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Prior Authorization Representative Jobs in Michigan

J & B Medical

CSR - Medical Documentation

New Hudson, MI · On-site

$16.25 - $22/hr

Customer Service Representative - Med Docs Team The Customer Service Representative - Med Docs Team ... If request is off contract, refers request to the Prior Authorization team. * Once received ...

New

J & B Medical

CSR - Medical Documentation

Wixom, MI · On-site

$17/hr

... the Prior Authorization team. • Once received, verifies that issued prescription comply with all requirements of insurance provider. • If all is in order, set up product to ship. • Notes ...

J&B Medical

CSR - Medical Documentation

Wixom, MI · On-site

$17/hr

... the Prior Authorization team. • Once received, verifies that issued prescription comply with all requirements of insurance provider. • If all is in order, set up product to ship. • Notes ...

Spectrum Health

Patient Services Rep Housecalls

Bridgman, MI · On-site

$16.50 - $21/hr

Job Summary As a Patient Services Representative with Corewell Health, you'll play a vital role in ... Obtains insurance authorizations and/or verifies that prior authorization has been obtained ...

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All JobsPrior Authorization Representative JobsPrior Authorization Representative Jobs in Michigan

Prior Authorization Representative information

See Michigan salary details

$21.4K

$38.5K

$67.1K

How much do prior authorization representative jobs pay per year?

As of Sep 6, 2026, the average yearly pay for prior authorization representative in Michigan is $38,541.00, according to ZipRecruiter salary data. Most workers in this role earn between $32,700.00 and $37,500.00 per year, depending on experience, location, and employer.

What does a prior authorization representative do?

A Prior Authorization Representative is responsible for reviewing and processing requests for prior authorization of medical procedures, medications, or services. They work with healthcare providers, insurance companies, and patients to ensure that the necessary documentation is submitted and meets the insurance requirements for approval. Their role helps facilitate timely access to medical care by verifying coverage and resolving any issues that may delay treatment. Excellent communication and organizational skills are important for this position.

What are the key skills and qualifications needed to thrive as a prior authorization representative, and why are they important?

To thrive as a Prior Authorization Representative, you need a strong understanding of healthcare insurance processes, medical terminology, and prior authorization guidelines, usually supported by a high school diploma or equivalent. Familiarity with healthcare management software, electronic medical records (EMRs), and payer-specific authorization portals is typically required. Attention to detail, problem-solving abilities, and effective communication are standout soft skills for this role. These competencies are essential to ensure timely and accurate processing of authorizations, minimize claim denials, and support patient access to necessary care.

What are some common challenges faced by prior authorization representatives, and how can they be managed?

Prior Authorization Representatives often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and dealing with time-sensitive cases. Staying up-to-date with payer requirements and utilizing electronic health record (EHR) systems can help streamline the process. Strong communication and organizational skills are essential for collaborating with healthcare providers and insurance companies to ensure timely approvals and minimize delays for patients.

What is the difference between Prior Authorization Representative vs Medical Billing Specialist?

AspectPrior Authorization RepresentativeMedical Billing Specialist
CredentialsHigh school diploma; certification often preferredHigh school diploma; certification optional
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary ResponsibilitiesSecuring insurance approvals for proceduresProcessing and submitting medical claims

The Prior Authorization Representative focuses on obtaining insurance approvals before procedures, while the Medical Billing Specialist handles billing and claims processing after services are rendered. Both roles require knowledge of insurance policies and healthcare documentation, but they differ in their primary functions within the healthcare revenue cycle.

Are prior authorization representative jobs in high demand?

Prior Authorization Representative jobs are in steady demand due to the growing need for healthcare administrative support and insurance processing. These roles often require strong communication skills and familiarity with medical billing and coding systems, making them a stable career option in the healthcare industry.

What are popular job titles related to Prior Authorization Representative jobs in Michigan?

For Prior Authorization Representative jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Prior Authorization Representative jobs in Michigan look for?

The top searched job categories for Prior Authorization Representative jobs in Michigan are:

Prior Authorization Representative jobs near you
Infographic showing various Prior Authorization Representative job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $38,541 per year, or $18.5 per hour.

Prior auth and scheduling for skilled agency

University Home Care Inc

Livonia, MI • On-site

Full-time

Posted 26 days ago

Job description

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University Home Care Inc is seeking a detail-oriented and organized individual to manage prior authorizations and scheduling for our skilled agency. This role plays a critical part in ensuring timely access to care for our patients by coordinating with healthcare providers and insurance companies. The ideal candidate will have strong communication skills and the ability to work efficiently in a fast-paced healthcare environment.
Responsibilities
  • Schedule skilled nursing and therapy visits based on patient needs, provider availability, and agency capacity.
  • Maintain accurate records of prior authorizations and scheduling activities within our electronic systems.
  • Communicate effectively with patients, healthcare providers, and insurance representatives to resolve authorization and scheduling issues.
  • Monitor and follow up on outstanding authorizations to prevent delays in care delivery.
  • Collaborate with clinical and administrative teams to optimize patient care schedules and authorization processes.
Requirements
  • Previous experience in prior authorization, scheduling, or a related healthcare administrative role preferred.
  • Strong attention to detail and organizational skills.
  • Excellent verbal and written communication abilities.
  • Ability to multitask and manage time effectively under deadlines.
  • Proficiency with computer systems and electronic health record (EHR) software is a plus.
  • Ability to work independently and as part of a team.
Benefits
  • Competitive compensation of $20.00 - $30.00 per week, paid semi-monthly.
  • Opportunity to contribute to a reputable skilled care agency.
  • Supportive and collaborative work environment.
About the Company
University Home Care Inc is committed to providing high-quality skilled nursing and therapy services to our community in Livonia, MI. We pride ourselves on compassionate care, professional excellence, and ensuring our patients receive timely and effective healthcare services in the comfort of their homes.
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