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Prior Authorization Coordinator Jobs in Springfield, MA

Akumincorp

Patient Coordinator

Springfield, MA · On-site

$18 - $20/hr

The Patient Coordinator isresponsible for performing a variety of customer service and patient care ... May be responsible for verifying insurance coverage and obtain prior authorization. Patient ...

Neolytix LLC

Office Manager / Clinic Coordinator

Amherst, MA · On-site

$17.75 - $23.75/hr

... prior authorizations and referrals as needed Collect copayments and outstanding patient balances Perform administrative duties such as scanning, filing, and faxing Collaborate as needed with senior ...

Valley Health Systems

LPN /RN

Holyoke, MA

$34.33 - $53.81/hr

... the coordination of that care, including, but not limited to: * Follow up and referrals, as ... Manage Prior Authorization, Med Refills, Triage Call and voicemails * Conduct ambulatory nurse ...

Behavioral Health Network, Inc.

Medical Assistant

Ware, MA · On-site

$22.50/hr

Provide services to individuals and coordination/support to psychiatrists and APRNs. * Measure and ... Prepare and obtain medication prior authorization. Who You Are * Medical Assistant Certificate or ...

Valley Health Systems

LPN /RN

Holyoke, MA · On-site

$34.33 - $53.81/hr

... the coordination of that care, including, but not limited to: * Follow up and referrals, as ... Manage Prior Authorization, Med Refills, Triage Call and voicemails * Conduct ambulatory nurse ...

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Prior Authorization Coordinator information

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How much do prior authorization coordinator jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for prior authorization coordinator in Springfield, MA is $20.75, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.54 per hour, depending on experience, location, and employer.

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.

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 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 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 job categories do people searching Prior Authorization Coordinator jobs in Springfield, MA look for? The top searched job categories for Prior Authorization Coordinator jobs in Springfield, MA are:
What cities near Springfield, MA are hiring for Prior Authorization Coordinator jobs? Cities near Springfield, MA with the most Prior Authorization Coordinator job openings:
Prior Authorization Coordinator jobs near you
Infographic showing various Prior Authorization Coordinator job openings in Springfield, MA as of August 2026, with employment types broken down into 78% Full Time, 11% Part Time, and 11% Temporary. Highlights an 90% In-person, 5% Hybrid, and 5% Remote job distribution, with an average salary of $43,154 per year, or $20.7 per hour.

Prior Authorization Specialist - Radiation Oncology

Hartford HealthCare at Home

Hartford, CT • On-site

$18.25 - $24.25/hr

Full-time

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

Job description

Work where every moment matters.
Every day, almost 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.
The Hartford HealthCare Cancer Institute focuses on offering our cancer patients an unparalleled network of coordinated services- all under one roof. Our system of care includes a truly integrated team with the most talented, experienced, and compassionate caregivers and physicians, backed by the latest cutting-edge technology.
The Prior Authorization Specialist is r esponsible for processing and submitting authorizations, also in correspondence with providers, patients, insurance companies, specialists and other healthcare representatives. The Prior Authorization Specialist ensures that all referrals and authorizations are documented completely and submitted in a timely manner. Responsibilities include but, are not limited to:
• Initiates prior authorizations for medical procedures, tests, and prescriptions as requested by staff, providers, and/or insurers.
• Documents all prior authorization activities and record activity in the practice management system.
• Prioritizes and organizes all prior authorization activities.
• Serve as liaison between patient and insurer & patient and practice.
• Work on denials and write off's.
• Prints and reviews the appointment scheduler up to three (3) days in advance to ensure proper obtaining of authorizations, pre-certifications and referrals prior to services being rendered for patients as required by the different insurance plans/carriers. Identifies self-pay patients.
• Identifies and resolves problems within the scope of the job duties. Notifies appropriate parties (management) of any situation or issue that is out of the ordinary.
Qualifications:
Education:
• High school diploma or equivalent
Experience:
• 2 years minimum working with insurance authorization with knowledge of CPT and ICD-10 coding practices and medical terminology
• Experience working with oncology strongly preferred .
We take great care of careers.
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.
As an Equal Opportunity Employer/Affirmative Action employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
Hartford HealthCare at Home logo

About Hartford HealthCare at Home

Sourced by ZipRecruiter

Hartford HealthCare at Home, based in Wethersfield, Connecticut, US, is a premier provider in the healthcare industry, specifically in home-based care services. Their official website can be accessed at hartfordhealthcareathome.org. They offer a wide range of services including nursing, physical therapy, occupational therapy, speech therapy, social work, and home health aid. The company was established with the mission to enhance the capability of people to achieve optimal health and wellbeing through its home care services. They maintain a patient-centric approach and belief in making a real difference in people's lives. As an integral part of Hartford HealthCare, they share the vision to be “most trusted for personalized coordinated care”.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Wethersfield, CT, US

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