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Prior Authorization Jobs in Baton Rouge, LA (NOW HIRING)

Stat Home Health

Certified Pharmacy Technician

Baton Rouge, LA · On-site

$14 - $17.25/hr

Must be licensed and in good standing with the Louisiana Board of Pharmacy * 2+ years of recent pharmacy experience; billing experience and prior authorization knowledge preferred * Experience with ...

VieMed

Intake Specialist I

Baton Rouge, LA · On-site

$17 - $22.75/hr

If required by payer(s), obtains prior authorization &/or follows up on authorization. * Interacts professionally with physicians, patients, patient's family, and co-workers. * Schedules set ups, as ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Baton Rouge, LA

Prior Authorization information

See Baton Rouge, LA salary details

$13

$20

$30

How much do prior authorization jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for prior authorization in Baton Rouge, LA is $20.06, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $22.16 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 Baton Rouge, LA? The most popular types of Prior Authorization jobs in Baton Rouge, LA are:
What are popular job titles related to Prior Authorization jobs in Baton Rouge, LA? For Prior Authorization jobs in Baton Rouge, LA, the most frequently searched job titles are:
What job categories do people searching Prior Authorization jobs in Baton Rouge, LA look for? The top searched job categories for Prior Authorization jobs in Baton Rouge, LA are:
What cities near Baton Rouge, LA are hiring for Prior Authorization jobs? Cities near Baton Rouge, LA with the most Prior Authorization job openings:
Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Baton Rouge, LA as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $41,731 per year, or $20.1 per hour.

Pharmacist In Charge (Specialty) - Baton Rouge, LA

House Rx LLC

Baton Rouge, LA • On-site

$45 - $54.75/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 25 days ago

Job description

Pharmacist In Charge (Specialty) - Baton Rouge, LA

House Rx is on a mission to make specialty medications more accessible and affordable for patients. We're looking for a Clinical Pharmacist with specialty experience to serve as the Pharmacist in Charge (PIC) supporting our customer site in Baton Rouge, LA. Join our team and help make specialty medications more accessible and affordable for patients!

About the Role

As a pivotal member of the House Rx team, you will work closely with specialty care clinics to optimize outcomes for specialty patients and improve the specialty pharmacy experience for patients and their caregivers. This is an onsite role in Baton Rouge.

What You'll Do

  • Ensure compliance with all territory, state and federal pharmacy laws, Board of Pharmacy regulations, DEA, and all other standards, as applicable
  • Serve as the designated Pharmacist-in-Charge with accountability for licensure, controlled substance oversight, and regulatory inspections
  • Oversee daily pharmacy operations to ensure accurate dispensing, patient safety, and adherence to clinical protocols
  • Maintain and enforce policies and procedures for prescription processing, drug storage, and security
  • Lead audits, maintain records, and coordinate responses for regulatory bodies and accrediting organizations
  • Supervise and train pharmacists, technicians, and support staff to ensure quality standards and continuing education compliance
  • Collaborate with providers and clinic staff to support coordinated patient care, including formulary optimization and medication access
  • Investigate and resolve medication incidents, ensuring proper documentation and continuous quality improvement
  • Ensure proper inventory management, including procurement, temperature-sensitive drug handling, and recall processes
  • Participate in strategic planning to support pharmacy growth, service line expansion, and value-based care initiatives
  • Act as the pharmacy's clinical expert, supporting patient counseling, therapeutic substitution, and prior authorization reviews
  • Be the workflow expert in all aspects of the pharmacy from prescription received to dispensed
About You
  • You must have leadership experience in a pharmacy, PIC experience preferred
  • You are excited about working as part of the care team, collaborating with providers, to improve specialty medication outcomes
  • You are comfortable engaging with patients, providers, and all members of the care team both in-person and over the phone
  • You have experience navigating specialty medication benefits investigation, prior authorization, and financial assistance and will go above and beyond to help patients gain access, including composing appeal letters and seeking any available financial assistance
  • You are excited about working in a start-up environment and helping to build workflows and processes from the ground up
  • You enjoy learning new technologies and are proficient in some common pharmacy software systems (QS1, ComputerRx, PioneerRx, WAM, etc). Bonus points if you have worked in EMR systems (EPIC, Cerner, NextGen, etc) or specialty pharmacy systems (Therigy, Asembia1, ScriptMed, etc)
  • You are knowledgeable about specialty medications
  • Willingness to learn therapeutic areas you are not familiar with
  • You are a creative problem solver interested in positively impacting each patient's pharmacy experience
  • You are an initiative taking individual contributor who can also promote teamwork and collaboration amongst colleagues
  • You are highly organized, with excellent attention to detail, focused on delivering quality patient care, comprehensive documentation, and exceptional execution every day
  • You must hold a Doctor of Pharmacy (PharmD) or equivalent advanced degree and be licensed as a pharmacist in State of Employment
  • Your active, unrestricted pharmacist license must be eligible to become PIC in State of Employment
Why You Should Join Our Team

A career at House Rx offers the chance to work with a talented group of entrepreneurs, healthcare professionals, and technology builders who are passionate about improving specialty care and making it easier for patients to access the medication that they need.

At House Rx, we strive to build and maintain an environment where employees from all backgrounds are valued, respected and have the opportunity to succeed. You'll find a culture that supports open communication, embracing failure as a learning opportunity, and always being open to new ideas—no matter how radical. We are a remote-first company, however some pharmacy operations roles require onsite clinic presence. We're committed to creating a positive and collaborative culture to achieve our mission, all while supporting our team members in all aspects of their lives—at home, at work and everywhere in between.

In particular, we offer:

  • Unlimited PTO
  • Generous parental leave
  • Comprehensive healthcare, vision and dental benefits
  • 401k match
  • Competitive salary and equity stake

Expected Full-Time Base Salary: $135,000+

This range represents the low and high end of the anticipated base salary/wage. The actual base salary/wage will depend on several factors, including experience, knowledge, and skills. Actual compensation packages may include other elements, equity, paid time off and benefits.

We're backed by forward-thinking investors committed to transforming healthcare, including Bessemer Venture Partners, LRV Health, NEA, Town Hall Ventures, First Round Capital, Khosla Ventures, Maverick Ventures, 1984.vc, and Character.

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