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Prior Auth Jobs in Vermont (NOW HIRING)

North Country Hospital

RN

Newport, VT · On-site

$32.88 - $43.49/hr

Checks prior auth status and copay amounts before initiating rehab * Assesses the patient's condition and needs, sets goals, prescribes appropriate actions to meet those goals and the physical ...

North Country Hospital

RN

Newport, VT · On-site

$32.88 - $43.49/hr

Checks prior auth status and copay amounts before initiating rehab * Assesses the patient's condition and needs, sets goals, prescribes appropriate actions to meet those goals and the physical ...

North Country Hospital

RN

Newport, VT · On-site

$32.88 - $43.49/hr

Checks prior auth status and copay amounts before initiating rehab * Assesses the patient's condition and needs, sets goals, prescribes appropriate actions to meet those goals and the physical ...

Mach7 Technologies

Senior Security Engineer

Burlington, VT · On-site

$120 - $160/hr

Deep understanding of web application vulnerabilities (OWASP Top 10, API security, auth/authz flaws) * Ability to read and reason about code in at least two languages; prior development experience a ...

Mach7 Technologies

Senior Security Engineer

Burlington, VT · On-site

$112K - $154K/yr

... auth/authz flaws) • Ability to read and reason about code in at least two languages; prior development experience a plus • Experience with software supply chain security - SBOM generation and ...

All JobsPrior Auth JobsPrior Auth Jobs in Vermont

Prior Auth information

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.

Are prior authorization jobs in high demand?

Prior authorization jobs are in steady demand due to the increasing complexity of healthcare billing and insurance requirements. These roles often require knowledge of medical policies and the use of authorization software, making skilled professionals valuable in healthcare administration. The demand is expected to grow as healthcare providers seek to streamline approval processes and reduce claim denials.

How do I become a prior authorization specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare or insurance. Relevant skills include knowledge of medical billing, coding, and insurance policies, and certifications such as Certified Medical Administrative Assistant (CMAA) or Certified Coding Associate (CCA) can enhance job prospects. On-the-job training is common, and strong communication and organizational skills are essential for success in this role.

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 quickly. The role often involves handling complex insurance policies and communicating with healthcare providers, which can contribute to workload pressure. However, stress levels vary depending on the work environment and individual coping strategies.

What job categories do people searching Prior Auth jobs in Vermont look for?

The top searched job categories for Prior Auth jobs in Vermont are:

Prior Auth jobs near you
Infographic showing various Prior Auth job openings in Vermont as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.

Prior Auth & Prescription Refill Delegate (LPN/CMA) (FT)

North Star Health

Springfield, VT • On-site

$20 - $24/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago

Job description

About us:
North Star Health is a federally qualified health center located in Southern Vermont and New Hampshire. We are centrally located between larger cities like Boston, NYC and Montreal Quebec. We are hiring enthusiastic dependable team players with a desire for a rewarding career in the medical field. We value our employees, offer competitive salary and benefits, and understand the importance of work-life balance.
Job Summary:
We are seeking a Certified Medical Assistant or Licensed Practical Nurse to provide administrative and clinical support to the providers and other healthcare professionals within the clinic, maintaining smooth patient flow and delivery of quality patient care. Responsible for various duties including a primary focus on prior authorizations and prescription refill delegation per policy. Additional duties include performing basic medical procedures, managing medical records and coordinating administrative tasks. Hybrid remote option is a consideration for the right candidate.
The major duties which are regularly performed and normally assigned to the position:
  • Obtain prior authorizations for medications, DME, and occasionally outpatient testing
  • Work closely with providers and the clinical team to ensure accurate documentation for PA submission
  • Track and follow-up on authorization status to support timely patient care
  • Utilize both internal and external platforms to process authorizations
  • Support patient care through engagement with other members of the patient's care team. Communicates with external parties such as pharmacies, insurance carriers, and community agencies. Completes forms and other paperwork as needed.
  • Ensures professional, accurate, current, and comprehensive documentation with proper spelling and grammar within the medical record. Handles the release of health information per policy.
  • Keep patients' safety as top priority.
  • Demonstrates flexibility in work schedule and location, based on the needs of the organization.
  • All other duties as assigned

Requirements
Education
  • High School Diploma or equivalent
  • Current LPN License (State Applicable) or Active Medical Assistant Certification

Experience
  • Previous experience as an LPN or CMA in a physician office preferred

Knowledge and Abilities:
  • Innovative thinker with strong conceptual and problem-solving skills.
  • Meticulous attention to detail with the ability to multi-task.
  • Strong organizational, administrative, and time-management skills.
  • Ability to work under pressure and react effectively to emergency situations.
  • Ability to work collaboratively with all team-members.
  • Ability to use discretion while working with sensitive information.
  • Excellent documentation, communication, and technology skills.
  • Passionate about healthcare excellence.

We take care of our team! Our comprehensive benefits package includes medical, dental, and vision coverage, a 401(k) with company match, generous paid time off, and engaging wellness programs that make it easy and fun to stay healthy. We're committed to supporting your well-being-at work and beyond.
Salary Description
$20 - $24

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