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Prior Authorization Associate Jobs (NOW HIRING)

Saviance

Prior Authorization Specialist I

$18.50 - $24.50/hr

Prior Authorization Specialist Responsible for screening and processing prior authorization ... Associate's degree in healthcare, Social work or related area, or the equivalent combination of ...

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Prior Authorization Associate information

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How much do prior authorization associate jobs pay per hour?

As of Jun 28, 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 jobs pay 2000 a day?

Jobs that pay around $2,000 a day typically include high-level roles such as specialized medical professionals, senior corporate executives, or certain consulting and legal positions. These roles often require advanced skills, extensive experience, or professional certifications, and may involve high-pressure environments or significant responsibility.

What jobs in the US pay 300,000 a year?

Prior Authorization Associates typically do not earn $300,000 annually, as this salary level is uncommon for roles focused on administrative and insurance authorization tasks. High-paying jobs in the US that reach or exceed this level often include specialized medical professionals, executive roles, or certain technology and finance positions that require advanced skills, certifications, or extensive experience.

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 job makes $10,000 a month without a degree?

A Prior Authorization Associate typically earns between $3,000 and $6,000 per month, so earning $10,000 monthly without a degree is uncommon in this role. High-paying jobs that can reach this level often involve specialized skills, certifications, or experience in fields like sales, real estate, or entrepreneurship. Some self-employed or commission-based roles may also achieve this income without formal degrees.

Is prior authorization a stressful job?

Prior Authorization Associates often work in fast-paced healthcare environments, managing multiple requests and deadlines, which can be stressful. The role requires attention to detail, communication skills, and familiarity with insurance policies, which can contribute to job-related stress levels.

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

Integrated Services for Behavioral Health

Lancaster, OH

$19 - $22.26/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 19 days ago

Job description

We are seeking a Prior Authorization Specialist!

Southeastern, OH

Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to the resources they need. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services, working with local partners to promote healthy people and strong communities. All of our services are intended to be collaborative and personalized for the individual.

The Prior Authorization Specialist serves as the lead staff member for prior authorizations within Integrated Services for Behavioral Health. This role supports timely access to behavioral health and substance use treatment services by coordinating insurance approvals, resolving coverage barriers, monitoring authorization requirements, and collaborating closely with clinical, intake, billing, and care coordination teams.

The salary for this position is $19.00-$22.26 an hour, based on experience.

Essential Functions:
  • Lead the prior authorization process for outpatient behavioral health, substance use disorder, intensive outpatient, and other covered services, including submissions, extensions, and continued stay reviews
  • Coordinate with providers and clinical teams to obtain and submit required documentation supporting medical necessity and authorization requests
  • Monitor authorization timelines, approved units, and expiration dates to prevent service interruptions and potential denied claims
  • Communicate authorization approvals, denials, and follow-up needs to clinical, billing, and operational staff
  • Assist with appeals, reconsiderations, peer reviews, and the resolution of denied or delayed services
  • Verify insurance eligibility, behavioral health benefits, and service coverage across Medicaid, managed care, commercial insurance, and OhioRISE plans
  • Support coordination of coverage changes, payer transitions, Medicaid enrollment issues, and secondary insurance concerns.
  • Serve as a liaison between clinical staff, billing teams, insurance companies, and external partners regarding authorization and coverage issues
  • Develop and improve workflows, tracking systems, and communication processes related to authorizations and insurance navigation
  • Monitor authorization trends, payer requirements, denials, and operational barriers while participating in interdisciplinary meetings and process improvement initiatives
  • Utilize databases and Electronic Health Record systems for accurate client information retrieval
  • Maintain compliance with HIPAA, mandated reporting requirements, and professional ethical guidelines
  • Other duties as assigned
Minimum Requirements

Education:

  • A high school diploma or GED is required
  • An associate's or bachelor's degree in human services, social work, or a related field is preferred

Experience:

  • 2 years of experience in healthcare, behavioral health, or a related field is preferred
  • 2 years of experience working with prior authorization, insurance verification, behavioral health operations, medical billing, utilization review, or healthcare navigation is preferred
  • Experience working within community mental health, substance use treatment, healthcare, or social service settings is preferred

Knowledge, Skills, and Abilities:

  • Advanced communication skills, both oral and written is required
  • Advanced organizational skills are required
  • Problem-solving and customer service skills are required
  • The ability to maintain confidential information is required
  • Knowledge of Medicaid, managed care, commercial insurance, OhioRISE, waiver services, and behavioral health authorization processes is preferred
  • The ability to manage multiple priorities and maintain attention to detail in a fast-paced environment is required
  • Proficiency with electronic health records and Microsoft Office applications is required
  • Ability to manage deadlines within a fast-paced, high-volume environment is required
  • The ability to operate in an Internet-based, automated office environment is required
  • The ability to maintain a high-speed internet connection is required

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer are required
  • Must be able to lift up to 15 pounds at times

Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package.

Benefits include:

  • Medical
  • Dental
  • Vision
  • Short-term Disability
  • Long-term Disability
  • 401K w/ Employer Match
  • Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues.

To learn more about our organization: https://ISBH.org/

OUR MISSION
Delivering exceptional care through connection

OUR VALUES
Dignity - We meet people where they are on their journey with respect and hope

Collaboration - We listen to understand and ask how we can best support the people and communities we serve

Wellbeing - We celebrate one another's strengths, and we support one another in being well

Excellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a team

Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this position. It is not to be construed as an exhaustive list of duties performed by the individuals in this role, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.”

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.