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Pre Authorization Representative Jobs (NOW HIRING)

RadNet

Insurance Authorization Rep

Stockton, CA · On-site

$21 - $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 ...

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 ...

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

$21/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 ...

RadNet

Insurance Authorization Rep

Stockton, CA

$21 - $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 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 ...

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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 29, 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 jobs pay $10,000 a month without a degree?

Pre Authorization Representatives typically do not earn $10,000 a month without specialized experience or certifications. High-paying roles that can reach this level without a degree often include sales, real estate, or certain skilled trades, but these usually require significant experience, strong communication skills, or licensing. Most jobs paying this amount without a degree are in sales, entrepreneurship, or commission-based roles.

How much do precertification specialists make?

Preauthorization representatives typically earn between $35,000 and $50,000 annually, depending on experience, location, and employer. Salaries can vary based on certifications, such as Certified Medical Reimbursement Specialist (CMRS), and the complexity of the insurance plans they handle.

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 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.

What jobs pay 2000 a day?

Pre Authorization Representatives typically do not earn $2,000 a day; their salaries are usually based on an hourly or annual rate. High-paying jobs that can reach or exceed $2,000 daily often include specialized roles such as surgeons, anesthesiologists, or certain executive positions, which require advanced skills, certifications, and experience. These roles are generally found in healthcare, finance, or executive management sectors and may involve long hours or high responsibility levels.
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
Pre-Authorization Specialist

Pre-Authorization Specialist

Invision Sally Jobe

Centennial, CO • On-site

$21 - $25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Key responsibilities

  • Secure prior authorizations from commercial and government payers, ensuring compliance with payer-specific guidelines.

  • Identify and resolve authorization issues to prevent delays in patient care.

  • Collaborate with billing, denial management teams, and referring providers to resolve authorization-related denials and obtain necessary clinical documentation.

Job description

Pre-Authorization Specialist | Englewood, CO
Reports to Pre-Service Manager
Employment Type: Full Time
This role is 100% in-office, but may be considered for hybrid schedule based upon performance metrics.
Invision Sally Jobe (ISJ) is a network of imaging centers built and managed through a partnership between Radiology Imaging Associates and HealthOne. Our imaging centers are conveniently located throughout the South Denver area and offer a variety of exams using state of the art equipment. Our services include MRI, CT, digital mammography, ultrasound, pain management, DXA, X-Ray, and image guided biopsies. Our mission is to improve the health of patients in the communities we serve by providing them with the highest quality imaging and associated medical care.
Summary of Position: The Prior Authorization Specialist is responsible for handling complex authorization for radiology imaging services. This role requires advanced knowledge of payer guidelines, prior authorization workflows, and insurance policies to ensure accurate approvals and minimize denials. The specialist will serve as a subject matter expert.
Primary Responsibilities:
  • Prior Authorizations:
    • Secure prior authorizations from commercial and government payers, ensuring compliance with payer-specific guidelines.
    • Identify and resolve authorization issues to prevent delays in patient care.
    • Work closely with referring providers to obtain necessary clinical documentation for authorization approvals.
  • Problem Solving & Denial Prevention:
    • Analyze payer trends to identify common denial reasons and implement proactive solutions.
    • Collaborate with the billing and denial management teams to resolve authorization-related denials and appeals.
  • Communication & Coordination:
    • Maintain strong relationships with insurance representatives to stay updated on policy changes.
    • Document all authorization activities in the system with accuracy and detail.
  • Process Improvement & Compliance:
    • Recommend workflow improvements to enhance efficiency and reduce authorization turnaround times.
    • Ensure compliance with HIPAA and payer-specific regulations.
Qualifications:
  • Minimum of 2-3 years of experience in medical field preferably in radiology or diagnostic imaging.
  • In-depth knowledge of commercial, Medicare, and Medicaid payer policies and authorization requirements.
  • Experience working with electronic health records (EHR), radiology information systems (RIS), and payer portals.
  • Strong problem-solving skills with the ability to work independently.
  • Excellent communication and organizational skills with attention to detail.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Must be able to read, write, and speak in English
Preferred Qualifications:
  • 1-3 years of experience in medical insurance authorizations, preferably in radiology or diagnostic imaging.
  • Experience with Epic, Cerner, or other RIS/PACS/EHR systems.
  • Knowledge of medical coding (CPT, ICD-10) related to radiology services.
  • Prior experience training or mentoring junior staff.
Compensation for this role between $21.00 to $25.00 per hour.
In accordance with Colorado law, the range provided is Invision Sally Jobe's reasonable estimate of the base compensation for this role, and is based on non-discriminatory factors such as experience, knowledge, skills, and abilities. Applications will be received on an ongoing basis, and this position will remain open until filled.
Our benefits include:
  • Medical, dental, and vision insurance
  • Term life insurance, AD&D, and EAP
  • Long Term Disability
  • Generous Paid Time Off
  • Paid holidays
  • Voluntary income protection options (ie. supplemental life insurance, accident, critical illness)
  • Profit-sharing 401(k) retirement plan
  • Tuition reimbursement

Full-time employees will become eligible for benefits on the 1st day of the month following 30 days of employment. Part-time employees may have access to some of these benefits, which may be on a pro-rated basis. PRN employees are not eligible for benefits.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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