ZipRecruiter

Log In

1

Prior Authorization Management Jobs (NOW HIRING)

3Y

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's prior authorization operations. The ideal candidate will be an operational problem-solver who ...

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$16.25 - $21.50/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

Labcorp

Prior Authorization Specialist

Burlington, NC · Remote

$17.75 - $19.50/hr

Initiate and manage prior authorization requests in accordance with payer requirements and medical policies. * Work directly with vendors, payers, and insurance representatives to facilitate ...

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

IVX Health

Prior Authorization Coordinator

$19 - $23.50/hr

Manage Clinical Documentation - Obtain and assess necessary clinical information such as medical history, diagnosis, and lab reports to support Prior Authorization submissions. * Submit and Track ...

OPN Healthcare

Be Seen First

Prior Authorization & Referral Coordinator

Glendale, CA · On-site

$18 - $22/hr

Prior Authorization Management: Accurately submit prior authorization requests for medical procedures, treatments, and medications to insurance payers, ensuring compliance with payer guidelines.

IVX Health

Prior Authorization Coordinator

$19 - $23.50/hr

Manage Clinical Documentation - Obtain and assess necessary clinical information such as medical history, diagnosis, and lab reports to support Prior Authorization submissions. * Submit and Track ...

previous pagenext page

Showing results 21-40

All JobsEducation JobsHigher Education JobsAdmission Specialist JobsPrior Authorization Management Jobs

Prior Authorization Management information

See salary details

$13

$20

$32

How much do prior authorization management jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for prior authorization management in the United States is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

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

AspectPrior Authorization ManagementMedical Billing Specialist
CredentialsKnowledge of insurance policies, healthcare regulationsMedical coding certifications, billing software proficiency
Work EnvironmentHealthcare providers, insurance companiesMedical offices, billing companies
Industry UsageHealthcare administration, insurance processingMedical revenue cycle management
Primary FocusSecuring approval for treatments and proceduresProcessing and submitting medical claims for payment

While both roles are essential in healthcare administration, Prior Authorization Management focuses on obtaining approvals for treatments, whereas Medical Billing Specialists handle the billing and claims process. Understanding these differences helps healthcare organizations optimize their revenue cycle and ensure patient care continuity.

Are prior authorization management jobs in high demand?

Prior authorization management jobs are in steady demand due to the increasing complexity of healthcare billing and insurance requirements. These roles often require knowledge of healthcare policies, attention to detail, and familiarity with electronic health record systems, making them a stable career option in the healthcare administration field.

Is prior authorization management a stressful job?

Prior authorization management can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. The role often involves handling complex insurance policies and communicating with healthcare providers, which can contribute to workload pressure. However, stress levels vary depending on the work environment and individual coping strategies.

What career paths follow prior authorization management?

Prior authorization management roles can lead to careers in healthcare administration, insurance claims processing, compliance, or healthcare consulting. Professionals often advance to supervisory or managerial positions, or specialize in areas like medical billing, coding, or healthcare policy, leveraging skills in documentation, regulations, and healthcare systems.

What cities are hiring for Prior Authorization Management jobs?

Cities with the most Prior Authorization Management job openings:

What states have the most Prior Authorization Management jobs?

States with the most job openings for Prior Authorization Management jobs include:

What are popular job titles related to Prior Authorization Management jobs?

For Prior Authorization Management jobs, the most frequently searched job titles are:

Prior Authorization Management jobs near you

Prior Authorization Representative

Frisco, TX • On-site

US Neurology Associates
See more jobs at US Neurology Associatesexternal

$35K - $40K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Key responsibilities

  • Initiate, submit, track, and close prior authorization requests for various services and procedures.

  • Review scheduled services and payer requirements to determine authorization, referral, and documentation needs, and obtain necessary clinical records and codes.

  • Identify authorization denials, gather information for appeals, and document payer decisions accurately.

Job description

PRIOR AUTHORIZATION REPRESENTATIVE

Texas Institute for Neurological Disorders / US Neurology Associates
Department: Revenue Cycle / Operations
Schedule: Full-Time, Monday–Friday
Location: On-Site, Plano / Frisco

 

The Prior Authorization Representative is responsible for completing high-volume, end-to-end prior authorization work for a multi-site outpatient neurology practice. This role supports office visits, diagnostic testing, procedures, infusion therapies, injections, and ancillary services by ensuring payer requirements are met before scheduled care.

The ideal candidate brings direct, dedicated prior authorization experience in neurology, infusion, or another complex specialty care setting. This is not an entry-level or adjacent front-desk, billing, or insurance verification role; the successful candidate must be able to independently manage authorization queues, payer portals, clinical documentation requirements, denials, and time-sensitive follow-up.

KEY RESPONSIBILITIES

Authorization Processing

  • Initiate, submit, track, and close prior authorization requests for office visits, MRI, EMG, EEG, sleep studies, infusions, Botox and other injections, and additional diagnostic and ancillary services.
  • Review scheduled services and payer requirements to determine authorization, referral, and medical necessity documentation needs.
  • Obtain and organize clinical records, diagnosis codes, procedure codes, treatment plans, and supporting documentation required for submission.
  • Complete authorization activity through payer portals, phone, fax, and electronic workflows within established turnaround times.
  • Monitor pending cases daily and proactively follow up with payers, providers, and clinical teams until a final determination is received.
  • Renew authorizations for ongoing treatment plans before expiration.

Denials, Appeals & Escalations

  • Identify authorization denials and incomplete requests, determine the reason, and gather the information needed for reconsideration or appeal.
  • Coordinate with providers and clinical staff on letters of medical necessity, peer-to-peer reviews, and additional clinical documentation.
  • Escalate urgent, high-value, and at-risk cases to the Prior Authorization Manager according to established protocols.
  • Document payer decisions, reference numbers, effective dates, approved units, and limitations accurately in eClinicalWorks.

Scheduling & Patient Access Support

  • Confirm authorization clearance before services are rendered and communicate status to scheduling and clinic teams.
  • Flag at-risk cases in advance of appointments to prevent avoidable cancellations, rescheduling, and patient dissatisfaction.
  • Verify relevant benefit and coverage information and route financial counseling needs to the appropriate team.
  • Respond promptly and professionally to authorization questions from patients, clinic staff, providers, and payer representatives.

Productivity, Quality & Compliance

  • Maintain accurate, real-time work queues and tracking for pending, approved, denied, appealed, and expired authorizations.
  • Meet established productivity, quality, aging, and turnaround-time standards.
  • Identify recurring payer or workflow issues and share trends with the Prior Authorization Manager.
  • Follow HIPAA, payer, and organizational policies at all times.

QUALIFICATIONS

Required

  • Minimum 2 years of dedicated prior authorization experience in an outpatient specialty healthcare setting.
  • Demonstrated experience independently managing high-volume authorization queues.
  • Direct experience with payer portals, medical necessity requirements, clinical documentation, denials, and appeals.
  • Working knowledge of commercial, Medicare, Medicare Advantage, and Medicaid managed care plans.
  • Experience with eClinicalWorks or a comparable EMR/practice management system.
  • Ability to prioritize time-sensitive cases, manage competing deadlines, and maintain strong attention to detail.
  • Clear written and verbal communication skills and comfort working with clinical teams and payer representatives.

Preferred

  • Prior authorization experience in neurology or infusion services.
  • Experience with EMG, EEG, MRI, Botox, infusion therapies, sleep studies, and related specialty procedures.
  • Experience with WellMed, UnitedHealthcare, Blue Cross Blue Shield of Texas, and Texas Medicaid managed care plans.
  • Experience in a multi-site outpatient specialty practice.
  • CPAR or comparable patient access certification.

COMPENSATION & BENEFITS

Salary Range: Commensurate with experience
Benefits: Medical, dental, vision, PTO, and 401(k)
Employment Type: Full-Time

 

Texas Institute for Neurological Disorders / US Neurology Associates is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.