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Prior Authorization Jobs in Myrtle Beach, SC (NOW HIRING)

Conway Medical Center

Authorization Specialist

Conway, SC · On-site

$16.75 - $22.25/hr

The Authorization Specialist (AS) is assigned patients to obtain insurance to determine if an authorization is required for the testing/procedure being ordered by the requesting physician ...

HEALTH CARE PARTNERS

Referral Specialist

Conway, SC · On-site

... Obtain prior authorizations and insuranceapprovals required for specialty services, procedures, and diagnostic testing. • Schedule referral appointments and communicateappointment details ...

Tidelands Health

Medical Assistant

Murrells Inlet, SC

$15.50 - $20/hr

May also perform duties for prior authorization, referrals (incoming/outgoing), good faith estimates, and/or payment collections. What you will do * Accompanying patients to exam rooms, preparing ...

Tidelands Health

Medical Assistant

Murrells Inlet, SC · On-site

$15.50 - $20/hr

May also perform duties for prior authorization, referrals (incoming/outgoing), good faith estimates, and/or payment collections. What you will do * Accompanying patients to exam rooms, preparing ...

Tidelands Health

Medical Assistant

Myrtle Beach, SC · On-site

$16 - $20.50/hr

May also perform duties for prior authorization, referrals (incoming/outgoing), good faith estimates, and/or payment collections. What you will do * Accompanying patients to exam rooms, preparing ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Myrtle Beach, SC

Prior Authorization information

See Myrtle Beach, SC salary details

$11

$17

$27

How much do prior authorization jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for prior authorization in Myrtle Beach, SC is $17.57, according to ZipRecruiter salary data. Most workers in this role earn between $14.57 and $19.42 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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For Prior Authorization jobs in Myrtle Beach, SC, the most frequently searched job titles are:

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The top searched job categories for Prior Authorization jobs in Myrtle Beach, SC are:

What cities near Myrtle Beach, SC are hiring for Prior Authorization jobs?

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

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Myrtle Beach, SC 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 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $36,555 per year, or $17.6 per hour.

Authorization Specialist

Conway Medical Center

Conway, SC • On-site

$16.75 - $22.25/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Conway Medical Center rating

7.0

Company rating: 7.0 out of 10

Based on 44 frontline employees who took The Breakroom Quiz

508th of 1,065 rated hospitals

Job description

Position Summary:
The Authorization Specialist (AS) is assigned patients to obtain insurance to determine if an authorization is required for the testing/procedure being ordered by the requesting physician/practitioner.  The Authorization Specialist AS will check patient demographics and more importantly insurance information to ensure Conway Medical Center has the most up-to-date information for accurate reimbursement submission.    

Qualifications

Education:

  • High School Diploma required.

Experience:

  • Two (2) years’ experience in hospital and/or physician billing/pre-authorization or insurance verification.
  • Demonstrated knowledge of health insurance plans including: Medicare; Medicaid, HMO’s; and PPO’s required.
  • Familiarity with electronic health records (E.H.R.) and documentation requirements and accessibility.
  • Knowledge of online insurance eligibility and insurance verification systems.

Licensure/Certification/Registration:

  • Medical Terminology certification preferred.
  • Certification or Associate degree in ICD-10-CM/ICD-10-PCS; CPT, HCPCS preferred
  • Certified Health Access Associate credential preferred

Duties & Responsibilities:

  • Collaborates with designated clinical contacts that require escalation to peer-to-peer review. 
  • Facilitates submission of clean claims and reduction in payer denials by adhering to both organizational and departmental policies and procedures and maintaining departmental productivity and quality goals.
  • Educate and counsel patients on their insurance coverage and explain payment options that are available to them.
  • Work with front line staff to ensure collections are secured at time of presentation.
  • Always displays exemplary core customer service skills.
  • Consistently display effective verbal and written communication skills.  
  • Proficient understanding and use of technology/PC skills required.
  • Work well in a fast-paced environment; efficiently organize work and maintain a high level of accuracy and productivity.
  • Complete other duties as assigned by department leadership.

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