PRIOR AUTHORIZATION SPECIALIST
$17 - $22.75/hr
The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, and other specialty areas within ...
$17 - $22.75/hr
The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, and other specialty areas within ...
$17 - $22.75/hr
The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, and other specialty areas within ...
Salina, KS · On-site
$17 - $22.75/hr
The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, and other specialty areas within ...
Salina, KS · On-site
$17 - $22.75/hr
The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, and other specialty areas within ...
Salina, KS · On-site
$17 - $22.75/hr
The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, and other specialty areas within ...
Salina, KS · On-site
$17 - $22.75/hr
The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, and other specialty areas within ...
Salina, KS · On-site
$17 - $22.75/hr
The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, and other specialty areas within ...
Salina, KS · On-site
$17 - $22.75/hr
The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, and other specialty areas within ...
Coffeyville, KS · On-site
$29K - $33K/yr
Verify prior authorization and/or pre-service requirements are met * Manage and maintain all outstanding authorization accounts to increase billing of clean claims * Research patient accounts due to ...
Coffeyville, KS · On-site
$29K - $33K/yr
Verify prior authorization and/or pre-service requirements are met * Manage and maintain all outstanding authorization accounts to increase billing of clean claims * Research patient accounts due to ...
Hays, KS · On-site
$18 - $26/hr
A Hospital Prior Authorization Representative assesses patient medical records, prepares and submits authorization requests, and liaises with insurance companies to resolve issues. They also inform ...
Hays, KS · On-site
$18 - $26/hr
A Hospital Prior Authorization Representative assesses patient medical records, prepares and submits authorization requests, and liaises with insurance companies to resolve issues. They also inform ...
$15.75 - $20/hr
A Hospital Prior Authorization Representative assesses patient medical records, prepares and submits authorization requests, and liaises with insurance companies to resolve issues. They also inform ...
$15.75 - $20/hr
A Hospital Prior Authorization Representative assesses patient medical records, prepares and submits authorization requests, and liaises with insurance companies to resolve issues. They also inform ...
Atchison, KS · On-site
$17.50 - $22.50/hr
The prior authorization/centralized scheduler position will be responsible for scheduling patients, obtaining prior authorization, creating the estimate of services, and having financial ...
Atchison, KS · On-site
$17.50 - $22.50/hr
The prior authorization/centralized scheduler position will be responsible for scheduling patients, obtaining prior authorization, creating the estimate of services, and having financial ...
Atchison, KS · On-site
$17.50 - $22.50/hr
The prior authorization/centralized scheduler position will be responsible for scheduling patients, obtaining prior authorization, creating the estimate of services, and having financial ...
Atchison, KS · On-site
$17.50 - $22.50/hr
The prior authorization/centralized scheduler position will be responsible for scheduling patients, obtaining prior authorization, creating the estimate of services, and having financial ...
$17.50 - $22.50/hr
The prior authorization/centralized scheduler position will be responsible for scheduling patients, obtaining prior authorization, creating the estimate of services, and having financial ...
$17.50 - $22.50/hr
The prior authorization/centralized scheduler position will be responsible for scheduling patients, obtaining prior authorization, creating the estimate of services, and having financial ...
The Prior Authorization Specialist collects demographic, insurance, and clinical information from patients to ensure that all reimbursement requirements are met. Essential Functions and ...
The Prior Authorization Specialist collects demographic, insurance, and clinical information from patients to ensure that all reimbursement requirements are met. Essential Functions and ...
The Prior Authorization Specialist collects demographic, insurance, and clinical information from patients to ensure that all reimbursement requirements are met. Essential Functions and ...
The Prior Authorization Specialist collects demographic, insurance, and clinical information from patients to ensure that all reimbursement requirements are met. Essential Functions and ...
Holton, KS · On-site
$15.75 - $21/hr
Position Summary This position is responsible for screening prior-authorization and coordination of specialized services requested at Holton Community Hospital, including a broad range of requests ...
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Holton, KS · On-site
$15.75 - $21/hr
Position Summary This position is responsible for screening prior-authorization and coordination of specialized services requested at Holton Community Hospital, including a broad range of requests ...
The Prior Authorization Specialist performs the duties of working with the Insurance companies for the purpose of getting testing and procedures approved for the patient before it can be scheduled.
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The Prior Authorization Specialist performs the duties of working with the Insurance companies for the purpose of getting testing and procedures approved for the patient before it can be scheduled.
Duties include, but are not limited to scheduling, insurance verification for benefits and eligibility, completion of prior authorizations/pre-certifications, estimates of patient responsibility and ...
Duties include, but are not limited to scheduling, insurance verification for benefits and eligibility, completion of prior authorizations/pre-certifications, estimates of patient responsibility and ...
Duties include, but are not limited to scheduling, insurance verification for benefits and eligibility, completion of prior authorizations/pre-certifications, estimates of patient responsibility and ...
Duties include, but are not limited to scheduling, insurance verification for benefits and eligibility, completion of prior authorizations/pre-certifications, estimates of patient responsibility and ...
Wichita, KS · On-site
$16 - $21.50/hr
Authorization Specialist * Location: Wichita, KS * Hours: Full Time * Schedule: Monday- Friday, Flexible day time hours, typically 8 am- 5 pm, Hybrid on site one (1) day/week (May require on site ...
Wichita, KS · On-site
$16 - $21.50/hr
Authorization Specialist * Location: Wichita, KS * Hours: Full Time * Schedule: Monday- Friday, Flexible day time hours, typically 8 am- 5 pm, Hybrid on site one (1) day/week (May require on site ...
$16 - $21.50/hr
Authorization Specialist * Location: Wichita, KS * Hours: Full Time * Schedule: Monday- Friday, Flexible day time hours, typically 8 am- 5 pm, Hybrid on site one (1) day/week (May require on site ...
$16 - $21.50/hr
Authorization Specialist * Location: Wichita, KS * Hours: Full Time * Schedule: Monday- Friday, Flexible day time hours, typically 8 am- 5 pm, Hybrid on site one (1) day/week (May require on site ...
Wichita, KS · On-site
$16 - $21.50/hr
Authorization Specialist * Location: Wichita, KS * Hours: Full Time * Schedule: Monday- Friday, Flexible day time hours, typically 8 am- 5 pm, Hybrid on site one (1) day/week (May require on site ...
Quick apply
Wichita, KS · On-site
$16 - $21.50/hr
Authorization Specialist * Location: Wichita, KS * Hours: Full Time * Schedule: Monday- Friday, Flexible day time hours, typically 8 am- 5 pm, Hybrid on site one (1) day/week (May require on site ...
Seneca, KS · On-site
Prior authorization & insurance referrals. * Aging report maintenance and claim corrections or appeals. * Office visit charge posting. * Posting of payments. * Assist with extra duties as requested ...
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Seneca, KS · On-site
Prior authorization & insurance referrals. * Aging report maintenance and claim corrections or appeals. * Office visit charge posting. * Posting of payments. * Assist with extra duties as requested ...
$12.22 - $13.72
6% of jobs
$13.72 - $15.22
14% of jobs
$15.60 is the 25th percentile. Wages below this are outliers.
$15.22 - $16.72
20% of jobs
The median wage is $17.56 / hr.
$16.72 - $18.22
18% of jobs
$18.22 - $19.72
16% of jobs
$19.89 is the 75th percentile. Wages above this are outliers.
$19.72 - $21.22
12% of jobs
$21.22 - $22.72
7% of jobs
$22.72 - $24.23
5% of jobs
$24.23 - $25.73
2% of jobs
$25.73 - $27.23
0% of jobs
$27.23 - $28.73
0% of jobs
$12
$18
$28
Prior authorization is a check done by insurance companies and other third-party payers to determine whether or not they should pay for a medical procedure or specific medication. Factors that can trigger prior authorization requests include things like age, the availability of alternative medicines, or the need to check for drug interactions. If they reject the prior authorization, payers often require doctors to attempt the insurance company's preferred procedure and verify unsuccessful results before accepting an alternative treatment plan. Pre-authorization requests can take up to 30 days, though insurance companies and healthcare providers are continuing to work on ways to cut this time down.
| Aspect | Prior Authorization | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like NCQA or AHIP | Requires knowledge of coding, billing procedures, and often certifications like CPC or CCS |
| Work Environment | Healthcare provider offices, insurance companies, or hospitals | Medical offices, billing companies, or healthcare facilities |
| Employer & Industry Usage | Used by healthcare providers and insurers to approve treatments or procedures | Used 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.

$17 - $22.75/hr
Full-time
Re-posted 14 days ago
7.4
Based on 32 frontline employees who took The Breakroom Quiz
341st of 1,054 rated hospitals
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Health care and social assistance
1,001 - 5,000 Employees
Salina, KS, US
1921