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Pre Authorization Representative Jobs (NOW HIRING)

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/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 ...

WVU Medicine

Pre-Authorization Scheduling Coord

Keyser, WV · On-site

$19.50 - $24.25/hr

Verify insurance; validate pre-cert/pre-auth information after completion of insurance verification ... The physical demands described here are representative of those that must be met by an employee to ...

inno

Authorization Representative

Medford, MA · On-site

$41K - $57K/yr

The Authorization Representative is a part of a fast-pace and dynamic department that plays a ... Obtain prior authorization or pre-certification of services to be rendered as required by each ...

Innovive Health

Authorization Representative

Medford, MA · On-site

$20 - $23/hr

The Authorization Representative is a part of a fast-pace and dynamic department that plays a ... Obtain prior authorization or pre-certification of services to be rendered as required by each ...

BJC HealthCare

Prior Authorization Rep

Saint Louis, MO · Hybrid

$15.50 - $19.75/hr

The role represent BJC with the highest standard of customer service, compassion and perform all ... pre-certification & financial clearance. Responsible for ensuring that the most accurate patient ...

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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 Jul 22, 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.
Authorization Rep

Authorization Rep

System One

Tulsa, OK • On-site

$17 - $20/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 3 days ago

Job description

Job Title: Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model: Onsite Hours: 40.0 Security Clearance: none

Responsibilities

  • Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing, medications, and specialty services.
  • Verify patient insurance eligibility, benefits, and coverage requirements.
  • Communicate with insurance companies to secure approvals and resolve authorization issues.
  • Review clinical documentation to ensure authorization requests meet payer requirements.
  • Track authorization status and follow up on pending requests to avoid delays in patient care.
  • Document authorization information accurately within the electronic medical record (EMR) system.
  • Collaborate with providers, clinical staff, scheduling teams, and billing departments to coordinate patient services.
  • Inform patients of authorization requirements, coverage limitations, and any out-of-pocket responsibilities when appropriate.
  • Stay current on payer guidelines, insurance regulations, and authorization procedures.

Requirements

  • High school diploma or equivalent required; additional healthcare education preferred.
  • Minimum of 1-2 years of prior authorization, insurance verification, medical billing, or healthcare administrative experience preferred.
  • Knowledge of commercial insurance plans, Medicare, Medicaid, and managed care organizations.
  • Familiarity with medical terminology, CPT codes, ICD-10 codes, and healthcare reimbursement processes is a plus.
  • Strong attention to detail and organizational skills.
  • Excellent verbal and written communication abilities.
  • Proficiency with EMR systems and Microsoft Office applications.
  • Ability to work independently while managing multiple priorities in a fast-paced environment.

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

Ref: #208-Rowland Tulsa