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Pre Authorization Representative Jobs (NOW HIRING)

OrthoSC

Pre- Authorization Representative

Myrtle Beach, SC · On-site

$31K - $43K/yr

Description Summary/Objective The Pre-Authorization Representative is responsible for the company's pre-certification and scheduling department. This position will oversee all aspects of the ...

SimonMed Imaging

Pre-Authorization Representative

Orlando, FL · On-site

$37K - $51K/yr

Insurance Authorization Representative Ensure patients are financially and clinically cleared for care by managing insurance authorization, pre-certification, and registration processes that support ...

SimonMed Imaging

Pre-Authorization Representative

Reno, NV · On-site

$17 - $21.75/hr

... authorization, pre-certification, and registration processes that support timely access to diagnostic services. At SimonMed Imaging, the Insurance Authorization Representative plays a critical role ...

SimonMed Imaging

Pre-Authorization Representative

Orlando, FL · On-site

$16 - $20.25/hr

... authorization, pre-certification, and registration processes that support timely access to diagnostic services. At SimonMed Imaging, the Insurance Authorization Representative plays a critical role ...

SMI IMAGING LLC

Pre-Authorization Representative

Orlando, FL · On-site

$15.75 - $20.25/hr

... authorization, pre-certification, and registration processes that support timely access to diagnostic services. At SimonMed Imaging, the Insurance Authorization Representative plays a critical role ...

SimonMed Imaging

Pre-Authorization Representative

Orlando, FL · On-site

$16 - $20.25/hr

... authorization, pre-certification, and registration processes that support timely access to diagnostic services. At SimonMed Imaging, the Insurance Authorization Representative plays a critical role ...

SMI IMAGING LLC

Pre-Authorization Representative

Orlando, FL · On-site

$37K - $51K/yr

... authorization and scheduling process. * Has knowledge insurances and of commonly used concepts, practices, and procedures. * Relies on instructions and pre-established guidelines to perform the ...

SMI IMAGING LLC

Pre-Authorization Representative

Orlando, FL · On-site

$37K - $51K/yr

... authorization and scheduling process. * Has knowledge insurances and of commonly used concepts, practices, and procedures. * Relies on instructions and pre-established guidelines to perform the ...

SimonMed Imaging

Pre-Authorization Representative

Orlando, FL · On-site

$37K - $51K/yr

... authorization and scheduling process. * Has knowledge insurances and of commonly used concepts, practices, and procedures. * Relies on instructions and pre-established guidelines to perform the ...

SMI IMAGING LLC

Pre-Authorization Representative

Orlando, FL · On-site

$37K - $51K/yr

... authorization and scheduling process. * Has knowledge insurances and of commonly used concepts, practices, and procedures. * Relies on instructions and pre-established guidelines to perform the ...

SMI IMAGING LLC

Pre-Authorization Representative

Orlando, FL · On-site

$37K - $51K/yr

... authorization and scheduling process. * Has knowledge insurances and of commonly-used concepts, practices, and procedures. * Relies on instructions and pre-established guidelines to perform the ...

SMI IMAGING LLC

Pre-Authorization Representative

Reno, NV · On-site

$39K - $54K/yr

... authorization and scheduling process. * Has knowledge insurances and of commonly used concepts, practices, and procedures. * Relies on instructions and pre-established guidelines to perform the ...

SMI IMAGING LLC

Pre-Authorization Representative

Orlando, FL · On-site

$37K - $51K/yr

... authorization and scheduling process. * Has knowledge insurances and of commonly used concepts, practices, and procedures. * Relies on instructions and pre-established guidelines to perform the ...

SMI IMAGING LLC

Pre-Authorization Representative

Phoenix, AZ · On-site

$39K - $54K/yr

... authorization and scheduling process. * Has knowledge insurances and of commonly-used concepts, practices, and procedures. * Relies on instructions and pre-established guidelines to perform the ...

SMI IMAGING LLC

Pre-Authorization Representative

Orlando, FL · On-site

$37K - $51K/yr

... authorization and scheduling process. * Has knowledge insurances and of commonly used concepts, practices, and procedures. * Relies on instructions and pre-established guidelines to perform the ...

SimonMed Imaging

Pre-Authorization Representative

Reno, NV · On-site

$39K - $54K/yr

... authorization and scheduling process. * Has knowledge insurances and of commonly used concepts, practices, and procedures. * Relies on instructions and pre-established guidelines to perform the ...

SimonMed Imaging

Pre-Authorization Representative

Orlando, FL · On-site

$37K - $51K/yr

... authorization and scheduling process. * Has knowledge insurances and of commonly used concepts, practices, and procedures. * Relies on instructions and pre-established guidelines to perform the ...

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All JobsPre Authorization Representative Jobs

Pre Authorization Representative information

See salary details

$26K

$48.4K

$73K

How much do pre authorization representative jobs pay per year?

As of Aug 11, 2026, the average yearly pay for pre authorization representative in the United States is $48,409.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $55,000.00 per year, depending on experience, location, and employer.

Is prior authorization a stressful job?

A Pre Authorization Representative role can be stressful due to the need for accuracy, meeting deadlines, and handling complex insurance policies. The job often requires strong attention to detail, communication skills, and the ability to manage high workloads in a fast-paced environment.

How do I become a pre authorization representative?

To become a pre-authorization representative, candidates typically need a high school diploma or equivalent and strong communication and organizational skills. Relevant experience in healthcare, insurance, or customer service can be beneficial, and familiarity with medical terminology and authorization software is often required. Certification is not mandatory but can improve job prospects.

What is a pre authorization representative?

Pre Authorization Representatives are healthcare professionals responsible for obtaining approval from insurance companies before certain medical services or procedures are performed. They review medical documentation, communicate with providers and payers, and ensure all necessary information is submitted to support the authorization request. Their work helps patients avoid unexpected costs and ensures that healthcare providers are reimbursed for services rendered. Pre Authorization Representatives play a key role in the administrative side of healthcare, helping to streamline the insurance approval process.

What are the key skills and qualifications needed to thrive as a pre authorization representative?

To thrive as a Pre Authorization Representative, you need strong knowledge of insurance practices, healthcare terminology, and medical billing, typically supported by a high school diploma or equivalent and experience in a medical office setting. Familiarity with insurance verification systems, electronic health records (EHRs), and authorization management software is essential. Exceptional attention to detail, customer service orientation, and effective communication skills help you excel when interacting with patients, providers, and insurance companies. These skills ensure accurate and timely pre-authorization processing, minimize claim denials, and support a smooth patient care experience.

What are some common challenges faced by pre authorization representatives and how can they be managed?

Pre Authorization Representatives often encounter challenges such as navigating complex insurance requirements and managing high call volumes. Staying up-to-date on payer-specific guidelines and maintaining detailed documentation are key to overcoming these hurdles. Effective communication with providers, payers, and patients helps ensure timely approvals and reduces delays. Utilizing organizational tools and workflow management systems can also help representatives stay on top of multiple requests and deadlines.

What is the difference between Pre Authorization Representative vs Insurance Verification Specialist?

AspectPre Authorization RepresentativeInsurance Verification Specialist
CredentialsHigh school diploma; some roles may require certification in healthcare or insuranceHigh school diploma; often similar certifications in healthcare or insurance
Work EnvironmentHealthcare facilities, insurance companies, or third-party payersHospitals, clinics, or insurance companies
Job FocusSecuring prior approvals for procedures or treatmentsVerifying insurance coverage and eligibility

While both roles involve interaction with insurance processes, the Pre Authorization Representative primarily focuses on obtaining approvals before procedures, whereas the Insurance Verification Specialist verifies coverage details. Both positions require similar credentials and often work in healthcare or insurance settings, but their core responsibilities differ in the insurance process workflow.

More about Pre Authorization Representative jobs
What states have the most Pre Authorization Representative jobs? States with the most job openings for Pre Authorization Representative jobs include:
What job categories do people searching Pre Authorization Representative jobs look for? The top searched job categories for Pre Authorization Representative jobs are:
Pre Authorization Representative jobs near you
Infographic showing various Pre Authorization Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $48,409 per year, or $23.3 per hour.

Pre- Authorization Representative

OrthoSC

Myrtle Beach, SC • On-site

$31K - $43K/yr

Other

Posted 4 days ago

OrthoSC rating

6.8

Company rating: 6.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Description
Summary/Objective
The Pre-Authorization Representative is responsible for the company's pre-certification and scheduling department. This position will oversee all aspects of the precertification and pre-authorization activities within OrthoSC.
Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Obtain appropriate benefits for surgical and non-surgical procedures, referrals, medical equipment, medications, and therapies ordered by providers.
• Obtain insurance pre-certification and pre-authorization with necessary documents and authorization for payment for surgeries and non-surgical procedures, referrals, medical equipment, medications, and therapies
• Make phone calls to insurance companies, patients, and other facilities.
• Maintain accurate chart documentation.
• Interact directly with doctors in our office and other offices and hospitals.
• Prepare information for patient and communicate this information to the patient.
• Assist patients in understanding their insurance benefits and estimated amount due for scheduled procedures.
• Maintain compliance with all company policies and procedures.
• Other duties as assigned.
Competencies
1. Orthopaedic/general medical terminology
2. Computer proficiency
3. Professional demeanor
4. Respect and follow physician/patient etiquette
5. Work under pressure with a positive attitude
6. Excellent verbal and written communication skills
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
While performing the duties of this job, the physical activity is intended to describe the general nature and level of work being performed by individuals assigned to this position. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
Position Type and Expected Hours of Work
This is a full-time position. Days and hours of work are Monday through Thursday, 8:00 a.m. to 5 p.m., Fridays from 8:00 a.m. to 2:00 p.m.
Travel
No travel is expected for this position.
Education and Experience
1. High School Diploma or equivalent
2. Minimum of 2 years of physician office and/or healthcare experience.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

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