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Prior Authorization Rep Jobs (NOW HIRING)

Harmony Home Health

Authorization Representative

Murray, UT · On-site

$37K - $51K/yr

Authorization Representative We have an exciting opportunity for an Authorization Representative at ... Obtain prior authorization for services from clients' medical insurance carriers. Review client ...

New

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... Fluency in English is required to effectively communicate with insurance representatives and team ...

HHAU

Authorization Representative

Salt Lake City, UT · On-site

$38K - $53K/yr

Immediate Opening: Authorization Representative We have an exciting opportunity for an ... Obtain prior authorization for services from clients' medical insurance carriers. * Review client ...

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization ... Fluency in English is required to effectively communicate with insurance representatives and team ...

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

Prior Authorization Specialist Established in 1984, Equitas Health is a regional not-for-profit ... representatives. * Ensure proper documentation is maintained in the EHR. * Work with clinical ...

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All JobsPrior Authorization Rep Jobs

Prior Authorization Rep information

See salary details

$24.5K

$44.2K

$77K

How much do prior authorization rep jobs pay per year?

As of Aug 11, 2026, the average yearly pay for prior authorization rep in the United States is $44,219.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $43,000.00 per year, depending on experience, location, and employer.

How does a prior authorization rep collaborate with healthcare providers and insurance companies to resolve authorization issues?

A Prior Authorization Rep serves as a key liaison between healthcare providers, patients, and insurance companies. They regularly communicate with physicians' offices to collect necessary clinical information, and then work closely with insurance representatives to ensure all documentation meets policy requirements. When issues or denials arise, Prior Authorization Reps must problem-solve quickly, often clarifying details or appealing insurance decisions. This collaborative process requires strong communication skills, attention to detail, and the ability to manage multiple cases simultaneously.

What skills and qualifications are needed to be a prior authorization rep?

To thrive as a Prior Authorization Rep, you need knowledge of healthcare insurance processes, medical terminology, and a high school diploma or equivalent, with some employers preferring additional healthcare certifications. Familiarity with insurance portals, electronic medical record (EMR) systems, and claims management software is typically required. Attention to detail, strong organizational skills, and effective communication are essential soft skills for this role. These abilities enable accurate processing of authorizations, minimize delays for patient care, and ensure compliance with payer requirements.

How to become a prior authorization representative?

To become a prior authorization representative, candidates typically need a high school diploma or equivalent and should develop skills in medical terminology, insurance policies, and data entry. Relevant experience in healthcare or insurance billing can be beneficial, and some employers may require certification in medical billing or coding. Strong communication and attention to detail are essential for success in this role.

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

AspectPrior Authorization RepMedical Billing Specialist
CredentialsHigh school diploma; certifications like NCICS or AHIMA preferredHigh school diploma; certifications like CPC or CCS beneficial
Work EnvironmentHealthcare offices, insurance companies, hospitalsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesSecuring insurance approvals for procedures and treatmentsProcessing and submitting medical claims, coding, and billing

The Prior Authorization Rep focuses on obtaining insurance approvals before procedures, while the Medical Billing Specialist handles billing and claims processing after services are rendered. Both roles require healthcare knowledge and often work in similar environments, but their core tasks differ significantly.

What does a prior authorization rep do?

A Prior Authorization Representative is responsible for obtaining approval from insurance companies before certain medical procedures, medications, or treatments are provided to patients. They review clinical information, communicate with healthcare providers, and submit necessary documentation to payers to ensure services are covered. Their work helps prevent unexpected costs for patients and ensures compliance with insurance requirements. This role requires strong communication, attention to detail, and knowledge of healthcare processes.

Are prior authorization jobs in high demand?

Prior authorization representative roles are in steady demand due to the increasing need for healthcare cost management and insurance verification. These jobs often require strong attention to detail and familiarity with healthcare systems and insurance policies, making them a consistent employment option in the healthcare administration field.
More about Prior Authorization Rep jobs
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Prior Authorization Rep jobs near you
Infographic showing various Prior Authorization Rep job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $44,219 per year, or $21.3 per hour.

Insurance Prior Authorization Representative

Resource Hub

Indianapolis, IN • On-site

$58K - $73K/yr

Full-time

Posted 25 days ago

Job description

Jumpstart your career at Rehab Medical, one of the nation's leading providers of custom advanced medical equipment and a recent Inc 5000 fastest growing U.S. company award winner! Based in Indianapolis, Indiana our company's mission is to improve and positively impact the lives of the patients we serve, the partners we engage with, and the employees we invest in.
We hire based on attitude, aptitude, and a drive to succeed, qualities that have awarded us one of Indiana's top places to work. Recently, we've experienced exponential growth so we're looking to expand our dynamic Insurance Team to support this growth and help us to improve the lives of more than 200,000 mobility users.
If you're looking for a rewarding opportunity where you can work alongside other dedicated individuals who will inspire you to grow your skill sets and advance your career, bring your passion and experience to Rehab Medical!
Why You Should Apply:
  • Guided Orientation Process at our Headquarters
  • Mentorship Onboarding Program
  • Employee Recognition Program
  • Leadership Development Program
  • Continuing Education Opportunities
  • Network of Support (health and well-being)

For prompt communication, we encourage applicants to opt into texting during the application process.
The Position: We are looking for an Insurance Prior Authorization Submission Representative to join our team!
Education and Experience:
  • High School Diploma
  • Prior Authorization experience highly preferred

Overview:
This position is responsible for verifying and reviewing Insurance orders and clinical documentation to ensure compliance with Insurance criteria and guidelines. Below are some key functions and skills for this opportunity:
  • Reviews clinical documentation from physical therapists and physicians to ensure compliance with insurance guidelines
  • Stays abreast of changing industry guidelines regarding Insurance
  • Pre-reviews evaluations for sales team
  • Records approvals and denials from insurance for trending
  • Responds to email and phone calls within 24 hours
  • Completes orders within 24 hours of entering queue
  • Communicates with sales team and other departments for accuracy
  • Submits authorization request to insurance; reviews quotes, documents, checks medical necessity qualifications
  • Achieves results expectations
    • Produces quality work, meeting the departmental guidelines and metrics
  • Other duties as assigned

We do not accept unsolicited resumes from outside recruiters/placement agencies. Rehab Medical will not pay fees associated with resumes presented through unsolicited means.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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