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

Radiology Partners

Authorization Specialist

Tampa, FL · On-site

$17 - $22.75/hr

Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers. Checks insurance eligibility to ensure that the information provided matches ...

Radiology Partners

Authorization Specialist

Tampa, FL · On-site

$16.50 - $21.75/hr

Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers. Checks insurance eligibility to ensure that the information provided matches ...

radiology partners

Authorizations Specialist

Tampa, FL · On-site

$17 - $22.75/hr

Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers. Checks insurance eligibility to ensure that the information provided matches ...

Radiology Partners

Authorizations Specialist

Tampa, FL · On-site

$17 - $22.75/hr

Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers. Checks insurance eligibility to ensure that the information provided matches ...

Radiology Partners

Authorizations Specialist

Tampa, FL · On-site

$16.50 - $21.75/hr

Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers. Checks insurance eligibility to ensure that the information provided matches ...

radiology partners

Authorizations Specialist | PRN

Tampa, FL · On-site

$17 - $22.75/hr

Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers. Checks insurance eligibility to ensure that the information provided matches ...

Radiology Partners

Authorizations Specialist | PRN

Tampa, FL · On-site

$17 - $22.75/hr

Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers. Checks insurance eligibility to ensure that the information provided matches ...

Radiology Partners

Authorizations Specialist | PRN

Tampa, FL · On-site

$16.50 - $21.75/hr

Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers. Checks insurance eligibility to ensure that the information provided matches ...

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All JobsPrior Authorization JobsPrior Authorization Jobs in Port Richey, FL

Prior Authorization information

See Port Richey, FL salary details

$12

$18

$28

How much do prior authorization jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for prior authorization in Port Richey, FL is $18.52, according to ZipRecruiter salary data. Most workers in this role earn between $15.34 and $20.48 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 Port Richey, FL?

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

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

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

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

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

Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Port Richey, FL 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 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $38,529 per year, or $18.5 per hour.

Authorization Specialist - USFTGP UMSA RCO Front End

Tampa General Hospital (TGH)

Tampa, FL • On-site

$17 - $22.75/hr

Full-time

Re-posted 15 days ago

Tampa General Hospital rating

7.3

Company rating: 7.3 out of 10

Based on 162 frontline employees who took The Breakroom Quiz

385th of 1,064 rated hospitals

Job description

The Authorization Specialist is responsible for coordinating and securing insurance pre-certifications and pre-authorizations for medical procedures, outpatient testing, and prescribed medications. This role serves as a liaison between providers, insurance carriers, patients, and external agencies to ensure timely access to care while maintaining complete and accurate documentation within the electronic medical record (EMR). The Authorization Specialist supports continuity of care by facilitating appointments, triaging patient communications, and assisting with peer-to-peer reviews to resolve authorization barriers efficiently.
Qualifications
Required Skills:
• High School diploma or GED
Work Experience and Additional Information
Six (6) months' medical office experience to include auth/pre-cert. Knowledge of medical terminology, CPT & ICD-9 coding. Excellent communication skills
Technical Knowledge, Skills, and Abilities
  • Understanding of pre-certification, prior authorization, and referral requirements across various payer types, including commercial, Medicare, and Medicaid plans.
  • Ability to accurately document clinical, insurance, and authorization details in an electronic medical record to ensure compliance and continuity of care.
  • Strong written and verbal communication skills to interact effectively with physicians, insurance carriers, patients, and external healthcare organizations.
  • Ability to educate and guide patients through complex authorization processes while delivering a positive, supportive patient experience.
  • Ability to manage multiple authorizations, appointments, and deadlines simultaneously in a fast-paced clinical environment.
  • Skill in gathering medical necessity documentation, identifying authorization barriers, and supporting peer-to-peer review coordination for timely resolution.

What Tampa General Hospital employees say

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Benefits

Hours and flexibility

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About Tampa General Hospital

Sourced by ZipRecruiter

Tampa General Hospital was named the #1 hospital in Tampa Bay by U.S. News & World Report, 2020-2021, and recognized as one of America's Best Hospital's in five medical specialties: Cardiology & Heart Surgery, Diabetes & Endocrinology, Gastroenterology & GI Surgery, Nephrology, and Orthopedics. Tampa General Hospital has been designated a Magnet Hospital by the American Nurses Credentialing Center (ANCC), the highest recognition for nursing excellence, for the fourth consecutive time - an accomplishment that fewer than one percent of hospitals nationwide have earned. TGH is accredited by The Joint Commission and was awarded disease-specific certification in five medical specialties. TGH is also accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). *Air transport provided by Metro Aviation, Inc.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Tampa, FL, US

Year founded

1927

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