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Prior Authorization Coordinator I Jobs (NOW HIRING)

US Tech Solutions

$17 - $19/hr

Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc ... The Rep I, Clinical Services will also assist with other duties as needed to include but not ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA · On-site

$21 - $23/hr

Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored ... Serve as a central coordination point between prescribers, specialty pharmacies, payers, and ...

US Tech Solutions

$17 - $19/hr

Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc ... The Rep I, Clinical Services will also assist with other duties as needed to include but not ...

Medix

Prior Authorization Coordinator

Chandler, AZ · On-site

$19 - $21/hr

Job Summary Our client is seeking a dedicated Prior Authorization Coordinator responsible for managing and streamlining the continuum of vascular access care for patients requiring dialysis. This ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA

$21 - $23/hr

Manage the full lifecycle of prior authorization (PA) requests in support of manufacturer-sponsored ... Serve as a central coordination point between prescribers, specialty pharmacies, payers, and ...

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Prior Authorization Coordinator I information

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How much do prior authorization coordinator i jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for prior authorization coordinator i in the United States is $21.32, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $22.12 per hour, depending on experience, location, and employer.

What does a Prior Authorization Coordinator I do?

A Prior Authorization Coordinator I is responsible for managing and processing prior authorization requests for medical procedures, medications, or services. They work closely with healthcare providers, insurance companies, and patients to ensure that all necessary documentation is submitted and reviewed in a timely manner. Their role helps to determine if a treatment or medication will be covered by insurance before it is provided, preventing claim denials and ensuring patients receive the care they need. They also communicate approval or denial decisions and provide guidance on next steps if authorization is not granted.

What are some common challenges faced by a Prior Authorization Coordinator I, and how can they be managed effectively?

Prior Authorization Coordinators I often encounter challenges such as handling high volumes of authorization requests, navigating complex insurance policies, and communicating with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to manage multiple requests efficiently and avoid delays in patient care. Effective communication skills and familiarity with insurance guidelines can help resolve issues quickly and ensure timely approvals, contributing to a smoother workflow for the healthcare team.

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

To thrive as a Prior Authorization Coordinator I, you need a solid understanding of medical terminology, health insurance processes, and prior authorization requirements, typically supported by a high school diploma or equivalent and relevant healthcare experience. Familiarity with electronic medical record (EMR) systems, payer portals, and authorization tracking software is essential. Attention to detail, strong organizational skills, and clear communication help in managing high volumes of requests and collaborating with providers and insurance representatives. These skills ensure timely and accurate processing of authorizations, which supports patient access to necessary care and maintains compliance with payer guidelines.

What is the difference between Prior Authorization Coordinator I vs Prior Authorization Specialist?

AspectPrior Authorization Coordinator IPrior Authorization Specialist
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsHealthcare facilities, insurance providers, outpatient clinics
Job ResponsibilitiesAssisting with prior authorization requests, data entry, basic communicationProcessing authorization requests, verifying coverage, communicating with providers

Both roles involve handling prior authorization processes, but the Coordinator I typically performs entry-level tasks with supervision, while the Specialist may have more responsibility and experience. They share similar credentials and work environments, making them closely related in the healthcare industry.

Is prior authorization a stressful job?

Prior Authorization Coordinators often find the role to be stressful due to strict deadlines, detailed documentation requirements, and the need for accuracy to prevent claim denials. The job involves managing multiple cases, communicating with healthcare providers and insurance companies, and using specialized software, which can contribute to workload pressure. However, stress levels can vary based on experience, workload, and workplace support systems.
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Prior Authorization Coordinator I jobs near you
Infographic showing various Prior Authorization Coordinator I 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, with an average salary of $44,339 per year, or $21.3 per hour.

Prior Authorization Coordinator

LSMA Management Inc

San Bernardino, CA • On-site

$26 - $29/hr

Full-time

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

Job description

Description

JOB SUMMARY

The Prior Authorization Coordinator is responsible for supporting the Utilization Management department by facilitating the administrative components of the prior authorization process. This role ensures accurate data entry, eligibility verification, documentation management, and coordination between providers, health plans, and clinical staff. The Coordinator prepares authorization requests for clinical review, ensures completeness of documentation, and assists in maintaining compliance with regulatory, health plan, and organizational requirements. This position plays a critical role in supporting timely and accurate authorization processing to promote continuity of care and efficient utilization of healthcare services within a Managed Services Organization (MSO).

Requirements

MINIMUM & PREFERRED QUALIFICATIONS


Education/Training

Minimum: High School diploma or equivalent required.

Preferred: Medical Assistant diploma or Associate's degree in healthcare administration, business administration, or related field preferred.


Experience

Minimum: At least one year of administrative experience in a healthcare, medical office, MSO, IPA, or health plan environment. Basic knowledge of medical office procedures and managed care processes.

Preferred: Experience working in Utilization Management, Prior Authorization, Referral Management, or Medical Management within an MSO, IPA, medical group, or health plan. Knowledge of medical terminology. Experience with electronic medical records, utilization management systems, or authorization platforms. Familiarity with CPT, ICD-10, and HCPCS codes preferred. Experience supporting Medi-Cal, Medicare, or commercial managed care plans preferred.

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.

Skills, Knowledge & Abilities

Strong data entry skills with attention to detail and accuracy.

Ability to manage multiple tasks and prioritize workload efficiently.

Proficiency in Microsoft Office applications (Word, Excel, Outlook).

Ability to learn and use electronic medical record and authorization systems.

Strong verbal and written communication skills.

Ability to communicate professionally with providers, health plans, and internal staff.

Strong customer service skills with a service-oriented approach.

Ability to review documentation for completeness and accuracy.

Strong organizational and time management skills.

Ability to work in a fast-paced, deadline-driven environment.

Ability to maintain confidentiality and protect sensitive health information.

Ability to work independently and collaboratively as part of a team.

Strong attention to detail and commitment to quality. 

PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS

The physical demands described here are represented of those that must be met by an employee to successfully perform the essential functions of this job. Prolonged sitting, typing, and computer use. Occasional standing, walking, bending, and reaching. Ability to lift up to 20 pounds occasionally. Ability to concentrate and review detailed information for extended periods. Ability to manage multiple priorities and meet deadlines. Ability to perform repetitive tasks with a high degree of accuracy. Office-based work environment within an MSO or medical management setting. Frequent interaction with internal staff, providers, and health plans via phone and electronic communication. Low to moderate noise level typical of an office environment.


PAY RANGE

$26.00 - $29.00 / hourly

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