... representatives to resolve authorization and scheduling issues. * Monitor and follow up on ... Requirements * Previous experience in prior authorization, scheduling, or a related healthcare ...
... representatives to resolve authorization and scheduling issues. * Monitor and follow up on ... Requirements * Previous experience in prior authorization, scheduling, or a related healthcare ...
Prior auth and scheduling for skilled agency
Livonia, MI · On-site
$16.50 - $21/hr
Maintain accurate records of prior authorizations and scheduling activities within our electronic ... representatives to resolve authorization and scheduling issues. * Monitor and follow up on ...
New
Prior auth and scheduling for skilled agency
Livonia, MI · On-site
$16.50 - $21/hr
Maintain accurate records of prior authorizations and scheduling activities within our electronic ... representatives to resolve authorization and scheduling issues. * Monitor and follow up on ...
New
... representatives to resolve authorization and scheduling issues. * Monitor and follow up on ... Requirements * Previous experience in prior authorization, scheduling, or a related healthcare ...
New
Quick apply
... representatives to resolve authorization and scheduling issues. * Monitor and follow up on ... Requirements * Previous experience in prior authorization, scheduling, or a related healthcare ...
New
... representatives to resolve authorization and scheduling issues. * Monitor and follow up on ... Requirements * Previous experience in prior authorization, scheduling, or a related healthcare ...
New
... representatives to resolve authorization and scheduling issues. * Monitor and follow up on ... Requirements * Previous experience in prior authorization, scheduling, or a related healthcare ...
New
... representatives to resolve authorization and scheduling issues. * Monitor and follow up on ... Requirements * Previous experience in prior authorization, scheduling, or a related healthcare ...
... representatives to resolve authorization and scheduling issues. * Monitor and follow up on ... Requirements * Previous experience in prior authorization, scheduling, or a related healthcare ...
... Service Representative - Quality Assurance is responsible for researching why orders were held ... Other reasons may include a need for Prior Authorization, need for an AOB, the customer may be ...
... Service Representative - Quality Assurance is responsible for researching why orders were held ... Other reasons may include a need for Prior Authorization, need for an AOB, the customer may be ...
CSR - Quality Assurance
Wixom, MI · On-site
$17/hr
... Service Representative - Quality Assurance is responsible for researching why orders were held ... for Prior Authorization, need for an AOB, the customer may be deceased or in a nursing home, or ...
Quick apply
CSR - Quality Assurance
Wixom, MI · On-site
$17/hr
... Service Representative - Quality Assurance is responsible for researching why orders were held ... for Prior Authorization, need for an AOB, the customer may be deceased or in a nursing home, or ...
CSR - Quality Assurance
Wixom, MI · On-site
$19.75 - $24/hr
... Service Representative - Quality Assurance is responsible for researching why orders were held ... for Prior Authorization, need for an AOB, the customer may be deceased or in a nursing home, or ...
CSR - Quality Assurance
Wixom, MI · On-site
$19.75 - $24/hr
... Service Representative - Quality Assurance is responsible for researching why orders were held ... for Prior Authorization, need for an AOB, the customer may be deceased or in a nursing home, or ...
Senior Clinical Pharmacist
Kalamazoo, MI · On-site
$106K - $127K/yr
Represent OptiMed with clients, providers, manufacturers, regulators, accrediting organizations, and industry partners. Prior Authorization & Utilization Management * Develop and maintain evidence ...
Quick apply
Senior Clinical Pharmacist
Kalamazoo, MI · On-site
$106K - $127K/yr
Represent OptiMed with clients, providers, manufacturers, regulators, accrediting organizations, and industry partners. Prior Authorization & Utilization Management * Develop and maintain evidence ...
CSR - Quality Assurance
Wixom, MI · On-site
$19.75 - $24/hr
... Service Representative - Quality Assurance is responsible for researching why orders were held ... for Prior Authorization, need for an AOB, the customer may be deceased or in a nursing home, or ...
CSR - Quality Assurance
Wixom, MI · On-site
$19.75 - $24/hr
... Service Representative - Quality Assurance is responsible for researching why orders were held ... for Prior Authorization, need for an AOB, the customer may be deceased or in a nursing home, or ...
Patient Access Representative
$16.75 - $21.25/hr
... prior authorization; track patient/resident visits; health information management on patient ... In all settings, the Patient Access Representative serves as a mentor for new Patient Access ...
Patient Access Representative
$16.75 - $21.25/hr
... prior authorization; track patient/resident visits; health information management on patient ... In all settings, the Patient Access Representative serves as a mentor for new Patient Access ...
Patient Access Representative
Marquette, MI · On-site
$16.75 - $21.25/hr
... prior authorization; track patient/resident visits; health information management on patient ... In all settings, the Patient Access Representative serves as a mentor for new Patient Access ...
Patient Access Representative
Marquette, MI · On-site
$16.75 - $21.25/hr
... prior authorization; track patient/resident visits; health information management on patient ... In all settings, the Patient Access Representative serves as a mentor for new Patient Access ...
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 ...
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 ...
Patient Services Rep Housecalls
$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 ...
Patient Services Rep Housecalls
$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 ...
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 ...
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 ...
Be Seen First
Insurance Verification Specialist
Troy, MI · On-site
$18 - $22/hr
Obtain prior authorization and verification of eligibility from insurance carrier for office visits ... Verify Auto and WC insurance with the insurance carrier and verify legal representation with the ...
Quick apply
Be Seen First
Insurance Verification Specialist
Troy, MI · On-site
$18 - $22/hr
Obtain prior authorization and verification of eligibility from insurance carrier for office visits ... Verify Auto and WC insurance with the insurance carrier and verify legal representation with the ...
Field Reimbursement Liaison - MidAtlantic
$18.50 - $25.25/hr
... prior authorizations, resubmissions, and denials. Candidates are strongly preferred to reside ... The physical demands described above are representative of those that must be met by an employee to ...
Field Reimbursement Liaison - MidAtlantic
$18.50 - $25.25/hr
... prior authorizations, resubmissions, and denials. Candidates are strongly preferred to reside ... The physical demands described above are representative of those that must be met by an employee to ...
Patient Services Representative Breast Clinic
Grand Rapids, MI · On-site
$16.75 - $21.25/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 ...
Patient Services Representative Breast Clinic
Grand Rapids, MI · On-site
$16.75 - $21.25/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 ...
Patient Services Representative Breast Clinic
Grand Rapids, MI · On-site
$16.75 - $21.25/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 ...
Patient Services Representative Breast Clinic
Grand Rapids, MI · On-site
$16.75 - $21.25/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 ...
Patient Services Representative
Grand Rapids, MI · On-site +1
$16.75 - $21.25/hr
... Representative with Corewell Health, you'll play a vital role in delivering top-notch healthcare ... Obtains insurance authorizations and/or verifies that prior authorization has been obtained ...
Patient Services Representative
Grand Rapids, MI · On-site +1
$16.75 - $21.25/hr
... Representative with Corewell Health, you'll play a vital role in delivering top-notch healthcare ... Obtains insurance authorizations and/or verifies that prior authorization has been obtained ...
Prior Authorization Representative information
See Michigan salary details
$21.4K - $25.5K
4% of jobs
$25.5K - $29.7K
8% of jobs
$30.6K is the 25th percentile. Wages below this are outliers.
$29.7K - $33.8K
54% of jobs
$36.3K is the 75th percentile. Wages above this are outliers.
$33.8K - $38K
15% of jobs
$38K - $42.2K
5% of jobs
$42.2K - $46.3K
4% of jobs
$46.3K - $50.5K
2% of jobs
$50.5K - $54.6K
2% of jobs
$54.6K - $58.8K
2% of jobs
$58.8K - $63K
1% of jobs
$63K - $67.1K
2% of jobs
$21.4K
$38.5K
$67.1K
How much do prior authorization representative jobs pay per year?
As of Aug 16, 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.
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 familiarity with electronic health record (EHR) systems. Certification is not mandatory but can enhance job prospects and demonstrate expertise in healthcare administration.
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?
| Aspect | Prior Authorization Representative | Medical Billing Specialist |
|---|---|---|
| Credentials | High school diploma; certification often preferred | High school diploma; certification optional |
| Work Environment | Healthcare offices, insurance companies | Medical offices, billing companies |
| Primary Responsibilities | Securing insurance approvals for procedures | Processing 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 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 electronic health records. The demand is expected to grow as healthcare providers and insurers continue to streamline approval processes.
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 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:
Full-time
Posted 5 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
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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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.
- 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.
- 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.
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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