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Prior Authorization Rep Jobs (NOW HIRING)

University of Utah

Prior Authorization Representative I

$17.50 - $22.25/hr

Top candidates will also have some prior working experience in Prior Authorizations. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people ...

Addison Group

$20 - $22/hr

We are seeking experienced Prior Authorization Representatives who thrive in a fast-paced healthcare environment. In this role, you will manage insurance authorization requests, work within payer ...

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 ...

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Prior Authorization Rep information

See salary details

$24.5K

$44.2K

$77K

How much do prior authorization rep jobs pay per year?

As of Sep 2, 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.

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.

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 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 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.

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. Employers in healthcare and insurance companies often seek candidates with strong attention to detail and familiarity with medical billing systems. Job growth is supported by ongoing healthcare industry expansion and regulatory changes requiring prior authorization processes.
More about Prior Authorization Rep jobs

What states have the most Prior Authorization Rep jobs?

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

What job categories do people searching Prior Authorization Rep jobs look for?

The top searched job categories for Prior Authorization Rep jobs are:

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, 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 $44,219 per year, or $21.3 per hour.

Insurance Prior Authorization Representative

Resource Hub

Indianapolis, IN • On-site

$58K - $73K/yr

Full-time

Re-posted 17 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!
Summary: The Insurance Prior Authorization Submission Representative works to achieve submission success by ensuring timely, accurate, and compliant insurance authorization submissions for mobility equipment and related services.
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 and medical necessity requirements
  • Maintains knowledge of changing insurance policies, payer requirements, and industry regulations
  • Conducts pre-reviews of evaluations for the sales team to identify potential authorization concerns
  • Completes orders within 24 hours of entering the queue
  • Submits authorization requests to insurance providers, including reviewing quotes, supporting documentation, and medical necessity qualifications
  • Achieves departmental productivity and quality expectations
  • Performs additional 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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