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Prior Authorization Management Jobs (NOW HIRING)

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

Prior Authorization Coordinator

Brentwood, TN · On-site +1

$17.50 - $21.75/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 ...

Prior Authorization Coordinator

Brentwood, TN · On-site

$17.50 - $21.75/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 ...

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You will manage prior authorization requests, assist patients with questions, coordinate with healthcare providers and payers, and help improve workflow efficiency. Key Responsibilities * Quality ...

Prior Authorization Specialist

Sandy, UT · On-site

$17 - $22.75/hr

Prior Authorization Specialist Behind every approved infusion treatment is a Prior Authorization ... You'll manage a real caseload of active authorizations, work across systems like Salesforce ...

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Prior Authorization/ B&E A Prior Authorization Specialist: A prior authorization specialist is a ... Denial & Appeal Management: If an insurer rejects a request, the specialist investigates the issue ...

You will manage prior authorization requests, assist patients with questions, coordinate with healthcare providers and payers, and help improve workflow efficiency. ** Key Responsibilities

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How much do prior authorization management jobs pay per hour?

As of Sep 9, 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 Specialist

Brea, CA • On-site

$23 - $27/hr

Full-time

Re-posted 16 days ago


Job description

Prior Authorization Specialist
Job Description

Infusion for Health is a referral-based infusion center that services all providers in multiple locations in California, Arizona, Nevada, Washington, Colorado, and Missouri. Our center is unique and offers individual comfortable private rooms for our patients. Our mission is to provide exceptional service in the administration of infusion therapy in a comfortable, patient-focused environment by providing exemplary professional clinical care.

Our company is continuing to grow and we're looking to add a Prior Authorization Specialist to support our patient care operations department.

This is a full-time, 5 days a week position, onsite at our Brea HQ office.

Compensation: $23-$27/hr DOE + Benefits

Key Responsibilities:

  • Responsible for ensuring timely, accurate submission follow-up and approval of Authorizations. Work with urgency, high-quality and high communication with patients, insurance and additional stakeholders as needed.
  • Review the accuracy and completeness of the information requested and ensure that all supporting documents are present
  • Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
  • Collaborate with other departments to assist in obtaining prior authorizations/appeals
  • Document all interactions with insurance companies or other stakeholders within the company system
  • Document all prior authorization information, including approval dates, billing units, procedure codes, and prior authorization number in the patient profile
  • Proactively work on prior authorizations that are due to be expired
  • Conduct job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards
  • Completes all required duties, projects, and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership.
  • Other duties as assigned

Education and/or Experience Needed:

  • At least 2 years experience in infusion or pharmacy prior authorization is required
  • At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines
  • Ability to effectively handle multiple priorities within a changing environment, emphasizing paperless workflow
  • Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems.
  • Intermediate level skills in Microsoft Excel & Word

Monday to Friday
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