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Prior Authorization Rep Jobs (NOW HIRING)

IVX Health

Prior Authorization Coordinator

$19 - $23.50/hr

Support Patients and Providers - Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process. * Ensure Compliance and Process ...

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... representatives. * Ensure proper documentation is maintained in the EHR. * Work with clinical ...

IVX Health

Prior Authorization Coordinator

Brentwood, TN · On-site +1

$17.50 - $21.75/hr

Support Patients and Providers - Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process. * Ensure Compliance and Process ...

HHAU

Authorization Representative

Taylorsville, 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

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

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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
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, 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.

Prior Authorization Coordinator

IVX Health

Remote

$19 - $23.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

IVX Health rating

5.8

Company rating: 5.8 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

Join IVX Health as a Prior Authorization Coordinator!
Join a team that's redefining infusion care and creating exceptional patient experiences.
Are you experienced in navigating the complexities of prior authorizations for biologics or oncology therapies? IVX Health is looking for a driven and detail-oriented Prior Authorization Coordinator to support our rapidly growing team. In this role, you'll have the opportunity to make a meaningful impact by facilitating the approval process for life-changing specialty treatments. Our HQ is based just outside of Nashville in Brentwood, TN, but we are seeking candidates nationwide with the option to work fully remote, hybrid, or in-office!
Location and Schedule at a Glance
  • Work Options: Fully Remote, Hybrid, or In-office (Brentwood, TN)
  • Schedule: Monday - Friday, standard business hours (no nights, weekends, or holidays)

What You Will Do
  • Review and Process Prior Authorizations - Thoroughly review Prior Authorization orders and ensure timely and accurate completion.
  • 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 Authorizations - Follow criteria for medication approvals and accurately submit requests to insurance providers.
  • Resolve Authorization Issues - Investigate and resolve outstanding medical documentation concerns and assist in resolving denied claims.
  • Support Patients and Providers - Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process.
  • Ensure Compliance and Process Improvement - Stay up to date with evolving payer policies and identify ways to enhance workflow efficiency.
  • Perform Additional Duties - Take on other responsibilities as assigned to support patient care and operational objectives.

What We Are Looking For
We are seeking ambitious, self-motivated, and reliable professionals who take ownership of their work and excel in both remote and office settings. Success in this role requires initiative, accountability, and a commitment to getting the job done.
If you thrive in a structured yet independent work environment, communicate effectively, and hold yourself accountable, you will excel here. We value high performers who are dependable, communicative, and committed to delivering results.
  • Prior Authorization Expertise is Essential - You must have hands-on experience with prior authorizations for biologics, oncology, or specialty therapies, along with a strong understanding of payer guidelines.
  • Exceptional Communication Skills - This role involves frequent interaction with clinical teams, insurance companies, and patients. You must be able to communicate clearly, professionally, and persistently follow up when needed.
  • Self-Motivated and Accountable - If you work remotely, you are expected to be present, engaged, and consistently perform at a high level without direct supervision.
  • Tech-Savvy and Detail-Oriented - Proficiency in Electronic Health Records (EHR) systems, payer portals, and Microsoft Office Suite is required.
  • High School Diploma or GED required.
  • Associate's degree in Medical Office Management, Medical Insurance, or Medical Coding is a plus.
  • Minimum of three (3) years of experience in hospital or clinical service access, physician office scheduling, or a similar role.
  • Certified Medical Assistant (CMA) is a plus.
  • Experience with prior authorizations for biologics, oncology, or specialty therapies preferred.

Why Join IVX Health
  • Make a Meaningful Impact - Play a critical role in securing approvals for life-changing specialty treatments that directly improve patients' lives.
  • Grow Your Career - IVX Health offers a clear career path for Prior Authorization Coordinators, with opportunities for promotion from Level 1 to Level 2 and Level 3 based on performance and expertise..
  • Be Part of a Supportive and High-Performing Team - Work alongside a motivated, goal-driven team that values accountability, integrity, and results while fostering a positive, patient-focused environment.
  • Support and Development - Gain access to continuing education, professional development resources, and mentorship opportunities to expand your expertise.
  • Work-Life Balance - Enjoy flexible work options (remote, hybrid, or in-office), paid time off, and a no nights, no weekends schedule so you can recharge and perform at your best.

Pay is based on factors such as market location, job-related knowledge, skills, and experience, and is benchmarked against similar organizations in our size and industry. It is not typical for an individual to be hired at or near the top of the posted range, as compensation decisions depend on the facts and circumstances of each case. In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company-provided benefits.
Prior Authorization Coordinator Pay Range
$22-$24 USD
About IVX Health
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We're transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well-we empower our team to thrive while living our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride.
Our Mission: To improve the lives of those we care for by redefining the care experience
Our Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions
Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence
Benefits We Offer
  • Comprehensive Healthcare - Medical, dental, and vision coverage, including prescription drug plans and telemedicine services.
  • Flexible Savings Options - Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs.
  • Supplemental Protection - Accident, critical illness, and hospital indemnity plans to provide additional financial security.
  • Dependent Care FSA - Pre-tax savings for eligible childcare and dependent care expenses.
  • 401(k) Retirement Plan - Secure your future with a competitive company match.
  • Disability Coverage - Voluntary short-term and long-term disability plans to protect your income.
  • Fertility and Family Support - Resources and benefits designed to support fertility care and family planning.
  • Life and AD&D Insurance - Financial protection for you and your loved ones.
  • Counseling and Wellness Support - Free resources to support emotional, physical, and financial well-being.
  • Education Assistance - Tuition reimbursement and certification support to help you grow in your career.
  • Continuing Education - Access to a CEU library for ongoing professional development.
  • Charitable Giving and Volunteer Program - Matched donations and paid volunteer time off to support causes you care about.
  • Employee Referral Bonus - Earn rewards for helping us find top talent.

Note: Benefits may vary by employment type. Contact HR for details on eligibility and coverage.
EEO STATEMENT
IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment.
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