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Prior Authorization Jobs in Vermont (NOW HIRING)

Pharmacy Careers

Formulary Management Pharmacist

Burlington, VT · On-site

$58.50 - $70.25/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

Sarahbush

Nurse Specialist Psychiatry

West Lincoln, VT · On-site

$32.10/hr

... for prior authorization documentation and submission, medication sample and buy and bill logs, infection control protocol, lab/specimen protocol and required reporting, At provider's direction ...

Vermont Jobs

Program Technician II - Interim

Waterbury, VT · On-site

$33K - $38K/yr

This role will help support the processing of medical and dental prior authorization requests into multiple systems to support a medical necessity determination by clinical staff. This process ...

Akumin

Patient Coordinator

Berlin, VT · On-site

$19 - $20/hr

May be responsible for verifying insurance coverage and obtain prior authorization. Patient Assistance: * May perform preliminary screening of patients prior to procedures, which may include medical ...

Akumincorp

$19 - $20/hr

May be responsible for verifying insurance coverage and obtain prior authorization. Patient Assistance: * May perform preliminary screening of patients prior to procedures, which may include medical ...

Akumin

Patient Coordinator

Berlin, VT · On-site

$19 - $20/hr

May be responsible for verifying insurance coverage and obtain prior authorization. Patient Assistance: * May perform preliminary screening of patients prior to procedures, which may include medical ...

esr

Audiologist Associate

East Fairfield, VT

$19 - $26/hr

Process prior authorizations for insurance (specifically Anthem FEP and others as needed). * Input and track all purchase orders and receipts in Envi, including GL coding, line items, invoice ...

esr

Audiologist Associate

East Fairfield, VT · On-site

$19 - $26/hr

Process prior authorizations for insurance (specifically Anthem FEP and others as needed). * Input and track all purchase orders and receipts in Envi, including GL coding, line items, invoice ...

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Showing results 21-40

All JobsPrior Authorization JobsPrior Authorization Jobs in Vermont

Prior Authorization information

See Vermont salary details

$14

$22

$34

How much do prior authorization jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for prior authorization in Vermont is $22.22, according to ZipRecruiter salary data. Most workers in this role earn between $18.41 and $24.52 per hour, depending on experience, location, and employer.

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.

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, along with knowledge of medical billing and coding. Relevant skills include attention to detail, communication, and familiarity with insurance policies and electronic health record systems. Certification in medical billing or coding can enhance job prospects.

What career paths follow prior authorization?

Careers following prior authorization include roles such as medical billers, claims processors, healthcare administrators, and utilization review specialists. These positions often require knowledge of insurance policies, medical coding, and healthcare regulations, and may involve certifications like CPC or CCS. Advancement can lead to supervisory or managerial roles within healthcare administration or insurance companies.

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.
More about Prior Authorization jobs

What are the most commonly searched types of Prior Authorization jobs in Vermont?

The most popular types of Prior Authorization jobs in Vermont are:

What are popular job titles related to Prior Authorization jobs in Vermont?

For Prior Authorization jobs in Vermont, the most frequently searched job titles are:

What job categories do people searching Prior Authorization jobs in Vermont look for?

The top searched job categories for Prior Authorization jobs in Vermont are:

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Vermont as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $46,208 per year, or $22.2 per hour.

OP Ambulatory Pharmacist Clinician - Specialty Pharmacy (Per Diem)

University of Vermont Health

Williston, VT • On-site

$57.28 - $85.92/hr

Other

Re-posted 9 days ago

Job description

OP Ambulatory Pharmacist Clinician - Specialty Pharmacy (Per Diem)

Job Details

Job Ref:

R0088962

Category:

Pharmacology

Employment Type:

Per Diem

Health Care Partner:

University of Vermont Medical Center

Location:

75 Holly Court, Williston, VT 05495

Department:

Specialty Pharmacy - Clinical Services

Job Type:

Regular

Primary Shift:

Day

Hours:

8:30 AM - 5:00 PM

Hours per Week:

0

Weekend Needs:

None

Pay Rate:

$57.28 - $85.92 per hour

The OP Ambulatory Pharmacist Clinician is an advanced practice pharmacist responsible for assuring optimal drug use outcomes in high risk, high cost or complex patient populations. She/He applies specialized knowledge of pharmacotherapy to direct patient care, teaching, and consultation. Participates as a contributing member of ambulatory care teams such as rheumatology, dermatology, neurology, infectious disease, oncology, nephrology, or pulmonology. Provides clinical, pharmacy, and medication expertise in each area including pharmacy operations, prior authorization support and medication access, and medication therapy outcomes.

Flexible Work Arrangement:This is a hybrid position with the opportunity to become fully remote. Schedule flexibility is available, with hours ranging from8 to 40 per weekbased on the successful candidate’s availability and business needs.

EDUCATION:

Doctor of Pharmacy and an ASHP accredited residency program or equivalent experience preferred. Licensed pharmacist in the State of Vermont.

EXPERIENCE:

3 years of advanced practice experience in their area of expertise preferred or equivalent experience in ambulatory care or a clinical outpatient setting.

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