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Prior Authorization Jobs in Madison, AL (NOW HIRING)

Prior Authorization Specialist

Huntsville, AL · On-site

$17.25 - $23/hr

Job Purpose The purpose of the Prior Authorization Specialist is to ensure all necessary prior authorizations have been obtained in an effective and efficient manner. Essential Job Functions

Oversee the process of obtaining prior authorization for hematology and oncology treatments from insurance companies, ensuring timely access to necessary medications and therapies while adhering to ...

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Pre Cert Rep

Madison, AL · On-site

$15.25 - $19.50/hr

Overview The Pre-Certification Representative is responsible for obtaining approval from insurance companies for services that require referral, pre-certification or prior authorization. All job ...

Public Health Office Assistant

Fayetteville, TN · On-site

$15 - $19.75/hr

... prior authorization per guidance, before releasing medical information • Assist in obtaining prior authorization from insurers through the gathering and submission of documentation before services ...

Pre Cert Rep

Madison, AL · On-site

$15.25 - $19.50/hr

The Pre-Certification Representative is responsible for obtaining approval from insurance companies for services that require referral, pre-certification or prior authorization. All job functions are ...

Pre Cert Rep

Madison, AL · On-site

$15.25 - $19.50/hr

Overview The Pre-Certification Representative is responsible for obtaining approval from insurance companies for services that require referral, pre-certification or prior authorization. All job ...

Formulary Management Pharmacist

Huntsville, AL · On-site

$55.50 - $66.75/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 ...

Clerical

Madison, AL · On-site

$14 - $18.50/hr

If patient is workman's comp, then prior authorization for frequency and duration must be done prior to patient's first appointment. Fill out workman's comp authorization form, be sure and obtain a ...

If patient is workman's comp, then prior authorization for frequency and duration must be done prior to patient's first appointment. Fill out workman's comp authorization form, be sure and obtain a ...

RECEPTIONIST

Huntsville, AL · On-site

$16.25 - $19.75/hr

Verifies if prior authorization from insurance is required; notifies Billing Department, if required. * Responsible for keeping the reception area clean and organized. * Obtains revenue by recording ...

RECEPTIONIST

Huntsville, AL · On-site

$16.25 - $19.75/hr

Verifies if prior authorization from insurance is required; notifies Billing Department, if required. * Responsible for keeping the reception area clean and organized. * Obtains revenue by recording ...

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Prior Authorization information

See Madison, AL salary details

$12

$18

$28

How much do prior authorization jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for prior authorization in Madison, AL is $18.74, according to ZipRecruiter salary data. Most workers in this role earn between $15.53 and $20.67 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.

What are the most commonly searched types of Prior Authorization jobs in Madison, AL?

The most popular types of Prior Authorization jobs in Madison, AL are:

What job categories do people searching Prior Authorization jobs in Madison, AL look for?

The top searched job categories for Prior Authorization jobs in Madison, AL are:

What cities near Madison, AL are hiring for Prior Authorization jobs?

Cities near Madison, AL with the most Prior Authorization job openings:

Infographic showing various Prior Authorization job openings in Madison, AL 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 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $38,977 per year, or $18.7 per hour.

Prior Authorization Specialist

OneOncology

Huntsville, AL • On-site

$17.25 - $23/hr

Other

Posted 5 days ago


OneOncology rating

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz


Job description

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
Job Purpose
The purpose of the Prior Authorization Specialist is to ensure all necessary prior authorizations have been obtained in an effective and efficient manner.
Essential Job Functions

  • Responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner.
  • Check daily, weekly, and monthly schedules for prior authorizations and request necessary authorizations.
  • Communicate with Physicians and RN's regarding treatment.
  • Check previous patient treatment with current treatment to ensure insurance payments and prior authorizations have been entered/approved.
  • Other duties as assigned.
Qualifications
  • Must have knowledge of Health Insurance Plans
  • Experience in obtaining Health Plan Prior Authorizations thru online portals and/or by phone or fax.
  • Ability to navigate Health Plan websites for medical policy review regarding services.
  • Must be organized and efficient.
  • Must be able to prioritize and complete tasks in a timely manner.
  • Must be able to follow directions and/or work independently.
Education/Experience
  • Must have a high school diploma or equivalent.
  • Certified Pharmacy Technician preferred, but not required
  • Oncology experience required
  • Familiarity with oncology medications preferred
  • Prior Authorization experience preferred

Working conditions
This position works in the billing department of a busy oncology/hematology clinic. This person generally only has contact with patients via phone.
Physical requirements
This position requires that the employee be able to sit at a desk in front of a computer for up to eight hours a day. Some walking and standing may be required to complete tasks.
Direct Reports
This position is not a supervisory position.

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