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Prior Authorization Clerk Jobs (NOW HIRING)

Concierge

Prior Authorization Clerk

Lovington, NM

$36K - $41K/yr

The Prior Authorization Clerk is responsible for obtaining Prior Authorizations for the Hospital and all NLHD Clinics. It necessary to be organized, task oriented, multitask, and have excellent oral ...

PMHD

Call Center Referral/Authorization Clerk

Brawley, CA · On-site

$18.50 - $23.50/hr

Under the supervision of the call center coordinator, the authorization and referral clerks ... Request prior authorizations form insurance companies; schedule diagnostic procedures, appointments ...

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$27K

$36.6K

$46K

How much do prior authorization clerk jobs pay per year?

As of Jul 1, 2026, the average yearly pay for prior authorization clerk in the United States is $36,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,000.00 and $38,500.00 per year, depending on experience, location, and employer.

What does a Prior Authorization Clerk do?

A Prior Authorization Clerk is responsible for processing and obtaining approvals from insurance companies before certain medical procedures, medications, or services can be provided to patients. They review patient information, verify insurance coverage, and submit authorization requests, ensuring all required documentation is complete. Their work helps avoid delays in patient care and ensures healthcare providers receive payment for services rendered. Prior Authorization Clerks also interact with medical staff, patients, and insurance representatives to resolve any issues related to authorizations.

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

To thrive as a Prior Authorization Clerk, you need a solid understanding of medical terminology, insurance processes, and healthcare documentation, often supported by a high school diploma or equivalent and experience in a medical office setting. Familiarity with electronic health records (EHRs), insurance verification software, and payer portals is typically required. Strong attention to detail, organizational skills, and effective communication are essential soft skills for this role. These abilities help ensure accurate processing of authorizations, timely patient care, and smooth coordination between providers, insurers, and patients.

What are the main challenges faced by a Prior Authorization Clerk, and how can they be managed effectively?

One of the main challenges for a Prior Authorization Clerk is navigating complex insurance requirements and varying payer guidelines to ensure timely approval of medical procedures or medications. Clerks often need to communicate clearly with healthcare providers, insurance companies, and sometimes patients to gather necessary documentation and resolve discrepancies. Staying organized, keeping up-to-date with changing insurance policies, and utilizing electronic health record (EHR) systems efficiently can help manage these challenges. Developing strong attention to detail and effective communication skills are key for success in this role.
What job categories do people searching Prior Authorization Clerk jobs look for? The top searched job categories for Prior Authorization Clerk jobs are:
Prior Authorization Clerk jobs near you
Infographic showing various Prior Authorization Clerk job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $36,609 per year, or $17.6 per hour.
Prior Authorization Clerk

Prior Authorization Clerk

Concierge

Lovington, NM

$36K - $41K/yr

Full-time

Posted 13 days ago

Job description

The Prior Authorization Clerk is responsible for obtaining Prior Authorizations for the Hospital and all NLHD Clinics. It necessary to be organized, task oriented, multitask, and have excellent oral and written communication skills. Calling insurance companies
and describing details such as CPT codes and diagnosis to obtain a successful Prior Authorizations.

  • Research and conduct outreach via phone or fax to obtain additional information to process coverage requests and complete all necessary actions to close cases.
  • Work closely with providers to process prior authorization (PA).
  • Escalate issues of coverage determination to clinical providers and management team as needed.
  • Strong written and verbal communication skills
  • Monitor and maintain Prior Auth Write Off Goalsuthorizations.

VALUES:

i - Innovation

"Forward thinking" "Exploring new possibilities" "Ambitious Goals" Looks out for new and innovative approaches that will improve efficiency. Embraces and champions new ideas and encourages others to do likewise. Recognizes and rewards people and teams who are creative and innovative. This is in sharp contrast to those who tend to embrace the status quo, struggle with new approaches and discourage others when they are creative and innovative in the pursuit of increased efficiency or effectiveness.

C - Compassion

"Friendly countenance" "Servant attitude" "Demonstrating genuine concern" Shows genuine sensitivity to the needs, feelings and capabilities of other people. Deals with others in a pleasant manner. Treats others with respect and consideration. This is in contrast to those who are unpleasant and tend to alienate co-workers, or who seem insensitive to the needs of others and tend to demonstrate a lack of respect for others.

A - Accountability

"Showing integrity" "Leading by example" "Ownership and accepting responsibility" Acts in ways that demonstrate personal integrity and serves as a positive example of why others should trust the motives of the organization. Views himself or herself as a reflection of the organization by following through on commitments and accepting ownership of any mistakes he or she might make. Leaves others with the clear impression that integrity is a core value at this organization. This is in contrast to individualswho make commitments that go unmet, fail to acknowledge their role in disappointing events, or whose actions (or inaction) leave others with doubts about the level of trust that should be placed in the organization.

R - Respect

"Considerate of cultural diversity" "Building trust" "All people are to be valued" Demonstrates a genuine interest in the thoughts, opinions, values and needs of co-workers and customers. Avoids speaking, writing or doing other things that could be seen as disrespectful of people in their absence (or "behind their backs"). Recognizes and shows respect for the strengths and contributions of others. This is in clear contrast to behaviors that leave people feeling that their thoughts, opinions, values and needs are of little interest.

E - Empowerment

"Allowing others to reach their full potential: "Freedom to do what is right for our patients" "Attain and share knowledge to enrich others" Empowered in an intentional manner that allows the person to find their way, yet receiving help when needed. Using good judgment related to the level of authority given and the amount of leeway extended. This contrasts with leaders and individuals who focus more on the risks involved from the empowerment, instead of reaching the full potential of the organization.

ORGANIZATION EXPECTATIONS:

Communication

The process of sending and receiving messages with words, verbally, written or in sign language.

Customer Focus

Identifying and responding to current and future patient and other customers' needs; providing excellent service to internal and external patients and other customers.

Initiative

Identifying and dealing with issues proactively and persistently; seizing opportunities that arise.

Self-Development

Lifelong, voluntary, and self-motivated learning.

Teamwork

Effectively work and complete assignments in group settings. Works independently and cooperatively with others to achieve common goals.

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