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Prior Authorization Representative Jobs in Michigan

Spectrum Health

Patient Services Representative

Lansing, MI · On-site

$17.75 - $22.50/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 ...

Corewell Health

Patient Services Representative

Lansing, MI · On-site

$17.75 - $22.50/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 ...

Spectrum Health

Patient Services Representative

Kentwood, MI · On-site

$16 - $20.50/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 ...

TEKsystems

Customer Service Representative

Plymouth, MI · On-site

$21/hr

Customer Service Representative (Healthcare Call Center) Location: Plymouth, MI Pay: $21.00/hour ... Answer questions regarding prior authorizations, healthcare services, and general account inquiries.

TEKsystems

Customer Service Representative

Plymouth, MI · On-site

$21/hr

Answer questions regarding prior authorizations and general inquiries. * Accurately enter and update customer information across multiple systems. * Maintain confidentiality while handling sensitive ...

TEKsystems

Customer Service Representative

Plymouth, MI · On-site

$21/hr

Inbound Call Center Representative This position is 100% onsite Plymouth, Michigan Candidates must ... Answer questions related to prior authorization, general inquiries, and confidential medical ...

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Showing results 41-60

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.

Patient Services Representative

Spectrum Health

Grand Rapids, MI • On-site

$16.75 - $21.25/hr

Full-time

Medical, Vision

Re-posted 23 days ago

Job description

Shift and status

Full time, Monday to Thursday 10:00 a.m. to 6:30 p.m., Friday 8:00 a.m. to 4:30 p.m., variable days and no weekends

Job Summary

As a Patient Services Representative with Corewell Health, you'll play a vital role in delivering top-notch healthcare service to our patients. You'll work as part of a team to provide registration, concierge, and clerical services. The service you provide in the role will make a real difference in the lives of those we serve.

Essential Functions
  • Responsible for complex patient/customer problem solving, including high level discernment when registering patients in treatment rooms.
  • Performs administrative functions, including, but not limited to: assists with patient check-out; schedules patient appointments, incoming/outgoing referrals, in office procedures, surgeries and tests, including medical record review of incoming referrals; maintains and modifies provider template; navigates external patient referral portals; reconciles multidepartment deposit.
  • Obtains insurance authorizations and/or verifies that prior authorization has been obtained; assists with retroactive insurance denials/appeals.
  • Responsible for complex EMR/EHR scanning and Right Fax faxing and uploading to EPIC.
  • Assists with training new team members utilizing standard work.
  • Ability to perform the role of Patient Services Representative, Associate when necessary.
  • Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.
  • Performs other duties as assigned.
Qualifications

Required

  • High School Diploma or equivalent
  • 2 year of relevant experience in insurance billing, access management, patient financial services, electronic health records, lab service support or other related fields
As part of our hiring process, you may be invited to complete an initial screening using an AIenabled voice agent. This screening focuses on jobrelated qualifications and is reviewed by our hiring team as one part of the overall evaluation process. The voice agent provides the opportunity for applicants to respond at a time that works best for them. The voice agent works 24/7 - just like healthcare!About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members, and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.


How Corewell Health cares for you
  • Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
  • On-demand pay program powered by Payactiv
  • Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
  • Optional identity theft protection, home and auto insurance
  • Traditional and Roth retirement options with service contribution and match savings
  • Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Care Center Cutlerville - 80 68th St SE - Grand Rapids

Department Name

Rehab Cutlerville Care Ctr - Grand Rapids Hosp

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

10:00 a.m. to 6:30 p.m., 8:00 a.m. to 4:30 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

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