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Prior Authorization Jobs in Florida (NOW HIRING)

Cinq Group

Prior Authorization Specialist

Altamonte Springs, FL · On-site

$16.75 - $22.50/hr

Obtain prior authorizations; initiate requests, follow up to provide additionally required information, track progress, and expedite responses from insurance carriers and other payers, and maintain ...

WellDyne

Prior Authorization Clinical Pharmacist

Lakeland, FL · On-site

$105K - $125K/yr

Pharmacist - Prior Authorization At our company, we move fast, adapt quickly, and turn challenges into opportunities--all while keeping quality at the heart of everything we do. We believe that work ...

WELLDYNE

Prior Authorization Clinical Pharmacist

Lakeland, FL · On-site

$110K - $131K/yr

Summary Under the direction of the Manager, Clinical Services, the Prior Authorization Clinical Pharmacist practice in accordance with local, state, and federal rules and regulations. Handle the ...

Spine Institute of Central Florida

Be Seen First

Prior Authorizations Specialist

Lakeland, FL · On-site

$16.75 - $22.25/hr

The Surgical Prior Authorizations Specialist will specialize in coordinating surgical prior ... Request, review, and process procedural and surgical authorization requests and single case ...

Spine Institute of Central Florida

Be Seen First

Prior Authorizations Specialist

Lakeland, FL · On-site

$16.75 - $22.25/hr

The Surgical Prior Authorizations Specialist will specialize in coordinating surgical prior ... Request, review, and process procedural and surgical authorization requests and single case ...

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Prior Authorization information

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$10

$15

$24

How much do prior authorization jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for prior authorization in Florida is $15.61, according to ZipRecruiter salary data. Most workers in this role earn between $12.93 and $17.26 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a prior authorization specialist, and why are they important?

To thrive as a Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, typically supported by a high school diploma or associate degree in a healthcare-related field. Familiarity with electronic medical records (EMR) systems, insurance portals, and authorization management software is essential. Attention to detail, effective communication, and problem-solving abilities help you navigate complex cases and collaborate with providers and payers. These skills ensure accurate and timely processing of authorizations, minimizing delays in patient care and reducing administrative errors.

What are some common challenges faced by prior authorization specialists, and how can applicants prepare for them?

Prior Authorization specialists often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and communicating effectively with both healthcare providers and insurance representatives. To prepare for these challenges, applicants should develop strong organizational skills, attention to detail, and a good understanding of medical terminology and insurance guidelines. Familiarity with electronic health records (EHR) systems and the ability to multitask in a fast-paced environment are also valuable assets in this role.

What is the difference between Prior Authorization vs Medical Billing Specialist?

AspectPrior AuthorizationMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIPRequires knowledge of coding, billing procedures, and often certifications like CPC or CCS
Work EnvironmentHealthcare provider offices, insurance companies, or hospitalsMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurers to approve treatments or proceduresUsed by healthcare providers and billing companies to process claims and payments

While both roles are essential in healthcare administration, Prior Authorization focuses on obtaining approval for treatments, whereas Medical Billing Specialists handle the financial aspects of claims processing. Understanding their differences helps clarify their distinct responsibilities within the healthcare system.

How do I become a prior authorization specialist?

To become a prior authorization specialist, you typically need a high school diploma or equivalent and gain experience in healthcare or insurance billing. Relevant skills include knowledge of medical terminology, insurance policies, and proficiency with electronic health record (EHR) systems; certifications such as Certified Medical Administrative Assistant (CMAA) can also enhance job prospects.

What is a prior authorization job?

A prior authorization job involves reviewing and processing requests from healthcare providers to approve specific medical treatments, medications, or procedures before they are administered. The role requires knowledge of insurance policies, medical terminology, and attention to detail, often utilizing electronic health record systems. It is essential for ensuring that treatments meet insurance criteria and are covered under the patient's plan.

What are the career paths in prior authorization?

Careers in prior authorization typically include roles such as prior authorization specialists, medical reviewers, and healthcare administrators. Advancement can lead to supervisory or managerial positions, and professionals often develop skills in healthcare regulations, insurance policies, and medical coding. Certifications in medical billing and coding can enhance career growth in this field.

What is prior authorization?

Prior authorization is a process used by health insurance companies to determine if they will cover a prescribed procedure, service, or medication. Before the provider delivers the service, they must receive approval from the insurer. This process helps control costs and ensures that the service or medication is medically necessary. It often involves submitting documentation and waiting for a decision, which can sometimes delay patient care. Patients and providers should check with insurance companies to understand which services require prior authorization.
More about Prior Authorization jobs
What are the most commonly searched types of Prior Authorization jobs in Florida? The most popular types of Prior Authorization jobs in Florida are:
What are popular job titles related to Prior Authorization jobs in Florida? For Prior Authorization jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Prior Authorization jobs in Florida look for? The top searched job categories for Prior Authorization jobs in Florida are:
What cities in Florida are hiring for Prior Authorization jobs? Cities in Florida with the most Prior Authorization job openings:
Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $32,477 per year, or $15.6 per hour.

Prior Authorization Specialist

Cinq Group

Altamonte Springs, FL

$16.75 - $22.50/hr

Full-time

Re-posted 13 days ago

Job description

Company Description

Here at CiNQ Recruitment, we believe in finding the right fit, for you and our clients. Whether you seek long-term employment solutions for your business or your next career move, we understand the importance of individual and business needs. With over 30 years of successful staffing and recruiting experience, we excel at providing passive candidates with the right skills and cultural fit for specialized positions. Here is the opportunity to work with an exciting pharmaceutical company.

Job Description

Hiring Manager Notes:

  • M-F 11a-8p
  • $16-$19
  • At least 1-2 years of insurance verification
  • FULL PA process- obtaining the PA form, filling it out, calling dr. office and obtaining lab and cart notes.
  • Pharmacy background a good plus
  • Eligibility verification/investigation experience
  • Well spoken

Position Summary:

Perform duties to assist patients with access to benefits and co-pay cards, and schedule delivery of prescriptions provided through the specialty pharmacy, working within the limits of standard or accepted practice.

Essential Functions:

  • Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards, and build trusted and enduring customer relationships that yield loyalty.
  • Investigate and verify benefits for pharmacy and medical third party claims for assigned cases. May communicate with financial assistance team of drug manufacturers to apply for and secure financial assistance for patient when assigned.
  • Obtain prior authorizations; initiate requests, follow up to provide additionally required information, track progress, and expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed. Review for accuracy of prescribed treatment regimen prior to submission of authorization.
  • Facilitate appeals process between the patient, physician and insurance company by requesting denial information and facilitates obtaining the denial letter from the insurance, patient or physician. Composes clinical appeals letters based off of specific denial reason and patients clinical presentation. Ensures all clinical information and documentation are obtained prior to appeal submission. Coordinates appointment of representative document with patient and physician office.
  • Completes status check with insurance company regarding receipt of prior authorization and appeal and approval or denial status. 
Additional Information

All your information will be kept confidential according to EEO guidelines.

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