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Prior Auth Jobs (NOW HIRING)

Medix

Prior Auth Specialist/Pharmacy Technician

Plano, TX · On-site

$22 - $26/hr

Prior Authorization Submission & Processing: Prepare and submit prior authorization requests through payer portals, fax, phone, or electronic systems, ensuring all required clinical and insurance ...

University of Rochester

$20.30 - $27.41/hr

Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff ...

University of Rochester

$20.30 - $27.41/hr

Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff ...

University of Rochester

$20.30 - $27.41/hr

Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff ...

US Tech Solutions

Prior Authorization Pharmacist

$59.50 - $71.75/hr

Haw many Prior Auth cases have you handled in your last role? * Do you have experience in handling calls regarding prior authorization and appeals? About Us Tech Solutions US Tech Solutions is a ...

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$12

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How much do prior auth jobs pay per hour?

As of Sep 2, 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 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.
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What states have the most Prior Auth jobs?

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Prior Auth jobs near you
Infographic showing various Prior Auth job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $40,251 per year, or $19.4 per hour.

Pharmacy Tech III - Prior Auth

North Kansas City Hospital

Kansas City, MO • On-site

$16.25 - $19.75/hr

Full-time

Re-posted 28 days ago

North Kansas City Hospital rating

7.0

Company rating: 7.0 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

512th of 1,064 rated hospitals

Job description

JOB DESCRIPTION

SUMMARY: As an integral member of the pharmacy team and under the supervision of a pharmacist, the prior authorization pharmacy technician is responsible for providing clinicbased prior authorization support and improving patient care fragmentation, so patients can obtain their medication timely. These efforts lead to increased patient adherence and satisfaction which subsequently result in an improved quality of life as well as patient outcomes. The position allows for a workload shift to an appropriate skill mix improving provider, nursing, and office staff satisfaction as more time is available for direct patient care related activities. The individual will also perform all required technical functions within the pharmacy department to assist in providing quality pharmaceutical care to patients as needed. The prior authorization technician may provide services within the scope of their license, certification, registration, and/or assessed competencies. Practice will be in  accordance with laws and regulations. EXPERIENCE: Required: Minimum three (3) years of experience in healthcare or related field. Preferred: Two (2) years of experience working with managed care insurance companies and/or Medicare/Medicaid. Two (2) years of experience working with medical, and pharmacy benefit prior authorization process. Two (2) years of experience working with manufacturers provided free drug programs. Two (2) years of experience working with specialty pharmacy processes. OTHER: Maintain technician licensure and credentials in good standing and maintain continuing education credits as required by Missouri Board of Pharmacy & Pharmacy Technician Certification Board, and any other regulatory agencies.

LICENSURE/CERTIFICATIONS

(1&2) Required: CPhT (Certified Pharmacy Technician), PTCB (Pharmacy Technician Certification Board)

EDUCATION

Required: High School or Equivalent, Preferred: Associates Related Field, Bachelors Related Field

JOB STANDARDS                                                                                                                                                                   

Conduct patient scheduling process by receiving referrals, screening patient demographic information, conducting benefits investigation, and determining payer coverage. Documents formal notes in the electronic medical record where appropriate, documenting the findings of the prior authorizations

Provide specialized information on a variety of matters relating to the processing of prior authorizations. Contact payers and obtain prior authorizations that meet payer criteria for access. As necessary, outline how long it will take to review and approve/deny the prior authorization. Ensure insurance coverage requests are submitted along with all necessary documentation. Prospectively complete reauthorization of expiring prior authorizations for patients that will be continuing therapy.

Validate benefit information before a patient arrives for an appointment and verify details thoroughly to ensure a comprehensive claims process that helps prevent revenue loss and enhances fiscal stability.

Coordinate the processing, distribution, and delivery of referrals while maintaining product integrity, managing inventory of specialty medications, following up with patients to ensure that they receive medications, and billing for services rendered.

Identify copay assistance for medications including manufacturer copay cards or foundation assistance. Act as a liaison for manufacturer provided medication assistance programs for healthcare staff and patients. Identifies all qualified medication assistance program participants in accordance with eligibility requirements.

Other duties as assigned.                                                                                                                                                                                              

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About North Kansas City Hospital

Sourced by ZipRecruiter

For more than 60 years, North Kansas City Hospital has been the Northland's preferred healthcare provider. Our mission is to provide hope and healing to every life we touch. NKCH is an acute care facility with 451 licensed beds and 550 physicians representing 49 medical specialties. From our award-winning cardiovascular and orthopedic programs to our cancer, emergency, neurosciences, spine, women’s and other services, we provide a lifetime of care. Our oncology partnership with The University of Kansas Cancer Center provides patients with access to clinical trials and state-of-the-art radiation therapy.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

North Kansas City, MO, US

Year founded

1958

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