This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization ...
This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization ...
Prior Authorization/Referral Clerk
$16.25 - $20.75/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... Veteran's preference must be verified prior to appointment. Without this documentation, you will ...
Prior Authorization/Referral Clerk
$16.25 - $20.75/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... Veteran's preference must be verified prior to appointment. Without this documentation, you will ...
Prior Authorization/Referral Clerk
Lakeview, OR · On-site
$16.95 - $22.04/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... Veteran's preference must be verified prior to appointment. Without this documentation, you will ...
Prior Authorization/Referral Clerk
Lakeview, OR · On-site
$16.95 - $22.04/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... Veteran's preference must be verified prior to appointment. Without this documentation, you will ...
Prior Authorization/Referral Clerk
Lakeview, OR · On-site
$16.95 - $22.04/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... Veteran's preference must be verified prior to appointment. Without this documentation, you will ...
Quick apply
Prior Authorization/Referral Clerk
Lakeview, OR · On-site
$16.95 - $22.04/hr
Applicants must be legally authorized to work in the United States. Subject to satisfactory ... Veteran's preference must be verified prior to appointment. Without this documentation, you will ...
This role will serve as a strategic liaison between Prior Authorization operations, engineering, automation partners, and cross-functional stakeholders to ensure technology enhancements are ...
New
$19 - $24.75/hr
As the Prior Authorization & Referrals Coordinator, you'll play a vital role in connecting children and families with specialty care, medications, and community resources by coordinating referrals ...
$19 - $24.75/hr
As the Prior Authorization & Referrals Coordinator, you'll play a vital role in connecting children and families with specialty care, medications, and community resources by coordinating referrals ...
Prior Authorization and Referral Coordinator - Hybrid
Bend, OR · On-site
$19 - $25/hr
Prior Authorization and Referral Coordinator - Hybrid This position is only available to applicants in Central Oregon FTE: 1.0 Non-Exempt Monday - Friday, 8am-5pm The Opportunity Help families access ...
Quick apply
Prior Authorization and Referral Coordinator - Hybrid
Bend, OR · On-site
$19 - $25/hr
Prior Authorization and Referral Coordinator - Hybrid This position is only available to applicants in Central Oregon FTE: 1.0 Non-Exempt Monday - Friday, 8am-5pm The Opportunity Help families access ...
Authorization Coordinator
Medford, OR · On-site
$18 - $21/hr
The Authorization Coordinator is responsible for reviewing, processing, and coordinating prior authorization and referral requests. This role ensures that all medical services comply with clinical ...
Quick apply
Authorization Coordinator
Medford, OR · On-site
$18 - $21/hr
The Authorization Coordinator is responsible for reviewing, processing, and coordinating prior authorization and referral requests. This role ensures that all medical services comply with clinical ...
Prior Authorization and Referral Management Representatives' home department may be a specific centralized location that is supported by Patient Access Services, or in a SCHS outpatient clinic ...
New
Prior Authorization and Referral Management Representatives' home department may be a specific centralized location that is supported by Patient Access Services, or in a SCHS outpatient clinic ...
New
Pharmacy Technician 2 (Med History/Prior Authorization Technician)
Portland, OR · On-site
$18.50 - $22.50/hr
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
Pharmacy Technician 2 (Med History/Prior Authorization Technician)
Portland, OR · On-site
$18.50 - $22.50/hr
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
Pharmacy Technician 2 (Med History/Prior Authorization Technician)
Portland, OR · On-site
$18.50 - $22.50/hr
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
Pharmacy Technician 2 (Med History/Prior Authorization Technician)
Portland, OR · On-site
$18.50 - $22.50/hr
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
Pharmacy Technician 2 (Med History/Prior Authorization Technician)
Portland, OR · On-site
$27.67 - $37.42/hr
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
Pharmacy Technician 2 (Med History/Prior Authorization Technician)
Portland, OR · On-site
$27.67 - $37.42/hr
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
Pharmacy Technician 2 (Med History/Prior Authorization Technician)
Portland, OR · On-site
$18.50 - $22.50/hr
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
Pharmacy Technician 2 (Med History/Prior Authorization Technician)
Portland, OR · On-site
$18.50 - $22.50/hr
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
Pharmacy Technician 2 (Med History/Prior Authorization Technician)
Portland, OR · On-site
$18.50 - $22.50/hr
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
Pharmacy Technician 2 (Med History/Prior Authorization Technician)
Portland, OR · On-site
$18.50 - $22.50/hr
Responsibilities include prescription prior authorization and approval, prescription dispensing, medication histories, patient outreach and medication assistance. The individual is required to have ...
OR · Hybrid
$126K - $166K/yr
Product Manager, Senior Care (Prior Authorization and Concurrent Review) Location: Canada - Remote/or Hybrid Mississauga Travel to Office expectations For Remote Roles: If this role is remote, there ...
OR · Hybrid
$126K - $166K/yr
Product Manager, Senior Care (Prior Authorization and Concurrent Review) Location: Canada - Remote/or Hybrid Mississauga Travel to Office expectations For Remote Roles: If this role is remote, there ...
Utilization Review Specialist
Winston, OR · On-site
$41K - $47K/yr
Track prior authorization requests using established systems to ensure timely processing. * Support timely notification of prior authorization determinations. * Coordinate daily workflow and ...
Utilization Review Specialist
Winston, OR · On-site
$41K - $47K/yr
Track prior authorization requests using established systems to ensure timely processing. * Support timely notification of prior authorization determinations. * Coordinate daily workflow and ...
Medication & Prior Authorization Management * Serve as the clinical lead for specialty medication prior authorizations, including biologics, biosimilars, JAK inhibitors, infusion therapies, and ...
New
Medication & Prior Authorization Management * Serve as the clinical lead for specialty medication prior authorizations, including biologics, biosimilars, JAK inhibitors, infusion therapies, and ...
New
Claims & Prior Authorization Support: * Maintain accurate medication profiles, eligibility information, and supporting documentation. * Assist with medication claims research, prior authorization ...
Claims & Prior Authorization Support: * Maintain accurate medication profiles, eligibility information, and supporting documentation. * Assist with medication claims research, prior authorization ...
Insurance Verification Specialist
Bend, OR · On-site
$22.30 - $30.11/hr
Communicates appropriate provider and facility information to health plan as part of the prior authorization or admission notification process. Has intermediate patient access knowledge of ...
New
Insurance Verification Specialist
Bend, OR · On-site
$22.30 - $30.11/hr
Communicates appropriate provider and facility information to health plan as part of the prior authorization or admission notification process. Has intermediate patient access knowledge of ...
New
Prior Authorization information
See Oregon salary details
$14.49 - $16.27
6% of jobs
$16.27 - $18.05
14% of jobs
$18.49 is the 25th percentile. Wages below this are outliers.
$18.05 - $19.82
20% of jobs
The median wage is $20.82 / hr.
$19.82 - $21.60
18% of jobs
$21.60 - $23.38
16% of jobs
$23.58 is the 75th percentile. Wages above this are outliers.
$23.38 - $25.16
12% of jobs
$25.16 - $26.94
7% of jobs
$26.94 - $28.72
5% of jobs
$28.72 - $30.50
2% of jobs
$30.50 - $32.28
0% of jobs
$32.28 - $34.06
0% of jobs
$14
$22
$34
How much do prior authorization jobs pay per hour?
How to become a prior authorization specialist?
What jobs pay $4000 a week without a degree?
How much do precertification specialists make?
What Is Prior Authorization?
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.
What are the key skills and qualifications needed to thrive as a Prior Authorization Specialist, and why are they important?
What are some common challenges faced by Prior Authorization specialists, and how can applicants prepare for them?
What is the difference between Prior Authorization vs Medical Billing Specialist?
| 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.
What is prior authorization in healthcare?
What career paths follow prior authorization?

Full-time
Medical, Dental, Vision
Re-posted 5 days ago
Job description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
We are aggressively seeking a Provider Network Coordinator to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help.
Take advantage of flexible hours, a competitive salary, and be a Prior Authorization Nurse with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!
This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization Registered Nurse and you meet the qualifications listed below, please click apply below for consideration!
Daily Responsibilities:
- Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
- Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
- Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
Hours for this Position:
Monday - Friday 9:00 am -6:00 pm or 8-5pm
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Salary:
Negotiated based on relevant job experience
Interested in being Considered?
If you are interested in applying to this position, please click Apply Now.
- Active/Compact State's RN License
- 1 year of case management experience
- Experience with medical decision support tools (i.e. Interqual, Milliman, NCCN) and government sponsored managed care programs is preferred
Interested in being considered?
If you are interested in being considered for this position, please click the apply button below.Â
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003