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Prior Authorization Consultant Jobs (NOW HIRING)

Pyramid Consulting

Authorization Specialist - II

$17 - $19/hr

Primary Skills: ["Authorization", "Prior-Authorization", "Provider outreach", "Claims", "EHR/EMR ... Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants ...

W3R

RN Prior Authorization

Austin, TX

Operating out of 5 states currently, and expanding our consultant and client base daily, we realize building relationships are critical to the success of w3r. We value our relationships with our ...

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Prior Authorization Consultant information

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

AspectPrior Authorization ConsultantMedical Billing Specialist
CredentialsCertifications like CPC, CCS, or specialized prior authorization trainingMedical billing certifications, CPC, or CPC-H
Work EnvironmentHealthcare providers, insurance companies, or consulting firmsMedical offices, hospitals, billing companies
Employer & Industry UsageUsed in healthcare insurance and provider organizationsCommon in healthcare facilities handling billing processes

While both roles involve healthcare administration, a Prior Authorization Consultant focuses on obtaining approvals for treatments and services, whereas a Medical Billing Specialist manages billing and coding processes. The roles often overlap in credentials and work environments, but their primary functions differ in scope and responsibilities.

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Prior Authorization Consultant jobs near you
Infographic showing various Prior Authorization Consultant 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.

Authorization Specialist

Atlas Medical Consultants

Bakersfield, CA • On-site

$18.50 - $24.75/hr

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Benefits:

401(k) matching

Dental insurance

Health insurance

Paid time off

Vision insurance

About the Role:

Atlas Medical Consultants in Bakersfield, CA is looking for a detail-oriented Authorization Specialist to join our growing team. In this critical role, you'll be the driving force behind ensuring patients receive timely access to the care they need by navigating the insurance authorization process with precision and efficiency. If you thrive in a fast-paced healthcare environment and love making a real difference, we want to hear from you!

Responsibilities:

Initiate and manage prior authorization requests for medical procedures, treatments, and medications

Verify patient insurance eligibility and benefits prior to scheduled services

Communicate with insurance carriers, physicians, and clinical staff to obtain necessary approvals

Track and follow up on pending authorizations to ensure timely resolution

Review and interpret payer-specific authorization requirements and medical necessity guidelines

Document all authorization activities accurately in the electronic health record (EHR) system

Appeal denied authorizations and escalate complex cases as needed

Requirements:

1-3 years of experience in prior authorization, medical billing, or healthcare administration

Strong knowledge of insurance verification, CPT/ICD-10 coding, and medical terminology

Experience working with EHR/EMR systems and payer portals

Familiarity with commercial, Medicare, and Medicaid authorization processes

Excellent communication and organizational skills with strong attention to detail

Ability to manage multiple tasks and meet deadlines in a high-volume environment

High school diploma or equivalent required; medical billing/coding certification a plus

About Us:

Atlas Medical Consultants has been a trusted healthcare resource in the Bakersfield, CA community, dedicated to delivering exceptional patient care and administrative excellence. Our patients choose us for our commitment to quality and compassionate service, while our team members thrive in a supportive, collaborative workplace culture. At Atlas Medical Consultants, we invest in our people because we know that a great team is the foundation of great care.

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