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Prior Authorization Coordinator Jobs in Basking Ridge, NJ

Experience setting up or assigning authorizations for review strongly preferred. * Knowledge of ... Additional programs utilized but prior knowledge is not required (Perceptive Content Image Now, MS ...

Prior Authorization Lead

New York, NY · On-site

$100K - $140K/yr

About the Role We are seeking a Prior Authorizations Lead to design, manage, and scale 3Y Health ... care coordination. * Develop and track KPIs to monitor authorization performance, identify ...

Coordinate with prior authorization teams, healthcare providers, patients, and pharmacy staff to facilitate timely prescription processing. * Track and follow up on outstanding prior authorizations ...

Coordinate with prior authorization teams, healthcare providers, patients, and pharmacy staff to facilitate timely prescription processing. * Track and follow up on outstanding prior authorizations ...

Coordinate with prior authorization teams, healthcare providers, patients, and pharmacy staff to facilitate timely prescription processing. * Track and follow up on outstanding prior authorizations ...

UM Care Coordinator

Staten Island, NY · On-site

$19.50 - $26.50/hr

Assists in the prior authorization of services and ongoing authorization requests * Assists in completing authorization updates as needed based on the care plan of the member * Coordinates with ...

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Prior Authorization Coordinator information

See Basking Ridge, NJ salary details

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How much do prior authorization coordinator jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for prior authorization coordinator in Basking Ridge, NJ is $21.97, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $22.79 per hour, depending on experience, location, and employer.

What is a prior authorization coordinator?

Prior Authorization Coordinators are healthcare professionals responsible for managing and obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. Their main duties include reviewing patient information, communicating with healthcare providers and insurers, and ensuring all necessary documentation is submitted for timely authorization. They play a crucial role in reducing delays in care and helping patients navigate complex insurance requirements. Strong communication, attention to detail, and knowledge of insurance processes are essential skills for this role.

What are the key skills and qualifications needed to thrive as a prior authorization coordinator?

To thrive as a Prior Authorization Coordinator, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or a related certification. Familiarity with electronic health records (EHR), insurance portals, and prior authorization management systems is typically required. Attention to detail, organizational skills, and effective communication are essential soft skills for efficiently handling authorization requests and collaborating with providers and insurers. These skills ensure timely approvals, minimize claim denials, and support smooth patient access to prescribed care.

What are some common challenges faced by prior authorization coordinators, and how can they be managed effectively?

Prior Authorization Coordinators often encounter challenges such as navigating complex insurance requirements, keeping up with frequent policy changes, and managing high volumes of requests. To handle these effectively, coordinators need strong organizational skills, attention to detail, and the ability to communicate clearly with both healthcare providers and insurance representatives. Staying updated on payer guidelines and using electronic health record (EHR) systems efficiently can also streamline the process and reduce delays in patient care.

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

AspectPrior Authorization CoordinatorMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like CPC or CPC-HRequires coding certifications (CPC, CCS) and knowledge of billing procedures
Work EnvironmentHealthcare facilities, insurance companies, or billing companiesMedical offices, hospitals, or billing companies
Employer & Industry UsageUsed in healthcare settings to manage insurance approvalsUsed across healthcare to process and submit claims
Search & Comparison IntentPeople compare roles related to insurance approval processesPeople compare roles related to billing and claims processing

The Prior Authorization Coordinator focuses on obtaining insurance approvals before treatment, ensuring coverage compliance. In contrast, the Medical Billing Specialist handles submitting claims and processing payments after services are rendered. Both roles are essential in healthcare administration but differ in their primary functions and workflows.

Is prior authorization a stressful job?

Prior Authorization Coordinators often experience stress due to tight deadlines, the need for accuracy, and managing complex insurance requirements. The role requires attention to detail, communication skills, and familiarity with medical policies, which can contribute to job pressure but also offers a structured workflow to handle tasks efficiently.

What job categories do people searching Prior Authorization Coordinator jobs in Basking Ridge, NJ look for?

The top searched job categories for Prior Authorization Coordinator jobs in Basking Ridge, NJ are:

What cities near Basking Ridge, NJ are hiring for Prior Authorization Coordinator jobs?

Cities near Basking Ridge, NJ with the most Prior Authorization Coordinator job openings:

Infographic showing various Prior Authorization Coordinator job openings in Basking Ridge, NJ as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $45,693 per year, or $22 per hour.

Authorization Coordinator

Phaxis

New York, NY • On-site

$19 - $20/hr

Contractor

Posted 9 days ago


Job description


We are seeking a detail-oriented and organized professional to join our team. The ideal candidate will possess a blend of technical skills and industry knowledge to effectively coordinate authorizations.
  • Proficient in MS Office (including Outlook, Word) required.
  • Flexibility to work from both an in-office setting and remotely from home in a secure location required.
  • Must have own high-speed internet at home.
  • Typing speed: 60 wpm
  • Excellent time management, organization, and follow-up skills.
  • Ability to work with a sense of urgency while maintaining attention to accuracy and details.
  • Knowledge of Medicare coverage and Medicaid coverage strongly preferred (Medicare and CMS guidelines, eMedNY Provider Manuals).
  • Experience setting up or assigning authorizations for review strongly preferred.
  • Knowledge of HCPCS, CPT codes, ICD 10, HIPAA, and PHI preferred.
  • Coding/billing experience preferred but not required.
  • Additional programs utilized but prior knowledge is not required (Perceptive Content Image Now, MS Access, Adobe and Altruista Guiding Care, Excel, Teams, OneNote).

Meet Your Recruiter
Stacey Behar

Phaxis logo

About Phaxis

Sourced by ZipRecruiter

Phaxis has been working on behalf of amazing clients and candidates for over 20 years, with much success. We have filled over 94,000 roles across our actively serviced clients. Our team understands how to deliver for our clients while guiding our candidates through their career journey and we all want to get you where you want to be. Your goals are our goals, and we treat them as such. Once you work with us, you’re a part of the team! How can we help you? We’re dedicated to helping you find yours.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Melville , NY, US

Year founded

2002

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