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Pre Authorization Jobs (NOW HIRING)

RIA

Pre-Authorization Specialist

Centennial, CO · On-site

$20 - $24/hr

Pre-Authorization Specialist 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 ...

Boystown

Pre-Authorization Specialist- Part Time

Omaha, NE

$17.25 - $23/hr

Responsible for obtaining and communicating accurate benefit information and eligibility, pre-determination/pre-authorization as well as detailed benefit and patient liabilities per insurance company ...

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 ...

Boys Town

Pre-Authorization Specialist- Part Time

Omaha, NE · On-site

$17.25 - $23/hr

Responsible for obtaining and communicating accurate benefit information and eligibility, pre-determination/pre-authorization as well as detailed benefit and patient liabilities per insurance company ...

Boys Town

Pre-Authorization Specialist- Part Time

Omaha, NE · On-site

$17.25 - $23/hr

Responsible for obtaining and communicating accurate benefit information and eligibility, pre-determination/pre-authorization as well as detailed benefit and patient liabilities per insurance company ...

SMI IMAGING LLC

Pre-Authorization Representative

Orlando, FL · On-site

$15.75 - $20.25/hr

Ensure patients are financially and clinically cleared for care by managing insurance authorization, pre-certification, and registration processes that support timely access to diagnostic services.

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How much do pre authorization jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for pre authorization in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What is a pre authorization specialist?

Pre authorization specialists are healthcare professionals responsible for obtaining approval from insurance companies before certain medical procedures, treatments, or medications are provided to patients. They review medical records, communicate with insurance providers, and ensure all necessary documentation is submitted according to payer requirements. This role helps prevent claim denials, reduces delays in patient care, and supports both medical providers and patients in navigating insurance processes.

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

To thrive as a Pre-Authorization Specialist, you need knowledge of medical terminology, insurance processes, and healthcare regulations, often supported by a healthcare-related degree or relevant administrative experience. Familiarity with insurance verification systems, electronic health records (EHRs), and payer portals is typically required. Strong attention to detail, organizational skills, and effective communication are standout soft skills for this position. These abilities are essential to ensure timely and accurate insurance approvals, minimize claim denials, and support seamless patient care.

What are some common challenges faced by pre authorization specialists, and how can these be managed effectively?

Pre Authorization specialists often encounter challenges such as rapidly changing insurance requirements, managing large volumes of requests, and navigating communication between healthcare providers and insurers. Staying current with payer policies and maintaining strong organizational skills are key to success. Building good relationships with clinical and billing teams can help streamline the process, while using technology to track and manage authorizations can reduce errors and delays.

What is the difference between Pre Authorization vs Medical Billing Specialist?

AspectPre AuthorizationMedical Billing Specialist
Required CredentialsCertification often preferred, knowledge of insurance policiesCertification varies, focus on billing and coding skills
Work EnvironmentHealthcare providers, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance firmsMedical practices, billing services

Pre Authorization involves obtaining approval from insurance companies before services are provided, ensuring coverage. Medical Billing Specialists handle coding, billing, and claims processing after services are rendered. While both roles are essential in healthcare reimbursement, Pre Authorization focuses on pre-approval processes, whereas Medical Billing Specialists manage post-service billing activities.

How do I become a pre authorization specialist?

To become a pre-authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare administration or insurance processing. Relevant skills include knowledge of medical billing, coding, and insurance policies, and some roles may require certification such as Certified Medical Administrative Specialist (CMAS).

Is prior authorization a stressful job?

Pre-authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing deadlines to ensure timely approval of services or medications. The role often involves handling complex insurance policies and communicating with healthcare providers, which can contribute to workplace pressure. However, stress levels vary depending on the work environment and individual coping skills.
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Pre Authorization jobs near you
Infographic showing various Pre Authorization 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 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $43,459 per year, or $20.9 per hour.

PRE-AUTHORIZATION SPECIALIST

Pittsburgh, PA • On-site

Tri-State Orthopaedics
51 - 200 employees
Learn more about Tri-State Orthopaedicsexternal

$17.50 - $23.25/hr

Full-time

Posted 10 days ago

Job description

Tri-State Orthopaedics & Sports Medicine is an independent, well-respected and busy orthopaedic group reaching a milestone this year after providing the Pittsburgh region with the most advanced orthopaedic care for a variety of orthopaedic conditions and injuries for the past 50 years. As we prepare for the future, we are actively recruiting for a full-time Diagnostic Imaging Pre-Authorization Specialist to join our ever-expanding Practice.Responsibilities:Reviewing clinical notes for required content, verifying insurance benefits, submitting requests through payer portals and tracking statuses to prevent delays in care and/or denied claimsCompleting and processing prior insurance authorizations for MRI/CT scans for all Providers in the practiceProactively monitoring, including tracking pending imaging requests and actively providing information to the insurance companies as needed for approval and addressing problems/concerns before they impact patient careObtaining and scheduling STAT/URGENT imaging prior authorizations for necessary examsAssisting and communicating authorization status with providers, imaging facilities, clinical staff and patientsFacilitating peer-to-peer conversations, reviews or appeals for denied authorizations with insurance companies and Providers and addressing inquiries from Providers, staff and patientsRemaining current with payer guidelines and authorization requirementsReturning patient and imaging facility phone calls and email correspondence in a timely manner; answering basic imaging prior authorization-related questions regarding the processMaintaining confidentiality and complying with HIPAA regulationsRequirements:Candidates must possess strong telephone and computer skills and demonstrate the ability to provide exceptional customer service with a positive and upbeat attitude in a fast-paced practice environment. Understanding of basic medical terminology and medical office experience required.Qualifications:High school diploma or equivalent; associate degree or medical certification is a plusOne to two years of experience in medical billing, insurance verification, or prior authorizationsKnowledge of CPT and ICD-10 medical codingFamiliarity with medical terminology for radiology and advanced imaging is a plusStrong computer literacy and experience with electronic health record (EHR) systemsIf you would like to be a Member of our AMAZING Team, please reply here or you may apply on our website, www.tristateortho.com under the Careers tab. Another option would be to forward your resume and salary requirement to Sue Reighard, Human Resource Specialist, via fax at 412-369-0150 or via email at sreighard@tristateortho.com.We invite you to visit our website, www.tristateortho.com to learn more about our Practice.