ZipRecruiter

Log In

1

Prior Authorization Associate Jobs in Detroit, MI

Halsey & Associates Inc

Be Seen First

Medical Front Office Coordinator

Detroit, MI · On-site

$17.53 - $21/hr

Coordinate referrals, medical records requests, prior authorization paperwork, prescription refill messages, lab result communications, and Provider follow-up requests as directed. * Keep the ...

Halsey & Associates Inc

Be Seen First

Medical Front Office Coordinator

Detroit, MI · On-site

$17.53 - $21/hr

Coordinate referrals, medical records requests, prior authorization paperwork, prescription refill messages, lab result communications, and Provider follow-up requests as directed. * Keep the ...

next page

Showing results 1-20

All JobsPrior Authorization Associate JobsPrior Authorization Associate Jobs in Detroit, MI

Prior Authorization Associate information

See Detroit, MI salary details

$9

$18

$31

How much do prior authorization associate jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for prior authorization associate in Detroit, MI is $18.82, according to ZipRecruiter salary data. Most workers in this role earn between $15.00 and $20.00 per hour, depending on experience, location, and employer.

What is a prior authorization associate?

Prior Authorization Associates are professionals who handle the process of obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. They review clinical documentation, communicate with healthcare providers and insurers, and ensure all necessary information is submitted for timely authorization. Their work helps reduce claim denials and ensures patients receive the care they need while adhering to insurance requirements.

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

To thrive as a Prior Authorization Associate, you need a strong understanding of medical terminology, insurance processes, and prior authorization requirements, often backed by a high school diploma or associate degree. Familiarity with healthcare management software, electronic health record (EHR) systems, and payer portals is typically required. Excellent attention to detail, organizational skills, and effective communication are essential soft skills for this role. These skills ensure timely and accurate processing of prior authorizations, minimizing delays in patient care and supporting efficient healthcare operations.

What are some common challenges faced by a prior authorization associate, and how can they be effectively managed?

Prior Authorization Associates often encounter challenges such as navigating complex insurance requirements, handling high volumes of authorization requests, and managing tight turnaround times. Staying organized, keeping up-to-date with payer policies, and using robust tracking systems can help manage these difficulties. Collaborating closely with clinical staff and insurance representatives is also essential for resolving issues quickly and ensuring approvals are processed efficiently. Developing strong communication and problem-solving skills is key to success in this role.

What is the difference between Prior Authorization Associate vs Medical Billing Specialist?

AspectPrior Authorization AssociateMedical Billing Specialist
CredentialsHigh school diploma or equivalent; certification in medical billing or coding often preferredHigh school diploma or equivalent; certification in medical billing or coding often preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsHealthcare offices, billing companies, hospitals
Primary ResponsibilitiesObtain prior authorizations from insurance for procedures and treatmentsProcess and submit medical claims, handle billing and payments

The main difference is that a Prior Authorization Associate focuses on securing insurance approvals before procedures, while a Medical Billing Specialist manages the billing process after services are rendered. Both roles require similar credentials and often work in healthcare settings, but their core functions differ in the patient care and revenue cycle process.

Is a prior authorization associate a stressful job?

A prior authorization associate's job can be stressful due to the need for accuracy, meeting deadlines, and managing complex insurance requirements. The role often involves handling high volumes of requests and communicating with healthcare providers and insurers, which can contribute to workplace pressure.

What are the most commonly searched types of Prior Authorization jobs in Detroit, MI?

The most popular types of Prior Authorization jobs in Detroit, MI are:

What are popular job titles related to Prior Authorization Associate jobs in Detroit, MI?

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

What job categories do people searching Prior Authorization Associate jobs in Detroit, MI look for?

The top searched job categories for Prior Authorization Associate jobs in Detroit, MI are:

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

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

Prior Authorization Associate jobs near you

Authorization Specialist

Ann Arbor, MI • On-site

ORGAN PROCUREMENT AGENCY OF MICHIGAN
See more jobs at ORGAN PROCUREMENT AGENCY OF MICHIGANexternal

$17.50 - $23.50/hr

Other

Posted 14 days ago

Job description

Summary
In alignment with Gift of Life Michigan's core purpose and core values, the Authorization Specialist has the primary responsibility of approaching legal next of kin (LNOK) via telephone for tissue, placenta and/or organ donation, communication with tissue partners, ME's and funeral homes, evaluation of donor logistics, and completion of tissue authorization and Donor Risk Assessment Interview (DRAIs). Additional activities include data entry, assistance with various reports, troubleshooting, and process improvement activities.
Duties & Responsibilities
The following job duties and responsibilities are stated in broad terms and not intended to be inclusive. Those in bold are essential duties of the position:
  • Ability to perform all duties of the Donor Operations Specialist (DOS) role.
  • Timely approaches to potential donor families by telephone regarding their options to donate.
  • Complete donor risk assessment interviews with the appropriate historian to collect accurate medical, demographic, and social information on potential organ and tissue donors.
  • Timely Evaluation and communication for potential organ and/or tissue donors.
  • Evaluate donor eligibility per tissue processor expectations and communicate with the tissue recovery team.
  • Responsible for placenta donors, up to and including initial referral, authorization, and DRAI.
  • Ability to handle stressful, fast paced, and sensitive work involving mechanism of death with a high level of compassion and composure.
  • Perform peer review of tissue authorization and DRAI.
  • Complete documentation in the Gift of Life EMR.
  • Perform other duties as assigned.
Education and/or Experience
Required
  • Associate degree in health sciences, related field, or an equivalent combination of education and experience.
  • 4-5 years of experience as a First Responder, 911 Dispatcher, Nursing, or related field.
Preferred
  • Bachelor's Degree in health sciences or related field
  • Prior experience in a healthcare organization, transplant center, or organ/tissue procurement organization.
Knowledge, Skills, and Abilities (KSA)
  • Written and verbal fluency in English.
  • Ability to exercise initiative, critical thinking, and problem-solving.
  • Proficiency with Microsoft Office programs, including Outlook and Teams and other technology systems used in business operations.
  • Strong organizational skills and ability to manage multiple and competing priorities.
  • Demonstrate attention to detail.
  • Excellent verbal and written communication skills.
  • Proficient active listening skills.
  • Ability to read and understand medical terminology.
Organizational Culture Expectations
  • Demonstrate the competencies of Professional, Determined and Compassionate.
  • Maintain a motivated and positive attitude.
  • Support an inclusive work environment.
  • Ability to successfully collaborate and work as a member of an interdisciplinary team.
  • Actively seek improvements.
  • Always maintain a safe working environment and use of Universal Precautions.
  • Maintain appropriate level of confidentiality in all areas dealing with sensitive, protected, and confidential information.

Apply