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Prior Authorization Supervisor Jobs (NOW HIRING)

Sluhn

Medication Prior Authorization Specialist

Allentown, PA · On-site

$17.75 - $23.75/hr

Escalates complex prior authorization issues to Supervisor, Medication Prior Authorization for assistance/guidance. * Maintains working knowledge of St. Luke's electronic medical record system ...

Curant Health

Prior Authorization Pharmacist

Smyrna, GA

$58 - $69.75/hr

The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty ... This role involves processing and evaluating PA requests, supervising PA specialists, and serving ...

Curant Health

Prior Authorization Pharmacist

Smyrna, GA · On-site

$58 - $69.75/hr

The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty ... This role involves processing and evaluating PA requests, supervising PA specialists, and serving ...

Arizona Priority Care

Prior Authorization Rep

Chandler, AZ · Hybrid

$39K - $54K/yr

The Prior Authorization Representative I is responsible for processing incoming requests including ... The PA Rep I works closely with all UM Staff, Prior Auth Supervisor, and management to maintain ...

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Prior Authorization Supervisor information

How much does a precertification specialist make?

A precertification specialist typically earns between $40,000 and $55,000 annually, depending on experience, location, and employer. The role involves reviewing insurance requirements and coordinating approvals, often requiring familiarity with healthcare billing and authorization software.

What are the key skills and qualifications needed to thrive in the Prior Authorization Supervisor position, and why are they important?

To thrive as a Prior Authorization Supervisor, you need strong knowledge of healthcare benefit structures, prior authorization processes, and insurance guidelines, often supported by experience in medical administration or a related degree. Familiarity with healthcare management software, claims processing systems, and occasionally relevant certifications like Certified Medical Manager (CMM) or Certified Professional Coder (CPC) is important. Leadership, problem-solving abilities, and effective communication are essential soft skills for this supervisory role. These skills ensure efficient workflow, regulatory compliance, and positive team performance in a fast-paced healthcare environment.

How much does a prior authorization specialist make in the US?

A prior authorization specialist in the US typically earns between $40,000 and $55,000 annually, depending on experience, location, and employer. Salaries can vary based on certifications, such as Certified Medical Reimbursement Specialist (CMRS), and the complexity of the healthcare setting. The role often requires strong knowledge of insurance policies and medical billing software.

What is a Prior Authorization Supervisor job?

A Prior Authorization Supervisor oversees the prior authorization process in healthcare settings, ensuring that insurance approvals for medical treatments, procedures, or medications are obtained efficiently. They manage a team responsible for reviewing authorization requests, verifying coverage, and coordinating with patients, providers, and insurance companies. Their role includes training staff, monitoring workflow, and ensuring compliance with regulatory guidelines. Effective leadership and knowledge of insurance policies are key to success in this role.

What are the typical challenges faced by a Prior Authorization Supervisor, and how can someone succeed in this role?

One of the primary challenges for Prior Authorization Supervisors is balancing high-volume workflows while ensuring thorough reviews of complex insurance and medical documentation. Success in this role often involves staying updated on frequent policy changes, motivating team members, and developing effective communication channels between providers, payers, and patients. By implementing efficient processes and fostering a collaborative team environment, supervisors can reduce approval delays and improve overall service quality. Adaptability, attention to detail, and strong leadership skills are key to excelling and advancing in this field.

Is prior authorization a stressful job?

Prior Authorization Supervisors often find the role to be stressful due to the need to manage complex documentation, strict deadlines, and high volumes of requests. The job requires attention to detail, communication skills, and the ability to handle pressure, especially when dealing with urgent approvals or denials.

How to become a prior auth specialist?

To become a prior authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare or insurance billing. Relevant skills include knowledge of medical terminology, insurance policies, and authorization processes, often supported by certifications such as Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS).
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Prior Authorization Supervisor jobs near you
Infographic showing various Prior Authorization Supervisor 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.

Medication Prior Authorization Specialist

Sluhn

Allentown, PA • On-site

$17.75 - $23.75/hr

Full-time

Posted 21 days ago

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations for applicable patient prescriptions. This role liaises with providers, insurance companies, and patients to perform insurance verification, obtain prior authorizations, and bring the authorization process to resolution.

JOB DUTIES AND RESPONSIBILITIES:

  • Monitors prior authorization work queues WQ(s) and promptly obtains and/or reviews patient insurance information and eligibility verification required to secure medication prior authorizations.
  • Utilizes online, fax, and telephony pathways to obtain prior authorizations from insurance companies for prescribed medications and documents medication prior authorizations in the medical record as necessary.
  • Seeks additional information and/or communicates updates to patients and providers as appropriate throughout the prior authorization process.
  • Engages insurance company representatives and provides required clinical information to secure prior authorization, when necessary.
  • Engages practice operations and incorporates clinical care team when prior authorization attempt is unsuccessful and/or a peer-to-peer and/or alternative medication is required.
  • Escalates complex prior authorization issues to Supervisor, Medication Prior Authorization for assistance/guidance.
  • Maintains working knowledge of St. Luke's electronic medical record system, internal systems and tools, and other online insurance websites.
  • Maintains solution-oriented/creative mindset to effectively anticipate and tend to patient needs by partnering with other organizational team members/departments.
  • Actively participates in performance improvement and continuous quality improvement activities.
  • Other related duties as assigned.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting for up to 8 hours per day, 3 hours at a time. Consistent use of hands and fingers for typing, telephones, data entry, etc. Occasional twisting and turning. Uses upper extremities to lift and carry up to 15 pounds. Stoops, bends, and reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation. Seeing as it relates to general vision. Visual monotony when reading reports and reviewing computer screen.

EDUCATION:

  • High School graduate or equivalent.

TRAINING AND EXPERIENCE:

Required:

  • One year practice-based experience or in a similar healthcare setting.

Preferred:

  • Customer service experience.
  • Previous prior authorization experience.
  • Previous Medical Assistant experience.

Please complete your application using your full legal name andcurrent home address. Be sure toincludeemployment history forthe past seven (7) years, including your present employer. Additionally, you areencouraged to upload a current resume, including all work history, education, and/or certifications andlicenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

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