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Prior Authorization Jobs in Raleigh, NC (NOW HIRING)

Akumin

Patient Coordinator - PRN

Raleigh, NC · On-site

$17 - $22.25/hr

May be responsible for verifying insurance coverage and obtain prior authorization. Patient Assistance: * May perform preliminary screening of patients prior to procedures, which may include medical ...

A-Line Staffing Solutions

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Pharmacy Technician- HYBRID- CARY NC--Must live in NC

Cary, NC · Remote

$22/hr

A-Line Staffing is actively searching for Multiple HYBRID Pharmacy Techs/Prior Authorization reps for a major healthcare company located in the Cary, NC surrounding area. This is an exciting ...

Duke Health

Financial Care Counselor - DRH ED

Durham, NC · On-site

$18.25 - $24/hr

Obtain all Prior Authorization Certification and/or authorizations as appropriate. * Facilitate payment sources for uninsured patients. * Determine if patient's condition is the result of an accident ...

Duke University

FINANCIAL CARE COUNSELOR

Durham, NC

$18.25 - $24/hr

Obtain all prior authorization certifications and/or authorizations as appropriate. Facilitate payment sources for uninsured patients. Determine if the patient's condition is the result of an ...

Duke University

FINANCIAL CARE COUNSELOR

Durham, NC · On-site

$18.25 - $24/hr

Obtain all prior authorization certifications and/or authorizations as appropriate. Facilitate payment sources for uninsured patients. Determine if the patient's condition is the result of an ...

Duke Health

FINANCIAL CARE COUNSELOR

Durham, NC · On-site

$18.25 - $24/hr

Obtain all prior authorization certifications and/or authorizations as appropriate. Facilitate payment sources for uninsured patients. Determine if the patient's condition is the result of an ...

Duke Health

Financial Care Counselor - DRH ED

Durham, NC · On-site

$18.25 - $24/hr

Obtain all Prior Authorization Certification and/or authorizations as appropriate. * Facilitate payment sources for uninsured patients. * Determine if patient's condition is the result of an accident ...

Duke Health

Financial Care Counselor - DRH ED

Durham, NC · On-site

$18.25 - $24/hr

Obtain all Prior Authorization Certification and/or authorizations as appropriate. * Facilitate payment sources for uninsured patients. * Determine if patient's condition is the result of an accident ...

Duke Health

Financial Care Counselor - DRH ED

Durham, NC · On-site

$18.25 - $24/hr

Obtain all Prior Authorization Certification and/or authorizations as appropriate. * Facilitate payment sources for uninsured patients. * Determine if patient's condition is the result of an accident ...

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Showing results 1-20

All JobsPrior Authorization JobsPrior Authorization Jobs in Raleigh, NC

Prior Authorization information

See Raleigh, NC salary details

$13

$20

$31

How much do prior authorization jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for prior authorization in Raleigh, NC is $20.31, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $22.45 per hour, depending on experience, location, and employer.

How much do precertification specialists make?

Precertification specialists typically earn a median annual salary between $40,000 and $55,000, depending on experience, location, and employer. They often require knowledge of insurance policies and medical billing software, with some roles offering additional certifications to increase earning potential.

What Is Prior Authorization?

Prior authorization is a check done by insurance companies and other third-party payers to determine whether or not they should pay for a medical procedure or specific medication. Factors that can trigger prior authorization requests include things like age, the availability of alternative medicines, or the need to check for drug interactions. If they reject the prior authorization, payers often require doctors to attempt the insurance company's preferred procedure and verify unsuccessful results before accepting an alternative treatment plan. Pre-authorization requests can take up to 30 days, though insurance companies and healthcare providers are continuing to work on ways to cut this time down.

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.

What does a prior authorization job do?

A prior authorization specialist reviews and processes requests for approval of medical procedures, medications, or treatments from insurance companies. They verify patient information, ensure documentation is complete, and communicate with healthcare providers and insurers to obtain necessary approvals, often using electronic health record systems. This role helps ensure that necessary care is authorized while complying with insurance policies.

What job makes $10,000 a month without a degree?

High-paying jobs that can reach $10,000 a month without a degree include roles like sales managers, real estate brokers, or certain skilled trades such as electricians or plumbers, especially with experience and certifications. These positions often require strong skills, industry knowledge, and sometimes licensing, but not necessarily a college degree.

What is prior authorization in healthcare?

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 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 working in insurance companies, healthcare providers, or pharmacy benefit management companies.
More about Prior Authorization jobs
What are the most commonly searched types of Prior Authorization jobs in Raleigh, NC? The most popular types of Prior Authorization jobs in Raleigh, NC are:
What are popular job titles related to Prior Authorization jobs in Raleigh, NC? For Prior Authorization jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Prior Authorization jobs in Raleigh, NC look for? The top searched job categories for Prior Authorization jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Prior Authorization jobs? Cities near Raleigh, NC with the most Prior Authorization job openings:
Prior Authorization jobs near you
Infographic showing various Prior Authorization job openings in Raleigh, NC as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $42,244 per year, or $20.3 per hour.
Patient Coordinator - PRN

Patient Coordinator - PRN

Akumin

Raleigh, NC • On-site

$17 - $22.25/hr

Part-time

Posted 23 days ago

Key responsibilities

  • Greets and assists patients, customers, and visitors in person and over the phone.

  • Performs patient registration and ensures accuracy of patient records and documentation.

  • May provide preliminary and post-procedure instructions and assist patients with transport and transfer.

Akumin rating

5.4

Company rating: 5.4 out of 10

Based on 50 frontline employees who took The Breakroom Quiz

810th of 877 rated healthcare providers

Job description

The Patient Coordinator is responsible for performing a variety of customer service and patient care tasks to ensure a positive patient experience. Ensures documentation and patient records are prepared and organized. Ensures patients have a clear understanding of what to expect during and after their appointment.
Specific duties include, but are not limited to:
  • Greets and assists patients, customers and visitors in person and over the phone.
  • Will perform patient registration in various systems.
  • Answers all phone calls in a professional and courteous manner.
  • May collect monies for time-of-service patient responsibility.
  • May be responsible for verifying insurance coverage and obtain prior authorization.

Patient Assistance:
  • May perform preliminary screening of patients prior to procedures, which may include medical history.
  • May transport patient to/from the exam room.
  • May assist in patient transfer on/off the exam table.
  • May transport patient to/from the exam room.
  • May provide the patient with preliminary and post-procedure instructions.

Work Area & Supply Preparation
  • In the mobile setting, may assist in preparing the unit for transport.
  • Will maintain a clean and organized work area.
  • May order supplies and ensure the work area is properly stocked.

Documentation
  • Will ensure accuracy of patient records.
  • May schedule patient appointments and obtain insurance verification and/or authorization.
  • May prepare medical records for physicians, patients and customers.
  • Ensures accurate documentation of patient visits in various electronic
  • systems and on written documents.
  • May assist the clinical staff with documentation and image delivery to the patient, physician, or contracted customer.
  • Performs all duties within HIPAA regulations.
  • Other duties as assigned.

Position Requirements:
  • High School Diploma or equivalent experience required.
  • For Mobile Radiology and Oncology, CPR Certification must be obtained prior to hire.
  • For Fixed Radiology, CPR Certification is a plus.
  • As applicable, valid state driver's license required.
  • Ability to work at several locations required.
  • Strong customer service skills.
  • Organizational and multi-tasking skills.
  • Basic knowledge of computer applications and programs.
  • Local travel may be required to support multiple sites.
  • The COVID-19 vaccination is/may be a condition of employment.
  • All candidates who accept an offer for employment will be required to successfully complete a pre-employment background check and drug screen as a condition of employment.

Preferred
  • Six months customer service or related experience and/or training.
  • Knowledge of medical terminology is a plus.
  • Bilingual in Spanish is a plus.

Physical Requirements:
The employee may be exposed to outside weather conditions during transport of patients if working on a mobile unit. The employee may be exposed to a strong magnetic field or radioactive material. May be exposed to blood/body fluids and infectious disease and environmental hazards such as exposure to noise, and travel.
More than 50% of the time:
  • Sit, stand, walk.
  • Repetitive movement of hands, arms and legs.
  • See, speak and hear to be able to communicate with patients.

Less than 50% of the time:
  • Stoop, kneel or crawl.
  • Climb and balance.
  • Carry and lift (ability to move non-ambulatory patients from a sitting or lying position for transfer or to exam).

Medical Assistant, Front Office
Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.

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