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Prior Authorization Representative Jobs in Michigan

Imh

Patient Service Representative

Coldwater, MI · On-site

$18.31 - $23.80/hr

The Patient Service Representative (PSR) serves as the first connection between Intermountain and ... prior authorization . * Assists patients in completing necessary forms to meet regulatory and ...

Imh

Patient Service Representative

Saint Ignace, MI · On-site

$18.31 - $23.80/hr

The Patient Service Representative (PSR) serves as the first connection between Intermountain and ... prior authorization . * Assists patients in completing necessary forms to meet regulatory and ...

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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 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?

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 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:

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 42% Full Time, and 58% Part Time. Highlights an 100% In-person job distribution, with an average salary of $38,541 per year, or $18.5 per hour.

Patient Service Representative

US Staffing Agency

Jackson, MI

$15/hr

Full-time

Re-posted 27 days ago

Job description

Our Healthcare partner in Jackson needs a full-time Patient Service Representative to add to their team!

1st Shift: 8:00 AM – 5:00 PM | Monday – Friday

Starting wage is $15/hour

Full-time, temporary to permanent positions in Jackson, MI.

Essential Duties for the Patient Service Representative:

  • Greets patients in a welcoming professional manner, utilizing excellent customer service skills at all times.
  • Data entry
  • Distributes forms to patients with necessary explanation and collects forms from patients ensuring proper completion.
  • Accepts and processes all payments (both current and previous balance due) and balances all payments collected daily to ensure all money is accounted for and completes the end-of-day process to balance the electronic cash drawer.
  • Maintains cash box during each shift to ensure all cash-box money is accounted for.
  • Schedules patient appointments.
  • Schedules any STAT tests ordered by the provider.
  • Consistently and accurately utilizes department scheduling guidelines.
  • Complete daily model of care steps (i.e. robust reminder calls, raking the schedule, etc.).
  • Participates in patient outreach.
  • Other activities that assist with the coordination of patient care, i.e. verbal review of patient instructions, orders, referrals, treatment plan estimate, and prior authorizations as well as necessary follow-up to complete these requests.
  • Conforms with and abides by all regulations, policies, work practices, and instructions.
  • Provides administrative support to clinical staff.


Requirements for the Patient Service Representative:

  • Minimum of High School Diploma
  • Previous medical office experience preferred
  • Knowledge of medical insurance rules preferred
  • Experience using an electronic medical record preferred
  • Ability to work effectively and independently within their work area, staying on task.
  • Demonstrates understanding and appreciation for diversity for CFH patients and CFH employees.
  • Routine testing/training on various job-related skills and competencies.
  • Excellent communication skills, both written and verbal.
  • Ability to communicate in a friendly, helpful manner with all patients and co-workers.
  • Excellent computer skills.
  • Pushing patients in wheelchairs.

Apply now or call us at (517) 787-6150 for more information!