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Pre Authorization Representative Jobs (NOW HIRING)

CommonSpirit Health

Pre-Authorization Rep

Seattle, WA · On-site

$22.95 - $32.42/hr

Pre-Authorization Rep Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of ...

CommonSpirit Health

Pre-Authorization Rep

Burien, WA · On-site

$19.50 - $24.75/hr

Job Summary and Responsibilities As a Pre-Authorization Representative, you will be responsible for ensuring a smooth and efficient pre-admission and pre-authorization process for all patients ...

CommonSpirit Health

$17.50 - $22.25/hr

Job Summary and Responsibilities As a Pre-Authorization Representative, you will be responsible for ensuring a smooth and efficient pre-admission and pre-authorization process for all patients ...

New

CommonSpirit Health

Pre Authorization Rep

Chattanooga, TN · On-site

$15.50 - $19.75/hr

Job Summary and Responsibilities As a Pre-Authorization Representative, you will be responsible for ensuring a smooth and efficient pre-admission and pre-authorization process for all patients ...

New

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

Orlando, FL

$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 ...

SMI IMAGING LLC

Pre-Authorization Representative

Orlando, FL

$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

Reno, NV · On-site

$39K - $54K/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

Phoenix, AZ · On-site

$39K - $54K/yr

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

SMI IMAGING LLC

Pre-Authorization Representative

Phoenix, AZ · On-site

$17 - $21.50/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 ...

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Pre Authorization Representative information

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$26K

$48.4K

$73K

How much do pre authorization representative jobs pay per year?

As of Jun 5, 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.

What are the key skills and qualifications needed to thrive as a Pre Authorization Representative, and why are they important?

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 are Pre Authorization Representatives?

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 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 May 2026, with employment types broken down into 100% Full Time. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $48,409 per year, or $23.3 per hour.

Pre Authorization Rep

Mountain Management Services

Chattanooga, TN • On-site, Remote

$18.06 - $25.51/hr

Other

Posted yesterday

Job description

Where You'll Work
CommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.
Job Summary and Responsibilities
As a Pre-Authorization Representative, you will be responsible for ensuring a smooth and efficient pre-admission and pre-authorization process for all patients, safeguarding necessary financial clearance before services are rendered.
Every day, you will accurately gather and verify patient demographic and insurance information, obtain necessary pre-certifications and authorizations from insurance companies, and communicate financial responsibilities to patients. You will serve as a key point of contact, coordinating with physicians' offices, insurance providers, and hospital departments to facilitate seamless patient access to care. Your work directly contributes to preventing claim denials and ensuring financial integrity.
To be successful in this role requires meticulous attention to detail, strong knowledge of insurance practices and medical terminology, excellent communication skills, and a commitment to patient advocacy and financial accuracy.
  • Responsible for obtaining all pre-authorizations for planned outpatient cardiac imaging ordered by Mountain Management Services providers throughout the practice.
  • Interact with coding staff to ensure that medical necessity requirements are met.
  • Ensure timely updates of payer coverage.
  • Maintain vendor and payer worksheets for all cardiac imaging modalities
  • Track and reconcile pre-authorization denials for process improvement
  • Notify Manager/Director of documentation improvement opportunities.

Job Requirements
Required
  • High School Graduate General Studies or High School GED General Studies, upon hire

Preferred
  • Two years' experience with pre-certifications and/or referrals

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