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Prior Authorization Coordinator Jobs (NOW HIRING)

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 ...

MedImpact

Prior Authorization Coordinator I

San Diego, CA · On-site

$22.55 - $27.41/hr

Coordinates notifications to members, physicians, and pharmacies as required to obtain missing information, manage pended requests, and communicate prior authorization determinations. Documents prior ...

MedImpact

Prior Authorization Coordinator I

Tempe, AZ · On-site +1

$22.55 - $27.41/hr

Coordinates notifications to members, physicians, and pharmacies as required to obtain missing information, manage pended requests, and communicate prior authorization determinations. Documents prior ...

MedImpact

Prior Authorization Coordinator I

Tempe, AZ · On-site

$22.55 - $27.41/hr

Coordinates notifications to members, physicians, and pharmacies as required to obtain missing information, manage pended requests, and communicate prior authorization determinations. Documents prior ...

MedImpact

Prior Authorization Coordinator I

San Diego, CA · On-site +1

$22.55 - $27.41/hr

Coordinates notifications to members, physicians, and pharmacies as required to obtain missing information, manage pended requests, and communicate prior authorization determinations. Documents prior ...

MedImpact

Prior Authorization Coordinator I

San Diego, CA · On-site

$22.55 - $27.41/hr

Coordinates notifications to members, physicians, and pharmacies as required to obtain missing information, manage pended requests, and communicate prior authorization determinations. Documents prior ...

MedImpact

Prior Authorization Coordinator I

San Diego, CA · On-site

$22.55 - $27.41/hr

Coordinates notifications to members, physicians, and pharmacies as required to obtain missing information, manage pended requests, and communicate prior authorization determinations. Documents prior ...

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How much do prior authorization coordinator jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for prior authorization coordinator 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 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.
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Prior Authorization Coordinator jobs near you
Infographic showing various Prior Authorization Coordinator 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

SUNY Upstate Medical University

Syracuse, NY • On-site

$18.25 - $22.75/hr

Other

Posted 15 days ago

SUNY Upstate Medical University rating

8.5

Company rating: 8.5 out of 10

Based on 59 frontline employees who took The Breakroom Quiz

82nd of 631 rated colleges and universities

Job description

Job Summary:

Review and evaluate outpatient take-home medications to assure the appropriateness and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, insurance companies, and review organizations. Ensure completion of activities that maximize revenue capture for high-cost medications.

Conduct prospective prior authorization services to expedite clinic workflow and enhance patient care by preventing therapy interruptions due to insurance paperwork issues.

Improve patient service experience and Upstate Medical University Hospital retail pharmacy revenue through provision of prior authorization services at Upstate Medical University Hospital clinics.

Observe and understand prescribing trends within Upstate University Hospital clinics to identify areas for improved specialty pharmacy contracting.

Develop an effective working relationship with external entities.

Refer appropriate patients to the Medication Assistance Program (MAP). Identify self-pay patients eligible for enrollment into the MAP and coordinate enrollment with the MAP staff.

Work location may vary to any Upstate pharmacy location within Onondaga County based on operational need.

Minimum Qualifications:

Four (4) years of experience in a similar prior authorization role required. Will also consider candidates with an Associates Degree and 2 years experience in a similar prior authorization role. Excellent written/oral communication, interpersonal, organizational, conflict resolution, and computer skills required.

Preferred Qualifications:

Experience with medication reimbursement, medications, physician orders and insurance claim submission preferred. Experience with healthcare insurance prior authorization/coding and performing insurance carrier/managed care review preferred. National Pharmacy Technician Certification preferred. LPN preferred.

Work Days:

Monday-Friday, hours dependent on the operating needs of the Outpatient Pharmacy.

Message to Applicants:

Recruitment Office: Human Resources

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