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Prior Authorization Associate Jobs (NOW HIRING)

Onco360

Pharmacy Prior Authorization Specialist

Buffalo, NY · On-site

$19.75 - $25.75/hr

Associate degree or Certified Pharmacy Technician (PTCB) * 3+ years of experience in pharmacy or prior authorizations * Specialty pharmacy experience Ready to make a meaningful impact? Apply today ...

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site +1

$19.50 - $25.25/hr

Associate degree or Certified Pharmacy Technician (PTCB) * 3+ years of experience in pharmacy or prior authorizations * Specialty pharmacy experience Ready to make a meaningful impact? Apply today ...

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Prior Authorization Associate information

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How much do prior authorization associate jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for prior authorization associate in the United States is $19.01, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $20.19 per hour, depending on experience, location, and employer.

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.

What are the key skills and qualifications needed to thrive as a Prior Authorization Associate, and why are they important?

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 Prior Authorization Associates?

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 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.
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Prior Authorization Associate jobs near you
Prior Authorization Specialist

Prior Authorization Specialist

Advocate Aurora Health

Winston Salem, NC • On-site

$22.90 - $34.35/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

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

Advocate Aurora Health rating

7.6

Company rating: 7.6 out of 10

Based on 772 frontline employees who took The Breakroom Quiz

189th of 888 rated healthcare providers

Job description

Department:

12856 Wake Forest Baptist Medical Center - VP: Clinical Operations

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Monday-Friday, 8 hour days

Pay Range:

$22.90 - $34.35

Job Summary: The incumbent for this position is responsible for doing follow-up for the SCORE Prior Authorization team. This position will be responsible for calling third-party insurance companies to check prior authorization status, checking third-party payor portal for prior authorization status, handling facsimiles related to prior authorization status, and scan correspondence into the patient's electronic medical record.

Education/Experience:

  • High school and two years' experience in third party payers, healthcare administrative support or general clerical experience.
  • Authorization process experience preferred.
  • Associate or bachelor's degree preferred.

Essential Functions:

  • Expedites sorting of surgical cases and checks status of prior authorization with shortest lead times.
  • Documents prior authorization activities appropriately and communicates necessary information to SCORE Prior Authorization team.
  • Evaluates processes, problem solving, and participates in departmental continuous improvement programs to enhance workflow processes and patient-centered outcomes.
  • Maintains a working knowledge of computer systems supported by the department.
  • Prioritizes and organizes daily work to ensure completion on time.
  • Maintains professional development.
  • Assists management in developing training materials.
  • Performs other duties as assigned.

Skills/Qualifications:

  • Strong oral and written communication skills
  • Ability to exercise independent judgment in unusual or stressful situations
  • Strong computer skills
  • Ability to establish and maintain effective working relationships

Work Environment:

  • This is a virtual and in-office position.
  • Subject to many interruptions
  • Operates keyboard, photocopier, telephone, and other office equipment
  • Work may be stressful at times
  • Occasionally subject to irregular hours

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

  • Premium pay such as shift, on call, and more based on a teammate's job

  • Incentive pay for select positions

  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs

  • Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability

  • Flexible Spending Accounts for eligible health care and dependent care expenses

  • Family benefits such as adoption assistance and paid parental leave

  • Defined contribution retirement plans with employer match and other financial wellness programs

  • Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.


About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

What Advocate Aurora Health employees say

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Benefits

Hours and flexibility

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About Advocate Health

Sourced by ZipRecruiter

Advocate Healthcare, based in Oak Lawn, Illinois, United States, is a leading figure in the health care industry. Accessible via their official website, 'advocatehealth.com', this organization provides a wide variety of medical services and treatment options. Founded in 1995 through a merger of Evangelical Health Systems Corporation and Lutheran General HealthSystem, Advocate Healthcare has grown exponentially over the years. Now, it operates more than 400 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, five Level I trauma centers, and three Level II trauma centers. Upholding their values of equality, compassion, excellence, partnership and stewardship, Advocate Healthcare's mission is centered on building lifelong relationships with patients by delivering the best health outcomes and highest level of service through an integrated approach to care and wellness.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

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