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Prior Authorization Representative Jobs (NOW HIRING)

TTI

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

System One Holdings, LLC

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 ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

Hire Talent

Customer Service Rep II - Non-Exempt

$16.50 - $22.25/hr

Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with ...

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 ...

Elevance Health

Authorization Representative II

Lake Mary, FL · Hybrid

$14.75 - $17.75/hr

Authorization Representative II Location: Hybrid1: This role requires associates be in the office 1 ... Reviews accuracy and completeness of prior authorization information requested and ensures ...

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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 Jun 29, 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.

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 certifications like CPC or CPB enhancing 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.

How to become a prior authorization rep?

To become a prior authorization representative, candidates typically need a high school diploma or equivalent, strong communication skills, and familiarity with healthcare billing and insurance processes. Relevant experience in medical office administration or insurance verification can be beneficial, and some employers may require certification in medical billing or coding. On-the-job training is common, and knowledge of electronic health record systems and insurance guidelines is advantageous.

What jobs pay 2000 a day?

Prior Authorization Representatives typically do not earn $2,000 a day; their salaries are usually based on an annual or hourly rate. High-paying roles in healthcare or finance, such as specialized surgeons, anesthesiologists, or investment bankers, can reach or exceed this daily income, often requiring advanced certifications, extensive experience, or specialized skills. Most jobs paying this amount are in highly skilled or executive positions rather than entry-level roles like prior authorization work.

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.

What job makes $10,000 a month without a degree?

A Prior Authorization Representative can potentially earn around $10,000 per month with experience and strong administrative and communication skills. These roles often require knowledge of healthcare policies, insurance processes, and proficiency with electronic health record systems, but typically do not require a college degree. High-performing representatives in specialized or senior positions may reach this income level through bonuses and commissions.

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.
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 June 2026, with employment types broken down into 1% As Needed, 77% Full Time, 21% Part Time, and 1% 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.
Clinical Services/Prior Authorization Representative

Clinical Services/Prior Authorization Representative

ProCare Rx

Miramar, FL

$19/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Key responsibilities

  • Manage incoming and outgoing calls, documenting all calls in the dedicated application for call documentation.

  • Handle letters from and to pharmacies, physicians, and healthcare providers in support of the Prior Authorization department.

  • Analyze clinical prior authorizations using provided clinical protocols and document recommendations, clinical decisions, and responses in online databases.

Job description

Locations:  Miramar, FL 

Schedule:  Full-Time, Monday – Friday

Pay Rate:  $19.00/Hour

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:

  • Manage incoming and outgoing calls, documenting all calls in the dedicated application for call
    documentation.
  • Handle letters from/to pharmacies, physicians, and healthcare providers in support of the Prior
    Authorization (PA) department.
  • Analyze clinical PAs using the provided clinical protocols, and provide regarding PA requests
    based on provided documentation.
  • Clarify any questions or concerns received from clients and/or internal departments.
  • Assists with inquiries related to pre-authorizations referred by the account managers or other
    departments.
  • Use online databases to document recommendations, clinical decisions, and responses.
  • Deliver high-quality customer service in a fast-paced, dedicated PA program.
  • Provide support on training new employees.
  • Participate in training, conferences, orientations, and other activities related to your business unit.
  • Must have a flexible work schedule to meet changing department needs.

QUALIFICATIONS AND REQUIREMENTS:

  • Pharmacy technician certification (CPhT) required, registered preferred.
  • Prefer 2 years experience working as a pharm tech or as a physician office assistant handling
    phone calls and reviewing charts.
  • 1 year experience contacting other healthcare providers as part of daily job preference.
  • Excellent communication skills working in a professional environment.
  • Strong organizational skills working under time constraints in a constantly changing environment.
  • PC experience to navigate new applications, with intermediate Excel and Word skills preferred.

Physical Demands:

  • This role is primarily sedentary and requires the ability to sit for extended periods (minimum of 7 hours). The position required strong multitasking skills, attentions to detail, and the ability to lift and/o move up to 20 lbs.

The Perks of Joining Our Team:

We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

  • Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
  • Time to Recharge: Paid vacation and holiday pay.
  • Focus on Your Wellness: We offer a robust Employee Wellness Program.
  • Invest in Your Future: 401(k) with a company match.
  • Support System: Employee Assistance Program provides confidential support and counseling.
  • Get Rewarded for Referring Great People: Employee referral program.

Ready to start your rewarding journey with us? Apply today!

Please note while this job description is a comprehensive overview, additional responsibilities may be part of the role.

ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process.  All interviews are conducted in-person OR through video conference invitations from official company emails.  For inquiries, please contact our official recruitment team at HumanResources@procarerx.com.

ProCare Rx is an Equal Opportunity Employer.

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