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Prior Authorization Analyst Jobs (NOW HIRING)

VIRTELLIGENCE

NY · On-site

$85 - $120/hr

### Senior Epic Referrals / Prior Authorization Analyst (Cadence Focus) **Location:** Florida **Country:** United States E-mailTweetLike+1ShareWhatsAppApply to this JobDavid Blair is recruiting this ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA · On-site

$21 - $23/hr

Conduct comprehensive benefits verification and coverage analysis to identify prior authorization requirements, payer restrictions, and potential access barriers; initiate and track PA submissions ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA

$21 - $23/hr

Conduct comprehensive benefits verification and coverage analysis to identify prior authorization requirements, payer restrictions, and potential access barriers; initiate and track PA submissions ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Strong analytical and problem-solving abilities * Excellent organizational skills and attention to ...

Medix

Prior Authorization Specialist

South Bend, IN · On-site

$22 - $24/hr

Analyze clinical information in the EMR to determine requested services. * Contact insurers via ... Qualifications * 2-3+ years of prior authorization experience. * Experience in Radiation Oncology ...

PainPoint

Prior Authorization Coordinator

$19 - $21/hr

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday-Friday | 8:00 AM-4:30 PM CST ... Strong analytical and problem-solving abilities * Excellent organizational skills and attention to ...

BCforward

Prior Authorization

Raleigh, NC · On-site

$17.50 - $23.25/hr

Provide functional and/or technical expertise to plan, analyze, define and support the delivery of future functional and technical capabilities for an application or group of applications. Assist in ...

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Prior Authorization Analyst information

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$31K

$73.3K

$130K

How much do prior authorization analyst jobs pay per year?

As of Aug 31, 2026, the average yearly pay for prior authorization analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What does a prior authorization analyst do?

A Prior Authorization Analyst is responsible for reviewing and processing requests for medical procedures, prescriptions, or services that require approval from insurance providers before they are carried out. They evaluate clinical documentation, verify eligibility, and ensure that requests meet the payer’s guidelines and criteria. Their work helps control healthcare costs and ensures patients receive appropriate care that is covered by their insurance plan.

What are the key skills and qualifications needed to thrive as a prior authorization analyst?

To thrive as a Prior Authorization Analyst, you need a solid understanding of medical terminology, insurance policies, and healthcare regulations, often supported by a healthcare-related degree or relevant experience. Familiarity with prior authorization software, electronic health record (EHR) systems, and payer portals is essential. Attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These competencies ensure timely and accurate processing of authorizations, reducing delays in patient care and maintaining compliance with payer requirements.

What are some common challenges faced by prior authorization analysts and how can they be effectively addressed?

Prior Authorization Analysts often face challenges such as managing high volumes of authorization requests, staying updated with frequently changing insurance policies, and ensuring timely communication between providers, patients, and payers. To address these challenges, it's important to stay organized, leverage technology tools for tracking requests, and participate in regular training sessions on policy updates. Building strong relationships with both clinical and administrative teams can also help streamline the authorization process and resolve issues quickly.

What is the difference between Prior Authorization Analyst vs Claims Processor?

AspectPrior Authorization AnalystClaims Processor
Required CredentialsTypically requires healthcare-related certifications or knowledge, such as CPC or medical billing experienceOften requires basic billing or coding certifications, less specialized
Work EnvironmentHealthcare offices, insurance companies, or hospital settingsInsurance companies, healthcare providers, or billing departments
Employer & Industry UsageUsed in health insurance, hospitals, and healthcare organizationsCommon in insurance companies and healthcare billing departments
Search & Comparison IntentPeople compare to understand roles involving prior authorization and approvalsPeople compare to understand claims processing and reimbursement tasks

The Prior Authorization Analyst focuses on obtaining approvals for medical services before treatment, requiring specialized healthcare knowledge. In contrast, Claims Processors handle billing and reimbursement after services are provided. While both roles are essential in healthcare administration, they differ in responsibilities, credentials, and work environments.

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What job categories do people searching Prior Authorization Analyst jobs look for?

The top searched job categories for Prior Authorization Analyst jobs are:

Prior Authorization Analyst jobs near you
Infographic showing various Prior Authorization Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.

Senior Epic Referrals / Prior Authorization Analyst (Cadence Focus)

VIRTELLIGENCE

NY • On-site

$85 - $120/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

### Senior Epic Referrals / Prior Authorization Analyst (Cadence Focus) **Location:** Florida **Country:** United States E-mailTweetLike+1ShareWhatsAppApply to this JobDavid Blair is recruiting this position.email me linkedin### Job Description**Overview:** Looking for a senior Epic analyst with strong experience in **referrals and prior authorization workflows**, with supporting knowledge of **Cadence scheduling** and patient access operations.**Key Requirements:*** 5+ years of Epic experience with **referrals and prior authorization workflows*** Strong understanding of **Cadence scheduling and its interaction with referrals*** Experience supporting **front-end operational workflows tied to access and authorization*** Hands-on **build and workflow optimization experience** (not just support)**Nice to Have:*** Exposure to **Prelude module*** Experience improving **referral throughput and authorization turnaround times****Ideal Candidate:*** Functional SME in **referrals + prior auth*** Strong collaboration with **operations, access teams, and revenue cycle stakeholders*** Experience working in **new build or optimization environments*** ##### Status: Accepting Candidate* ##### Skills Epic Referrals: 3 years Epic Cadence (certified): 5 years Prior Authorization: 4 years #J-18808-Ljbffr

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