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Prior Auth Jobs in Michigan (NOW HIRING)

Care Review Clinician

Troy, MI ยท On-site

$33 - $37/hr

Prior Auth, Concurrent Rev. (6 months)- Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures * NCQA experience ( at least one ...

VOB & Auth Coordinator

Rochester Hills, MI ยท On-site +1

$17 - $21.75/hr

We are currently looking for a hybrid Verification of Beneftis & Prior Authorization (VOB & Auth) Coordinator to be responsible for the accurate and timely completion of prior authorization ...

New

Prior experience of local and state permitting related to infrastructure projects. * Experience in multiple project types such as waste, oil and gas, water, and power. * 4+ years of experience in ...

Prior Auth information

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.

What cities in Michigan are hiring for Prior Auth jobs? Cities in Michigan with the most Prior Auth job openings:
Infographic showing various Prior Auth job openings in Michigan as of July 2026, with employment types broken down into 4% Locum Tenens, 40% Full Time, 4% Part Time, 3% Contract, 45% Nights, and 4% Summer. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution.

Insurance verification/ Prior Auth specialist

Surgical Specialists Group of Michigan

Saint Clair Shores, MI โ€ข On-site

$15.25 - $19/hr

Full-time, Part-time

Medical, Dental, Vision, PTO

Posted 22 days ago


Job description

Description:

We are seeking an Insurance Verification Specialist to assist with verifying benefits and coverage for office visits and surgical procedures. Duties will include obtaining referrals and authorizations prior to the service, verifying insurances at least 1-2 weeks in advance prior to service and ensuring any last-minute services have been authorized and creating clinic schedules. They will also need to obtain pre-authorization from insurance carriers in a timely manner, review denials and follow up with provider to obtain medically necessary information to submit an appeal, and prioritize the incoming authorizations by level of urgency. Candidates must be proficient with using the various payor sites for verification, must have at least one year of experience with insurance verification for Medicaid, Medicare, and most commercial plans.

Compensation will vary based on experience and skills.

Working hours: M-F 8:30-5pm (no weekends, no holidays)
Work setting: in-office only, remote work is not offered.
Looking for full time 40 hours/ week- could possibly consider part time but of minimum of 32 hours per week.

Benefits with Full time status: Medical, Dental, and Vision benefits; Paid PTO and sick time.


Requirements:

Education:

  • High school or equivalent (Required)

Experience:

  • Insurance Verification: 1 year (Required)
  • Prior Authorization: 1 year (Required)
  • Medical terminology: 1 year (Required)
  • Computer skills: 1 year (Required)

Language:

  • Arabic (Preferred, not required)

Ability to Relocate:

  • Saint Clair Shores, MI 48081: Relocate before starting work (Required)

Willingness to travel:

  • not required.

Work Location: In person