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Prior Authorization Team Lead Jobs (NOW HIRING)

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Work with clinical pharmacist team to provide potential therapeutic substitutions to prescribers * Communicate with the clinical team on the status of prior authorizations or changes that must be ...

Blue Ridge Health

Prior Authorization Specialist

Hendersonville, NC · On-site

$16.25 - $21.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Blue Ridge Health is currently seeking a Prior Authorization Specialist to be part of our Medical team in Hendersonville, NC. What We Offer You: * A competitive benefits plan, including Medical ...

Soleo Health Inc

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$20 - $23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ... Our commitment to these values is evidenced by our diverse executive team, policies, and workplace ...

Equitas Health

Prior Authorization Specialist

Columbus, OH · On-site

$18.13 - $21.78/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Work with clinical pharmacist team to provide potential therapeutic substitutions to prescribers * Communicate with the clinical team on the status of prior authorizations or changes that must be ...

Paoli, IN

Prior Authorization Pharmacy Technician

Indianapolis, IN · On-site

$16.75 - $20.25/hr

  • Retirement

Prior Authorization Pharmacy Technician We are looking for team members who are passionate about challenging and significant work for the good of every patient. We are searching for individuals who ...

New

TriHealth

Prior Authorization Specialist

Cincinnati, OH · On-site

$17.25 - $23/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Prior Authorization Specialist (Certified Medical Assistant or Pharmacy Technician) At TriHealth ... Apply today and grow your career with a team that truly values you. Location: TriHealth Corporate ...

New

1840 & Company

$16.75 - $22.25/hr

Review patient and service data provided by the biller/clinical team for completeness and accuracy * Submit new prior authorizations to the correct insurance company and plan efficiently via the ...

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Prior Authorization Team Lead information

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How much do prior authorization team lead jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for prior authorization team lead in the United States is $25.73, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $24.04 per hour, depending on experience, location, and employer.

What are some typical challenges faced by a prior authorization team lead and how are they addressed?

A Prior Authorization Team Lead often navigates challenges such as keeping up with changing insurance regulations, managing a high volume of requests, and ensuring consistent accuracy across the team. Addressing these challenges requires continuous staff training, effective workload distribution, and close coordination with providers and payers. Strong organizational skills and proactive process improvements help streamline authorization workflows and minimize delays. By fostering clear communication and a supportive team environment, the Team Lead ensures prompt and compliant service to both patients and healthcare providers.

What are the key skills and qualifications needed to thrive in the prior authorization team lead position, and why are they important?

A Prior Authorization Team Lead should possess in-depth knowledge of healthcare insurance processes, prior authorization protocols, and team management experience, often supported by a degree in healthcare administration or a related field. Experience with medical billing software, electronic health records (EHRs), and familiarity with payer guidelines or industry certifications such as Certified Professional Coder (CPC) is highly beneficial. Excellent communication, problem-solving, and leadership skills help motivate staff and resolve complex authorization issues. These capabilities are critical for ensuring efficient operations, regulatory compliance, and high-quality patient service across the team.

What is a prior authorization team lead?

A Prior Authorization Team Lead oversees the prior authorization process for medical procedures, medications, and treatments. They manage a team responsible for reviewing and processing authorization requests to ensure compliance with insurance policies and regulatory guidelines. Their role includes training staff, monitoring performance, resolving escalated issues, and coordinating with healthcare providers and insurance companies. Strong leadership, attention to detail, and knowledge of insurance protocols are key for success in this position.

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Prior Authorization Team Lead jobs near you
Infographic showing various Prior Authorization Team Lead job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $53,524 per year, or $25.7 per hour.

Authorization Specialist Team Lead

BrightSpring Health Services

Louisville, KY • On-site

$7.25/hr

Other

Posted 16 days ago

BrightSpring Health Services rating

5.1

Company rating: 5.1 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

209th of 240 rated social care providers

Job description

Experience Required

3 - 5 years

Minimum Education Required

High School Diploma/G.E.D.

Compensation

$7.25 / hourly

Hours Per Week

40

Number Of Positions

1

Work Schedule and Shift Requirements

First (Day)

Job Description

Requisition: 2026-194060

Authorization Specialist Team Lead

Job Locations

US-KY-LOUISVILLE

ID 2026-194060 Line of Business SpringHealth Behavioral Health and Integrated Care Position Type Full-Time

Our Company

SpringHealth Behavioral Health and Integrated Care

Overview

The Authorization Specialist Team Lead is responsible for overseeing the daily operations of the authorization team, ensuring timely and accurate processing of medical service authorizations. This role combines leadership responsibilities with hands-on work, supporting the team in navigating payer requirements, improving workflow efficiency, and upholding compliance with healthcare regulations and organizational policies.

Applicant can be located anywhere in US

Responsibilities

  • Team Leadership & Supervision:

  • Supervise and coordinate the daily activities of a team of Authorization Specialists.

  • Provide guidance, training, and performance feedback to team members.

  • Monitor individual and team performance metrics and address areas for improvement.

  • Serve as the primary point of contact for escalated issues and complex cases.

  • Operational Management:

  • Ensure timely submission and follow-up of prior authorizations and referrals.

  • Maintain up-to-date knowledge of payer policies, clinical guidelines, and authorization protocols.

  • Collaborate with clinical teams, scheduling staff, and billing departments to support seamless patient access and revenue cycle operations.

  • Process Improvement:

  • Identify bottlenecks and implement process enhancements to improve efficiency and accuracy.

  • Develop and update standard operating procedures (SOPs) and ensure staff adherence.

  • Participate in audits and support compliance with HIPAA and other regulatory standards.

  • Reporting & Communication:

  • Generate regular reports on authorization status, denial trends, turnaround times, and team productivity.

  • Communicate effectively with internal stakeholders and payers to resolve delays or denials.

  • Facilitate regular team meetings and contribute to departmental planning.

Qualifications

High school diploma or equivalent required.

Associate or Bachelor's degree in healthcare administration, business, or a related field preferred.

3-5 years of experience in medical authorizations, billing, or healthcare administration.

1-2 years of experience in a supervisory or lead role is highly preferred.

In-depth understanding of payer authorization processes and healthcare terminology.

Strong leadership, problem-solving, and organizational skills.

Excellent verbal and written communication abilities.

Proficiency in EMR/EHR systems and medical billing software.

Ability to manage multiple priorities in a fast-paced environment.

Travel up to 25%

About our Line of Business

SpringHealth Behavioral Health and Integrated Care, an affiliate of BrightSpring Health Services, offers a holistic approach and integrated care for people with cognitive, developmental, or intellectual disabilities who often need additional resources. The behavior analysts, therapists, social workers, counselors, and psychologists at SpringHealth combine their expertise to deliver high-quality behavioral services for clients to live more positive, active, and social lives. For more information, please visit www.springhealthbehavioral.com. Follow us on Facebook and LinkedIn.

Res-Care, Inc., dba BrightSpring Health Services (“ResCare”), is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, r ace, color, national origin, r eligion, disability, age, veteran status, gender identity or s exual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.

Job Type

Full time

Benefits Offered

Not specified

Veteran Preference

No

Place of Work

On-site

Requisition ID

2026-194060

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

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