. Works collaboratively with every ...
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Lincoln, NE · On-site
$15.75 - $20.75/hr
Performs insurance prior authorizations necessary for appointments, procedures, medications, etc. Performs chart checks and maintains log for chronic care management. Works collaboratively with every ...
Pleasant Prairie, WI · On-site +1
$17 - $25.25/hr
One (1) year of insurance/prior authorization experience (preferred) * Experience and familiarity with using insurance portals * LICENSES / CERTIFICATIONS REQUIRED * None * KNOWLEDGE, SKILLS ...
Pleasant Prairie, WI · On-site +1
$17 - $25.25/hr
One (1) year of insurance/prior authorization experience (preferred) * Experience and familiarity with using insurance portals * LICENSES / CERTIFICATIONS REQUIRED * None * KNOWLEDGE, SKILLS ...
Pleasant Prairie, WI · On-site
$17 - $25.25/hr
One (1) year of insurance/prior authorization experience (preferred) * Experience and familiarity with using insurance portals * LICENSES / CERTIFICATIONS REQUIRED * None * KNOWLEDGE, SKILLS ...
Pleasant Prairie, WI · On-site
$17 - $25.25/hr
One (1) year of insurance/prior authorization experience (preferred) * Experience and familiarity with using insurance portals * LICENSES / CERTIFICATIONS REQUIRED * None * KNOWLEDGE, SKILLS ...
Pleasant Prairie, WI · On-site +1
$17 - $25.25/hr
One (1) year of insurance/prior authorization experience (preferred) * Experience and familiarity with using insurance portals * LICENSES / CERTIFICATIONS REQUIRED * None * KNOWLEDGE, SKILLS ...
Pleasant Prairie, WI · On-site +1
$17 - $25.25/hr
One (1) year of insurance/prior authorization experience (preferred) * Experience and familiarity with using insurance portals * LICENSES / CERTIFICATIONS REQUIRED * None * KNOWLEDGE, SKILLS ...
$18.75 - $25.25/hr
Call insurance companies to verify coverage (PPO and HMO), obtain benefit details, and confirm authorization requirements. * Submit, track, and manage prior authorizations in a timely manner ...
Quick apply
$18.75 - $25.25/hr
Call insurance companies to verify coverage (PPO and HMO), obtain benefit details, and confirm authorization requirements. * Submit, track, and manage prior authorizations in a timely manner ...
Frisco, TX · On-site +1
$20 - $23/hr
Company Paid Disability & Basic Life Insurance * HSA & FSA (including dependent care) Options * Education Assistance Program The Position: The Prior Authorization Coordinator ensures seamless patient ...
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Frisco, TX · On-site +1
$20 - $23/hr
Company Paid Disability & Basic Life Insurance * HSA & FSA (including dependent care) Options * Education Assistance Program The Position: The Prior Authorization Coordinator ensures seamless patient ...
Submit prior authorization requests to insurance providers for medical services, medications, procedures, and treatments * Verify patient insurance eligibility and benefits * Review clinical ...
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Submit prior authorization requests to insurance providers for medical services, medications, procedures, and treatments * Verify patient insurance eligibility and benefits * Review clinical ...
Battle Creek, MI · On-site
$17 - $22.75/hr
Medical, vision, dental, life, and disability insurance * 401K match * 8 paid holidays * Employee ... Educates patients and staff about the process of medication prior authorizations. * Processes ...
Battle Creek, MI · On-site
$17 - $22.75/hr
Medical, vision, dental, life, and disability insurance * 401K match * 8 paid holidays * Employee ... Educates patients and staff about the process of medication prior authorizations. * Processes ...
$17.75 - $23.50/hr
This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization ...
$17.75 - $23.50/hr
This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization ...
Atlanta, GA · On-site +1
$20 - $23/hr
Company Paid Disability & Basic Life Insurance * HSA & FSA (including dependent care) Options * Education Assistance Program The Position: The Prior Authorization Coordinator ensures seamless patient ...
Atlanta, GA · On-site +1
$20 - $23/hr
Company Paid Disability & Basic Life Insurance * HSA & FSA (including dependent care) Options * Education Assistance Program The Position: The Prior Authorization Coordinator ensures seamless patient ...
$17 - $22.75/hr
Medical, vision, dental, life, and disability insurance * 401K match * 8 paid holidays * Employee ... Educates patients and staff about the process of medication prior authorizations. * Processes ...
$17 - $22.75/hr
Medical, vision, dental, life, and disability insurance * 401K match * 8 paid holidays * Employee ... Educates patients and staff about the process of medication prior authorizations. * Processes ...
Anchorage, AK · On-site
$24 - $28/hr
Reviewing and submitting prior authorization requests to insurance carriers in compliance with payer requirements.Submit necessary clinical documentation from providers to support authorization ...
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Anchorage, AK · On-site
$24 - $28/hr
Reviewing and submitting prior authorization requests to insurance carriers in compliance with payer requirements.Submit necessary clinical documentation from providers to support authorization ...
$23 - $25/hr
Pharmacy Prior Authorization Specialist - CareMed Specialty Pharmacy Buffalo, NY | Full-Time | ... Company Paid Life Insurance; and Short/Long-Term Disability Why Join Us? * A career with purpose:
$23 - $25/hr
Pharmacy Prior Authorization Specialist - CareMed Specialty Pharmacy Buffalo, NY | Full-Time | ... Company Paid Life Insurance; and Short/Long-Term Disability Why Join Us? * A career with purpose:
$16.50 - $22/hr
Performs day to day Insurance Verification and Prior Authorization activities to support the Revenue Cycle and to ensure reimbursement for services in a timely and accurate manner. Schedule Monday ...
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$16.50 - $22/hr
Performs day to day Insurance Verification and Prior Authorization activities to support the Revenue Cycle and to ensure reimbursement for services in a timely and accurate manner. Schedule Monday ...
Submit prior authorization requests to insurance providers for medical services, medications, procedures, and treatments * Verify patient insurance eligibility and benefits * Review clinical ...
Quick apply
Submit prior authorization requests to insurance providers for medical services, medications, procedures, and treatments * Verify patient insurance eligibility and benefits * Review clinical ...
$18.75 - $25/hr
Position Title Prior Authorization Specialist / Prior Authorization Coordinator Department Prior ... This role works closely with physicians, clinical staff, insurance companies, and patients to ...
$18.75 - $25/hr
Position Title Prior Authorization Specialist / Prior Authorization Coordinator Department Prior ... This role works closely with physicians, clinical staff, insurance companies, and patients to ...
Santa Ana, CA · On-site
$25/hr
Submit prior authorization requests to insurance providers for medical services, medications, procedures, and treatments * Verify patient insurance eligibility and benefits * Review clinical ...
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Santa Ana, CA · On-site
$25/hr
Submit prior authorization requests to insurance providers for medical services, medications, procedures, and treatments * Verify patient insurance eligibility and benefits * Review clinical ...
$7.93 - $9.90
13% of jobs
$9.90 - $11.87
0% of jobs
$11.87 - $13.83
0% of jobs
$13.83 - $15.80
2% of jobs
$16.71 is the 25th percentile. Wages below this are outliers.
$15.80 - $17.77
22% of jobs
The median wage is $18.51 / hr.
$17.77 - $19.73
35% of jobs
$20.23 is the 75th percentile. Wages above this are outliers.
$19.73 - $21.70
14% of jobs
$21.70 - $23.67
8% of jobs
$23.67 - $25.63
5% of jobs
$25.63 - $27.60
1% of jobs
$27.60 - $29.57
0% of jobs
$7
$18
$29
| Aspect | Overnight Insurance Prior Authorization | Insurance Claims Specialist |
|---|---|---|
| Credentials | Insurance knowledge, certification preferred | Insurance knowledge, certification often required |
| Work Environment | Healthcare offices, insurance companies | Insurance companies, healthcare providers |
| Primary Role | Reviewing and obtaining prior approval for insurance coverage | Processing and managing insurance claims after service |
While both roles involve insurance processes, Overnight Insurance Prior Authorization focuses on securing approval before services, whereas Insurance Claims Specialists handle post-service claim processing. Understanding these differences helps clarify career paths and job expectations in the insurance industry.
General Summary
The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This role involves reviewing payer requirements, gathering appropriate clinical documentation, and communicating with insurance companies, pharmacies, and internal staff to facilitate authorization approvals. The ideal candidate demonstrates strong time management, attention to detail, integrity, and the ability to manage multiple requests while maintaining organization and professionalism in a high-volume environment.Â
Key ResponsibilitiesÂ
Complete authorization submissions through electronic platforms, payer portals, and telephone communications with insurance representatives when required.Â
Review patient charts to obtain relevant clinical documentation needed to support authorization requestsÂ
Communicate professionally with insurance companies, pharmacies, patients, and internal staff regarding authorization requirements and status updates.Â
Track and update prior authorization requests and outcomes using internal tracking tools and insurance portals to ensure timely processing and follow-up.Â
Demonstrate accountability for assigned authorization requests by monitoring status and following up with payers when necessary. Â
Actively monitor PA Pool and EHR inbox communications to ensure timely response to authorization requests and related inquiries.Â
Ensure all prior authorization submissions and supporting documentation accurately reflect the patient’s medical record and comply with payer requirements.Â
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; stoop, kneel, crouch, or crawl; and talk or hear. The employee must occasionally lift and/or move more than 45 pounds.
Familiarity with medical terminology and working knowledge of medical coding systems (CPT, ICD-10) relevant to prior authorization requests.Â
Strong organizational and time management skills, with the ability to prioritize urgent requests and meet deadlines in a high-volume environment.Â
Excellent written and verbal communication skills when interacting with patients, insurance representatives, pharmacies, and internal clinical staff.Â
Ability to work both independently and collaboratively within a team while managing multiple tasks simultaneously.Â
Demonstrates integrity, professionalism, and ethical decision-making when handling patient information and submitting prior authorization requests.Â
HS Diploma or GEDÂ required.Â
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Outpatient health care
51 - 200 Employees
Birmingham, AL, US
1940