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Prior Auth Jobs (NOW HIRING)

Reviews prior auth packet for completeness and is responsible for ensuring correct documentation is submitted to insurance. Is responsible for ensuring only clinical documentation required by ...

$104K/yr

Communicating with the prior auth teams and medical directors for those denials needing clarification, with an accurate summary of the case and recommendation * Demonstrates the ability to follow ...

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Prior Auth information

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$12

$19

$29

How much do prior auth jobs pay per hour?

As of Jul 1, 2026, the average hourly pay for prior auth in the United States is $19.35, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $21.15 per hour, depending on experience, location, and employer.

What career paths follow prior authorization?

A career in prior authorization typically leads to roles in healthcare administration, medical billing, and insurance coordination. Professionals in this field often advance to supervisory or managerial positions, or specialize in compliance and policy development, utilizing skills in healthcare regulations and documentation systems.

Is prior auth going away?

Prior authorization jobs involve reviewing insurance requests for medical procedures or medications. While some healthcare policies aim to streamline or reduce prior auth requirements, the process is still widely used and not expected to disappear entirely in the near future, making it a relevant role for those with attention to detail and knowledge of insurance protocols.

Is prior authorization a stressful job?

Prior authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing tight deadlines to secure approvals for medical procedures or medications. The role often involves handling complex documentation, communicating with healthcare providers, and navigating insurance policies, which can contribute to workplace pressure. However, stress levels vary depending on the work environment and individual coping skills.

What is the difference between Prior Auth vs Medical Billing Specialist?

AspectPrior AuthMedical Billing Specialist
Required CredentialsKnowledge of insurance policies, certifications varyCertification often preferred, knowledge of billing codes
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Employer & Industry UsageUsed in healthcare to authorize proceduresUsed to process and submit medical claims
Common Search & ComparisonYesYes

Prior Auth involves obtaining approval from insurance companies before procedures, while Medical Billing Specialists handle the billing process after services are provided. Both roles are essential in healthcare administration but focus on different stages of patient care and reimbursement.

More about Prior Auth jobs
What cities are hiring for Prior Auth jobs? Cities with the most Prior Auth job openings:
What states have the most Prior Auth jobs? States with the most job openings for Prior Auth jobs include:
Infographic showing various Prior Auth job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 81% Physical, 3% Hybrid, and 16% Remote job distribution, with an average salary of $40,251 per year, or $19.4 per hour.
Scheduling Clerk / Prior Auth Assistant

Scheduling Clerk / Prior Auth Assistant

Sarah Bush Lincoln

Vandalia, IL • On-site

$16.94 - $26.26/hr

Full-time

Posted 4 days ago


Sarah Bush Lincoln rating

7.6

Company rating: 7.6 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

189th of 877 rated healthcare providers


Job description

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.
Scheduling Clerk / Prior Auth Assistant
Job Description
The Scheduling Clerk Prior Auth Assistant is responsible for obtaining prior authorizations for diagnostic exams and procedures when required by the patient's health insurance company. The Scheduling Clerk Prior Auth Assistant routinely communicates and collaborates with patients, insurance companies and other departments and healthcare providers. The Scheduling Clerk Prior Auth Assistant is also responsible and accountable for the schedule of procedures, pre-registration of patients and checking medical necessity of procedures as required. Acts as a liaison between patients and hospital staff and works to resolve problems.
Monday - Friday day shift
Pay based on experience starting at $16.94
Responsibilities
Communicates with providers, hospital ancillary departments, and patients when tests and/or procedures are not approved by payer., Completes accurate and timely prior authorization for all applicable third-party payers utilizing the internet, phone, and fax to ensure prior authorization is complete prior to date of service of test/procedure. , Completes accurate and timely retrospective prior authorization for all hospital admissions, Observation Services, Swingbed, ED visits for patients with Veteran's Administration coverage, and "Stat" diagnostic orders that require prior authorization., Completes insurance eligibility review to ensure insurance coverage is effective for the date test/procedure ordered., Completes preregistrations for all patients (as appropriate) with scheduled admissions, diagnostic tests, outpatient procedures, etc. in the Electronic Health Record system. Responsible for collecting and verifying all patient demographics, physician, and insurance information. , Contacts no show patients to reschedule appointments., Obtains Physician's written orders and ensures orders match scheduled procedures., Schedules patient diagnostic test(s) in a timely and accurate manner so not to delay patient care., Serves as a customer service representative and acts as a liaison among patient, family, staff and medical staff. Initiates problem resolution as needed., Verifies that all necessary data elements needed for authorization (e.g., CPT codes, diagnosis and codes, medical records, etc.) are available.
Requirements
High School (Required)
Compensation
Estimated Compensation Range
$16.94 - $26.26
Pay based on experience

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