1

Prior Auth Jobs in Detroit, MI (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 ...

Confirm Cath Lab cases that need Anesthesia the day prior and notify Charge Nurse (Every day around 2:30pm). * Missing auth list sent out daily by FCC, reach out to any offices/surgical coordinators ...

Confirm Cath Lab cases that need Anesthesia the day prior and notify Charge Nurse (Every day around 2:30pm). * Missing auth list sent out daily by FCC, reach out to any offices/surgical coordinators ...

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

See Detroit, MI salary details

$12

$19

$29

How much do prior auth jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for prior auth in Detroit, MI is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $15.72 and $20.96 per hour, depending on experience, location, and employer.

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 are popular job titles related to Prior Auth jobs in Detroit, MI?

For Prior Auth jobs in Detroit, MI, the most frequently searched job titles are:

What cities near Detroit, MI are hiring for Prior Auth jobs?

Cities near Detroit, MI with the most Prior Auth job openings:

Infographic showing various Prior Auth job openings in Detroit, MI as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $39,847 per year, or $19.2 per hour.

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

Re-posted 5 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