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Prior Authorization Jobs in Florence, SC (NOW HIRING)

ScionHealth

Medical Assistant Float

Hartsville, SC · On-site

$15.25 - $20.25/hr

Perform advanced administrative functions, including coordination of care, insurance verification, prior authorizations, and patient education. * Maintain, calibrate, and troubleshoot clinical ...

HopeHealth Inc

Pharmacist

Florence, SC · On-site

$44.75 - $54.50/hr

Initiates prior authorizations in Cover My Meds and notifies clinical pharmacy team with the Key. * Documents appropriate notes/outcome codes in patient records and other systems as necessary.

HopeHealth Inc

Pharmacist - In - Charge

Florence, SC · On-site

$44.75 - $54.50/hr

Initiates prior authorizations in Cover My Meds and notifies clinical pharmacy team with the Key. * Documents appropriate notes/outcome codes in patient records and other systems as necessary.

MUSC

RN Infection Preventionist - FT

Florence, SC · On-site

$72K - $96K/yr

Initiates control measures as authorized by designated committees. Works independently with ... Prior experience with geriatrics preferred * Must have applicable certifications or training per ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Florence, SC

Prior Authorization information

See Florence, SC salary details

$11

$17

$26

How much do prior authorization jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for prior authorization in Florence, SC is $17.37, according to ZipRecruiter salary data. Most workers in this role earn between $14.38 and $19.18 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

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The most popular types of Prior Authorization jobs in Florence, SC are:

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

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Cities near Florence, SC with the most Prior Authorization job openings:

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Florence, SC as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $42,014 per year, or $20.2 per hour.

Prior Authorization Pharmacy Technician - MUSCP

Medical University of South Carolina

Florence, SC • On-site

$17 - $20.50/hr

Full-time

Posted 23 days ago

Key responsibilities

  • Manage and complete medication prior authorizations for patients across outpatient specialty practices.

  • Ensure timely submission of accurate documentation to payers, monitor authorizations and denials, and collaborate with clinical and provider teams.

  • Support outpatient pharmacy operations by managing the end-to-end prior-authorization process for medications, services, and procedures.

Job description

Job Description Summary

Come join the team that's Changing What's Possible at MUSC Health Ambulatory Clinics. We are seeking a Pharmacy Technician to support our growing team by managing and completing medication prior authorizations for patients across multiple outpatient specialty practices. Enjoy a routine daytime schedule with no evenings, weekends or holidays and free parking on site. This position is located primarily at 1 Southpark Circle in Charleston (West Ashley), with training and occasional on-site work at MUSC Health East Cooper at 1600 Midtown Avenue in Mt. Pleasant. In this role, you will work closely with providers, pharmacists, and a dedicated team of nurses, helping ensure timely access to medications and seamless coordination of care. Our ideal candidate is someone who thrives in a collaborative, fast-paced environment with a positive attitude and a passion for providing excellent patient care. Be part of a team where your ideas are valued, your contributions are celebrated, and your potential is limitless.
Apply today to find out more about joining this wonderful team!

Entity

University Medical Associates (UMA) Only Employees and Financials

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC001994 UMA AMB MULT East Cooper Clinic-Administrat CC

Pay Rate Type

Hourly

Pay Grade

Health-21

Scheduled Weekly Hours

40

Work Shift

Job Description

The Prior Authorization Pharmacy Technician supports the outpatient pharmacy operations by managing the end-to-end prior-authorization process for medications, services, and procedures. This role ensures timely submission of accurate documentation to payers, monitors authorizations and denials, collaborates with clinical and provider teams, and helps optimize reimbursement while safeguarding patient access to therapy.

Additional Job Description

Minimum Requirements:

Education: High School diploma or equivalent

Work Experience: 0 - 6 months


Current registration as a Pharmacy Technician by the State of South Carolina Board of Pharmacy (SCBOP)is required and must be maintained.

Must obtain and maintain Pharmacy Technician Certification (Pharmacy Technician Certification Board (PTCB) or Exam for the Certification of Pharmacy Technicians (ExCPT)) certification:

  • Team members as of 11/1/2023: within 1 year of 11/1/2023.

  • New Team members as of 11/1/2023: within 6 months of hire.

  • New team members who are enrolled or will enroll ina pharmacy technician training program accredited by the American Society of Health-System Pharmacists (ASHP) and/or recognized by PTCB, have 30 days post program completion to obtain certification.

Physical Requirements: Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

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