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Prior Authorization Rep Jobs (NOW HIRING)

Authorization Rep

Tulsa, OK ยท On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

Prior Authorization Specialist

Aurora, IL ยท On-site

$19.50 - $21.50/hr

Prior Authorization Specialist Since our doors opened in 1989, Reliable Medical has been committed ... Communicate effectively and professionally with insurance companies, sales representatives, the ...

Authorization Rep

Tulsa, OK ยท On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

Prior Authorization Specialist

Altamonte Springs, FL ยท On-site

$16.75 - $22.50/hr

Coordinates appointment of representative document with patient and physician office. * Completes status check with insurance company regarding receipt of prior authorization and appeal and approval ...

Authorization Rep

Tulsa, OK ยท On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

Prior Authorization Coord

Providence, RI ยท On-site

$19.03 - $31.39/hr

... obtaining prior authorization as necessary. Analyzes orders, authorizations and records ... Provides mature, quality customer service to patients, theirfamilies and/or their representatives.

Medication Prior Authorization Specialist

Allentown, PA ยท On-site

$17.75 - $23.75/hr

Engages insurance company representatives and provides required clinical information to secure prior authorization, when necessary. * Engages practice operations and incorporates clinical care team ...

Authorization Representative

Medford, MA

$41K - $57K/yr

The Authorization Representative is a part of a fast-pace and dynamic department that plays a ... Obtain prior authorization or pre-certification of services to be rendered as required by each ...

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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 Jul 21, 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 typically 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 are the key skills and qualifications needed to thrive as a Prior Authorization Rep, and why are they important?

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.

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 Representative 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.
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:
Infographic showing various Prior Authorization Rep job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $44,219 per year, or $21.3 per hour.
Authorization Rep

Authorization Rep

System One

Tulsa, OK โ€ข On-site

$17 - $20/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 2 days ago


Job description

Job Title: Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model: Onsite Hours: 40.0 Security Clearance: none

Responsibilities

  • Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing, medications, and specialty services.
  • Verify patient insurance eligibility, benefits, and coverage requirements.
  • Communicate with insurance companies to secure approvals and resolve authorization issues.
  • Review clinical documentation to ensure authorization requests meet payer requirements.
  • Track authorization status and follow up on pending requests to avoid delays in patient care.
  • Document authorization information accurately within the electronic medical record (EMR) system.
  • Collaborate with providers, clinical staff, scheduling teams, and billing departments to coordinate patient services.
  • Inform patients of authorization requirements, coverage limitations, and any out-of-pocket responsibilities when appropriate.
  • Stay current on payer guidelines, insurance regulations, and authorization procedures.

Requirements

  • High school diploma or equivalent required; additional healthcare education preferred.
  • Minimum of 1-2 years of prior authorization, insurance verification, medical billing, or healthcare administrative experience preferred.
  • Knowledge of commercial insurance plans, Medicare, Medicaid, and managed care organizations.
  • Familiarity with medical terminology, CPT codes, ICD-10 codes, and healthcare reimbursement processes is a plus.
  • Strong attention to detail and organizational skills.
  • Excellent verbal and written communication abilities.
  • Proficiency with EMR systems and Microsoft Office applications.
  • Ability to work independently while managing multiple priorities in a fast-paced environment.

System One, and its subsidiaries including Joulรฉ and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

Ref: #208-Rowland Tulsa