ZipRecruiter

Log In

1

Prior Authorization Jobs in New Port Richey, FL (NOW HIRING)

Elevance Health

Pharmacy Tech II-Bilingual

Tampa, FL · On-site

$16.50 - $20/hr

Processes prior authorization requests from physician's offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. * Provides ...

Arthritis Associates of Florida

Be Seen First

Medical Assistant - Rheumatology

Palm Harbor, FL · On-site

$18 - $23/hr

Obtain Medication prior authorization and outside imaging authorizations * Assisting patients with patient assistance forms * Document accurately and efficiently in EHR systems * Manage medication ...

Arthritis Associates of Florida

Be Seen First

Medical Assistant - Rheumatology

Palm Harbor, FL · On-site

$18 - $23/hr

Obtain Medication prior authorization and outside imaging authorizations * Assisting patients with patient assistance forms * Document accurately and efficiently in EHR systems * Manage medication ...

Deloitte

Agentic AI Engineer - Healthcare AI

Tampa, FL · On-site

Three hundred fifty million Americans rely on a healthcare system whose decision-making has become slow, costly, and adversarial - care delayed by prior authorization and paperwork, claims that ...

previous pagenext page

Showing results 21-40

All JobsPrior Authorization JobsPrior Authorization Jobs in New Port Richey, FL

Prior Authorization information

See New Port Richey, FL salary details

$12

$18

$28

How much do prior authorization jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for prior authorization in New Port Richey, FL is $18.61, according to ZipRecruiter salary data. Most workers in this role earn between $15.43 and $20.58 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 New Port Richey, FL?

The most popular types of Prior Authorization jobs in New Port Richey, FL are:

What are popular job titles related to Prior Authorization jobs in New Port Richey, FL?

For Prior Authorization jobs in New Port Richey, FL, the most frequently searched job titles are:

What job categories do people searching Prior Authorization jobs in New Port Richey, FL look for?

The top searched job categories for Prior Authorization jobs in New Port Richey, FL are:

What cities near New Port Richey, FL are hiring for Prior Authorization jobs?

Cities near New Port Richey, FL with the most Prior Authorization job openings:

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in New Port Richey, FL as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, and 4% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $38,709 per year, or $18.6 per hour.

Certified Pharmacy Technician

Integrated Resources INC

Tampa, FL • On-site

$17 - $20.75/hr

Contractor

Re-posted 28 days ago

Job description

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. Determines appropriateness for medications. Communicates decision to physicians, physician's office staff, medical management staff, and/or pharmacists.
Communicates selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician's office staff, medical management staff, and/or pharmacists.
Researches, resolves, and documents prior authorization outcomes in the pharmacy system.
Escalates requests to Pharmacist when request requires extensive clinical review or denial.
Researches, resolves, and documents physician or client inquiries and grievances. Provides verbal or written results to client, prescriber, provider, and/or management.
Performs other duties as required.
Position is not in a pharmacy

Qualifications

6 months experience in retail, hospital, or facility pharmacy setting required.
Proficiency in computerized pharmacy systems and software applications required.
Excellent verbal and written communication skills.
Ability to follow clinical criteria and instructions
Experience with Windows-based software applications.
High School Diploma or equivalent.
Pharmacy Technician Certification or License

Additional Information

Thanks!!
With Regards,
Sasha Sharma
Clinical Recruiter
Integrated Resources, Inc
IT REHAB CLINICAL NURSING
Direct: 732-662-7964 | (W) 732-549-2030 x 219

Inc. 5000 - 2007-2015 (9 Years in a row)

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

View All Integrated Resources Jobs

Apply