ZipRecruiter

Log In

1

Pre Authorization Representative Jobs (NOW HIRING)

RadNet

Insurance Authorization Rep

Stockton, CA · On-site

$23 - $26/hr

Insurance Authorization Representative Artificial Intelligence; Advanced Technology; The very best ... Obtain and confirm insurance pre-authorizations & contact insurance providers via email or phone to ...

University of Colorado

Pre-Authorization Specialist

Aurora, CO · On-site

$18.25 - $24.50/hr

The Orthotics Pre-Authorization Specialist is responsible for managing all aspects of Durable ... representatives. * Track aging authorization requests and escalate barriers to prevent workflow ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

Prestige Staffing

Surgery Authorization Rep

Sarasota, FL

$19 - $24/hr

Surgery Authorization Representative Pay $19-24/hr, based on experience Location Sarasota, Florida ... Ensure pre-registration is complete at least 7 days before scheduled procedures * Advise patients ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

RadNet

Insurance Authorization Rep

Stockton, CA · On-site

$23 - $26/hr

When you join us as an Insurance Authorization Representative you will be joining a dedicated team ... Obtain and confirm insurance pre-authorizations & contact insurance providers via email or phone to ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

RadNet

Insurance Authorization Rep

Stockton, CA · On-site

$23 - $26/hr

When you join us as an Insurance Authorization Representative you will be joining a dedicated team ... Obtain and confirm insurance pre-authorizations & contact insurance providers via email or phone to ...

System One Holdings, LLC

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

next page

Showing results 1-20

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 Jul 21, 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's role involves reviewing and processing insurance approval requests, which can be stressful due to strict deadlines, high accuracy requirements, and the need to communicate effectively with healthcare providers and patients. The job often requires attention to detail, multitasking, and managing complex cases, which can contribute to workplace stress.

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 does an authorization representative do?

An authorization representative reviews and processes insurance or healthcare authorization requests to determine coverage eligibility. They communicate with healthcare providers and insurance companies, ensuring necessary documentation is complete and accurate to facilitate approval or denial of services.

How much does a precertification specialist make?

A precertification specialist typically earns between $35,000 and $50,000 annually, depending on experience, location, and employer. The role often requires knowledge of insurance policies and certification processes, with some positions offering additional benefits or bonuses.

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 does a prior authorization representative do?

A prior authorization representative reviews and processes requests for approval of medical procedures, treatments, or medications from insurance companies. They verify patient information, ensure documentation is complete, and communicate with healthcare providers and insurers to obtain necessary approvals, often using specialized software. This role requires attention to detail and knowledge of insurance policies and medical billing procedures.

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 July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $48,409 per year, or $23.3 per hour.
Pre-Authorization Specialist

Pre-Authorization Specialist

Think Whole Person Healthcare

Omaha, NE

$17.25 - $23/hr

Other

Posted 11 days ago

Job description

CORE VALUE COMMITMENT:

In common mission, our teams work together with our patients at Think. We strive to continuously improve. We value one anothers diversity of talent, experience, and perspective. We each contribute to something bigger than ourselves while promoting integrity, belonging, and collaboration.

JOB SUMMARY:

Responsible for pre-authorization coordination on behalf of patients. This position will work as an advocate for patients by confirming and obtaining insurance authorization prior to certain medical services and treatments being provided.

ESSENTIAL JOB FUNCTIONS:

1. Contact insurance carriers to verify patients insurance eligibility, benefits, and requirements.

2. Request, track, and obtain pre-authorization from insurance carriers dependent on priority status given for medical and pharmaceutical services. Request follow-up and secure prior authorization prior to services being performed.

3. Work in collaboration with the medical and pharmacy staff to obtain any additional clinical documentation and communicate with appropriate insurance carrier.

4. Communicate any insurance changes or trends to leadership and recommend new and changes to processes and workflows as needed.

5. Clearly document all communication and prior authorization documentation, in standardized documentation requirements, and save in Electronic Health Record (EHR) as appropriate.

6. Communicate the approval or denial of the procedure/infusion to the patient and the provider team.

7. Professionally respond to all telephone calls, emails, internal messages, EHR requests in a timely manner to ensure patients needs are met prior treatment.

8. Communicate directly with patients to explain outcome of request and any monetary requirement they may be held responsible to. Schedule patient for specified medical or pharmaceutical service.

9. Work hours to mirror standard insurance carrier hours (Monday Friday, 8am 5pm).

KNOWLEDGE, SKILLS & ABILITIES

1. Knowledge of healthcare pre-authorization procedures and insurance claims processing.

2. Skill in using a computer and a variety of software, including Electronics Health Records (EHR) software, scheduling software, Word, Excel, Access, and Outlook.

3. Skill in communicating in a professional manner, both verbally and in writing.

4. Skill in managing multiple priorities and delegating as needed.

5. Ability to be a good representative of the Company.

6. Ability to maintain confidentiality regarding sensitive issues, patient care, privacy, and confidentiality.

EDUCATION & EXPERIENCE:

High School diploma or GED required. Minimum of two (2) years of experience working with Pre-Authorization and/or medical insurance, clinical setting ideal.

WORKING CONDITIONS AND PHYSICAL EFFORT:

This role operates in a healthcare setting. This position requires frequent sitting and computer work and allows employee to vary physical position or activity for comfort.

Must be able to:

  • Stand 5% or longer of workday.
  • Walk 10% or longer of workday workday.
  • Sit 85% or longer of workday workday.
  • Requires employee to: Bend, squat, kneel and reach above shoulder level occasionally.
  • Requires repetitive use of hands for: Simple grasping, fine manipulation, computer use
  • Requires all sensory skills (speech, vision, smell, touch, and hearing) corrected to near normal range.

NOTE: The information above is a reflection of the general nature of job duties. From time to time, additional duties may be assigned.

Apply