ZipRecruiter

Log In

1

Prior Authorization Rep Jobs (NOW HIRING)

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 ...

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 ...

Labcorp

Prior Authorization Specialist

Burlington, NC · Remote

$17.75 - $19.50/hr

Work directly with vendors, payers, and insurance representatives to facilitate successful prior authorization submissions. * Monitor prior authorization request status, track pending cases, and ...

Labcorp

Prior Authorization Specialist

$17.75 - $19.50/hr

Work directly with vendors, payers, and insurance representatives to facilitate successful prior authorization submissions. * Monitor prior authorization request status, track pending cases, and ...

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 ...

Labcorp

Prior Authorization Specialist

Burlington, NC · On-site

$15 - $20/hr

Work directly with vendors, payers, and insurance representatives to facilitate successful prior authorization submissions. * Monitor prior authorization request status, track pending cases, and ...

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

$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 ...

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 ...

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 ...

previous page

Showing results 41-60

All JobsEducation JobsHigher Education JobsAdmission Specialist 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 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.

Prior Authorization Specialist - Prior Authorization - Full time

Aspen Valley Health

Basalt, CO • On-site

$24.25 - $38.81/hr

Full-time

Medical, Retirement, PTO

Posted 20 days ago

Job description

We are currently hiring for a full time Prior Authorization Specialist within the Prior Authorization department here at Aspen Valley Health.
Work Shift:
Days - 8 Hour
Compensation Range:
$24.25 - $38.81
The compensation range listed is an estimate. Final compensation will be determined based on your qualifications including years of experience performing similar work, level of formal education in a relevant field of study, and any professional certifications related to the position.
Requirements:
Preferred Qualifications
  • Previous experience working in a healthcare setting preferred.
  • Experience with EPIC preferred.
  • Bilingual in Spanish preferred.

We will consider equivalent combinations of experience and education for certain jobs. If you don't meet the job requirements as listed, but you believe you possess equivalent experience or education, you are encouraged to apply.
Position Overview:
The Prior Authorization Specialist is an advocate for the patient's medical needs and financial health as they facilitate the process from provider through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care as they secure payer authorization for medical services and optimize patient health outcomes by minimizing interruptions to ongoing treatments due to payer coverage restrictions or denials. The Prior Authorization Specialist minimizes the patient's financial risk with a thorough review of the health plan benefits and coverage restrictions, proactively advising the provider and patient of any authorization delay or denial.
What to Love:
Aspen Valley Health has earned numerous accolades and awards, which are a tribute to the tradition of high-tech, high-touch care we provide for our patients.
What We Offer:
Our comprehensive benefits packagecan be viewed here.
  • Continuing education, professional development, and tuition assistance.
  • Healthcare as low as $46 per month, plus an additional 50% off of all AVH services for you AND your family!
  • All preventative services covered at 100%, zero copay.
  • Virtual and robust mental health resources available.
  • Earn up to 22 days PTO within your first year. Rollover what you don't use.
  • Bereavement Leave that covers miscarriages, extended family, and pets.
  • Robust Paid Medical and Family Leave. Weeks 1-6 are paid at 100% for parental or personal illness/injury.
  • You will be automatically enrolled into the 457b plan at 6% to kick start your retirement savings.
  • In addition, AVH matches 50% of your 457b contributions up to a max of 3% of earnings each pay period into our 401a plan.
  • In lieu of Social Security, AVH contributes 7.5% of your annual salary each year to the Cash Balance Pension Plan. This means you are no longer paying social security taxes out of your paycheck! (Your take home will be much higher!)
  • Housing assistance - We provide resources to establish roots in the Roaring Fork Valley.
  • Employee referral bonuses.
  • Discounted ski passes!
  • Transportation discounts and carpool incentives.

Environment and Culture:
Aspen Valley Health is a twenty-five-bed community hospital that represents the best of two worlds - the warmth and friendliness of a small town and the technical expertise of a major medical center.
"I love the people, the sense of family and community on this team and in a broader sense across the hospital as a whole. I have worked for a HUGE corporation, and this is so much better!! It's like CHEERS, where everybody knows your name." - Stacy
"I love the flexibility that this job gives me, and the people I get to connect with and learn from. The job is challenging and ever-changing, which helps keep my brain sharp! AVH has been a great company to work for over the last 8 years, and it shows in how employees are valued and cared for." - Melissa
"The team members are incredibly dedicated to the delivery of care for our patients, to helping our staff feel valued and supported, and to the fiscal health of the hospital. They also genuinely care about each other, are able to laugh at themselves, and tease each other because there is a basis of trust and mutual support. I have laughed so hard at meetings that I have actually cried." - Diana
It's no surprise that our retention rate is BETTER than 90% of all other hospitals in the country!
This application will close once a qualified candidate is successfully hired.

Apply