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Overnight Insurance Prior Authorization Jobs (NOW HIRING)

Prior Authorization Specialist

Pittsburgh, PA · On-site

$17.50 - $23.25/hr

Identify the correct prior authorization form required for the patient's insurance provider * Coordinate with prescribers and medical offices to ensure applicable information is translated onto prior ...

Prior Authorization Specialist

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 ...

Prior Authorization Specialist

Battle Creek, MI · On-site

$16.25 - $21.50/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 ...

$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:

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Overnight Insurance Prior Authorization information

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How much do overnight insurance prior authorization jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for overnight insurance prior authorization in the United States is $18.63, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $20.43 per hour, depending on experience, location, and employer.

What is the difference between Overnight Insurance Prior Authorization vs Insurance Claims Specialist?

AspectOvernight Insurance Prior AuthorizationInsurance Claims Specialist
CredentialsInsurance knowledge, certification preferredInsurance knowledge, certification often required
Work EnvironmentHealthcare offices, insurance companiesInsurance companies, healthcare providers
Primary RoleReviewing and obtaining prior approval for insurance coverageProcessing 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.

What cities are hiring for Overnight Insurance Prior Authorization jobs? Cities with the most Overnight Insurance Prior Authorization job openings:
What are the most commonly searched types of Insurance Prior Authorization jobs? The most popular types of Insurance Prior Authorization jobs are:
What states have the most Overnight Insurance Prior Authorization jobs? States with the most job openings for Overnight Insurance Prior Authorization jobs include:
PRIOR AUTHORIZATION SPECIALIST

PRIOR AUTHORIZATION SPECIALIST

Graves Gilbert Clinic

Bowling Green, KY

$17.75 - $23.50/hr

Full-time

Re-posted 15 days ago


Graves Gilbert Clinic rating

6.6

Company rating: 6.6 out of 10

Based on 23 frontline employees who took The Breakroom Quiz


Job description

The Prior Authorization Specialist is responsible for verifying patient eligibility and insurance benefits for clinic-administered medications. This position requires a thorough understanding of insurance terminology, benefit structures, and authorization processes to ensure accurate documentation and timely completion of prior authorization requests. The Specialist will obtain, monitor, and maintain authorizations through payer websites, fax, and telephone, including all necessary follow-up and reauthorization activities. This role supports revenue cycle accuracy and contributes to the delivery of high-quality patient care.

Key Responsibilities:

  • Initiate, monitor, and secure prior authorizations from third-party payers.
  • Maintain electronic documentation for all prior authorization activities in accordance with organizational standards.
  • Track pending authorizations and follow up within defined timeframes (7–10 days or payer-specific requirements) to support timely claims submission.
  • Obtain authorization renewals and verify active provider orders and medical necessity documentation.
  • Work collaboratively with clinicians, practice managers, and other team members to obtain clinical notes and documentation necessary for prior authorization approval.
  • Verify authorization quantities and effective dates; ensure accurate processing by third-party payers and correct loading of information in internal systems.
  • Review and confirm patient eligibility, insurance benefits, and plan requirements for clinic-administered medications.
  • Interpret payer pre-certification and authorization guidelines and ensure appropriate approvals are obtained and documented.
  • Input accurate Payer Plan ID numbers and related data into organizational systems to ensure correct billing for current and future services.
  • Determine patient financial responsibility, including coordination of benefits and other coverage considerations.
  • Organize workload and manage deadlines to prevent delays or loss of revenue due to filing limitations.
  • Maintain professional communication with all payers, clinicians, and other team members.
  • Perform additional duties as assigned.

 Qualifications:

  • Prior experience in authorization processing and benefit investigation required.
  • Experience with specialty medication authorizations preferred.
  • Strong attention to detail and accuracy.
  • Excellent time management and organizational skills.
  • Proficiency in Microsoft Excel and related software applications.
  • Strong interpersonal and communication skills.
  • Ability to interpret insurance benefits, authorization guidelines, and medical terminology.
  • Ability to work collaboratively in a fast-paced, team-oriented environment.

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