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Prior Authorization Representative Jobs (NOW HIRING)

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

ReliaMed

Prior Authorization Specialist

Aurora, IL · On-site

$19.50 - $21.50/hr

Prior Authorization Specialist Since our doors opened in 1989, Reliable Medical has been committed ... Communicate effectively and professionally with insurance companies, sales representatives, the ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

System One

Authorization Rep

Tulsa, OK · On-site

$17 - $20/hr

Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model ... Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing ...

Brownhealth

Prior Authorization Coord

Providence, RI · On-site

$19.03 - $31.39/hr

... obtaining prior authorization as necessary. Analyzes orders, authorizations and records ... Provides mature, quality customer service to patients, theirfamilies and/or their representatives.

Sluhn

Medication Prior Authorization Specialist

Allentown, PA · On-site

$17.75 - $23.75/hr

Engages insurance company representatives and provides required clinical information to secure prior authorization, when necessary. * Engages practice operations and incorporates clinical care team ...

inno

Authorization Representative

Medford, MA

$41K - $57K/yr

The Authorization Representative is a part of a fast-pace and dynamic department that plays a ... Obtain prior authorization or pre-certification of services to be rendered as required by each ...

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All JobsPrior Authorization Representative Jobs

Prior Authorization Representative information

See salary details

$24.5K

$44.2K

$77K

How much do prior authorization representative jobs pay per year?

As of Jul 24, 2026, the average yearly pay for prior authorization representative 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 reviews and processes requests for medical services or medications that require approval from insurance companies before treatment. They verify patient information, ensure documentation is complete, and communicate with healthcare providers and insurers to obtain necessary approvals, often using specialized software. This role helps ensure that patients receive authorized care while complying with insurance policies.

How much do precertification specialists make?

Precertification specialists, also known as prior authorization representatives, typically earn between $35,000 and $55,000 annually, depending on experience, location, and employer. They often require strong knowledge of insurance policies and medical billing systems, with some roles offering additional certifications to increase earning potential.

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.

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.

Is prior authorization a stressful job?

Prior Authorization Representatives often work in fast-paced healthcare environments where accuracy and efficiency are important. The job can be stressful due to tight deadlines, high call volumes, and the need to interpret complex insurance policies, but experience and strong organizational skills can help manage the workload.

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 jobs pay 4000 a week without a degree?

Prior Authorization Representatives typically do not earn $4,000 weekly; however, some high-paying roles in sales, real estate, or specialized trades can reach that level without a degree. These jobs often require strong communication skills, experience, or certifications and may involve commission or performance-based pay structures.
More about Prior Authorization Representative jobs
What cities are hiring for Prior Authorization Representative jobs? Cities with the most Prior Authorization Representative job openings:
What states have the most Prior Authorization Representative jobs? States with the most job openings for Prior Authorization Representative jobs include:
What job categories do people searching Prior Authorization Representative jobs look for? The top searched job categories for Prior Authorization Representative jobs are:
Prior Authorization Representative jobs near you
Infographic showing various Prior Authorization Representative job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $44,219 per year, or $21.3 per hour.
Authorization Rep

Authorization Rep

System One

Tulsa, OK • On-site

$17 - $20/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 5 days ago

Job description

Job Title: Authorization Rep Location: Tulsa, OK Type: Contract To Hire Compensation: $17-20/hr Work Model: Onsite Hours: 40.0 Security Clearance: none

Responsibilities

  • Obtain prior authorizations and pre-certifications for medical procedures, diagnostic testing, medications, and specialty services.
  • Verify patient insurance eligibility, benefits, and coverage requirements.
  • Communicate with insurance companies to secure approvals and resolve authorization issues.
  • Review clinical documentation to ensure authorization requests meet payer requirements.
  • Track authorization status and follow up on pending requests to avoid delays in patient care.
  • Document authorization information accurately within the electronic medical record (EMR) system.
  • Collaborate with providers, clinical staff, scheduling teams, and billing departments to coordinate patient services.
  • Inform patients of authorization requirements, coverage limitations, and any out-of-pocket responsibilities when appropriate.
  • Stay current on payer guidelines, insurance regulations, and authorization procedures.

Requirements

  • High school diploma or equivalent required; additional healthcare education preferred.
  • Minimum of 1-2 years of prior authorization, insurance verification, medical billing, or healthcare administrative experience preferred.
  • Knowledge of commercial insurance plans, Medicare, Medicaid, and managed care organizations.
  • Familiarity with medical terminology, CPT codes, ICD-10 codes, and healthcare reimbursement processes is a plus.
  • Strong attention to detail and organizational skills.
  • Excellent verbal and written communication abilities.
  • Proficiency with EMR systems and Microsoft Office applications.
  • Ability to work independently while managing multiple priorities in a fast-paced environment.

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

Ref: #208-Rowland Tulsa