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Prior Authorization Rep Jobs (NOW HIRING)

TTI

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 ...

System One Holdings, LLC

Authorization Rep

Tulsa, OK · 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 ...

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 ...

System One

Authorization Rep

Tulsa, OK · 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 ...

System One

Authorization Rep

Tulsa, OK · 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 ...

Elevance Health

Authorization Representative II

Lake Mary, FL · Hybrid

$14.75 - $17.75/hr

Authorization Representative II Location: Hybrid1: This role requires associates be in the office 1 ... Reviews accuracy and completeness of prior authorization information requested and ensures ...

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Showing results 1-20

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 Jun 29, 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 much do precertification specialists make?

Precertification specialists, also known as prior authorization representatives, typically earn between $40,000 and $60,000 annually, depending on experience, location, and employer. They often require strong knowledge of insurance policies and medical billing systems, with some roles offering additional benefits or bonuses.

What job makes $10,000 a month without a degree?

Some high-paying roles that can reach $10,000 a month without a degree include sales managers, real estate brokers, and certain skilled trades like electricians or plumbers with experience. These jobs often require strong skills, certifications, or licenses, and may involve commission or overtime to achieve high income levels.

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.

How to become a prior authorization rep?

To become a prior authorization representative, candidates typically need a high school diploma or equivalent, strong communication skills, and familiarity with healthcare billing and insurance processes. Some employers prefer candidates with experience in medical office administration or knowledge of electronic health record systems. Certification in medical billing or coding can enhance job prospects.

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.

What jobs pay 2000 a day?

Prior Authorization Representatives typically do not earn $2,000 a day; their salaries are usually based on annual or hourly wages. High-paying jobs that can reach this level include specialized medical professionals, senior executives, or consultants with extensive experience and certifications. Achieving such daily earnings generally requires advanced skills, significant experience, or working in high-demand industries.
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 June 2026, with employment types broken down into 1% As Needed, 78% Full Time, and 21% Part Time. 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.
Clinical Services/Prior Authorization Representative

Clinical Services/Prior Authorization Representative

ProCare Rx

Miramar, FL

$19/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Key responsibilities

  • Manage incoming and outgoing calls, documenting all calls in the dedicated application for call documentation.

  • Handle letters from and to pharmacies, physicians, and healthcare providers in support of the Prior Authorization department.

  • Analyze clinical prior authorizations using provided clinical protocols and document recommendations, clinical decisions, and responses in online databases.

Job description

Locations:  Miramar, FL 

Schedule:  Full-Time, Monday – Friday

Pay Rate:  $19.00/Hour

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:

  • Manage incoming and outgoing calls, documenting all calls in the dedicated application for call
    documentation.
  • Handle letters from/to pharmacies, physicians, and healthcare providers in support of the Prior
    Authorization (PA) department.
  • Analyze clinical PAs using the provided clinical protocols, and provide regarding PA requests
    based on provided documentation.
  • Clarify any questions or concerns received from clients and/or internal departments.
  • Assists with inquiries related to pre-authorizations referred by the account managers or other
    departments.
  • Use online databases to document recommendations, clinical decisions, and responses.
  • Deliver high-quality customer service in a fast-paced, dedicated PA program.
  • Provide support on training new employees.
  • Participate in training, conferences, orientations, and other activities related to your business unit.
  • Must have a flexible work schedule to meet changing department needs.

QUALIFICATIONS AND REQUIREMENTS:

  • Pharmacy technician certification (CPhT) required, registered preferred.
  • Prefer 2 years experience working as a pharm tech or as a physician office assistant handling
    phone calls and reviewing charts.
  • 1 year experience contacting other healthcare providers as part of daily job preference.
  • Excellent communication skills working in a professional environment.
  • Strong organizational skills working under time constraints in a constantly changing environment.
  • PC experience to navigate new applications, with intermediate Excel and Word skills preferred.

Physical Demands:

  • This role is primarily sedentary and requires the ability to sit for extended periods (minimum of 7 hours). The position required strong multitasking skills, attentions to detail, and the ability to lift and/o move up to 20 lbs.

The Perks of Joining Our Team:

We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

  • Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
  • Time to Recharge: Paid vacation and holiday pay.
  • Focus on Your Wellness: We offer a robust Employee Wellness Program.
  • Invest in Your Future: 401(k) with a company match.
  • Support System: Employee Assistance Program provides confidential support and counseling.
  • Get Rewarded for Referring Great People: Employee referral program.

Ready to start your rewarding journey with us? Apply today!

Please note while this job description is a comprehensive overview, additional responsibilities may be part of the role.

ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process.  All interviews are conducted in-person OR through video conference invitations from official company emails.  For inquiries, please contact our official recruitment team at HumanResources@procarerx.com.

ProCare Rx is an Equal Opportunity Employer.

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