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Prior Authorization Jobs in Reno, NV (NOW HIRING)

Social worker, case manager onsite and dedicated prior authorization pharmacy liaison * Affiliate Faculty Appointment with UNR Med * Teaching medical students, residents, and PA students * Community ...

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Social worker, case manager onsite and dedicated prior authorization pharmacy liaison * Affiliate Faculty Appointment with UNR Med * Teaching medical students, residents, and PA students * Community ...

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Medical Assistant

Carson City, NV · On-site

$17 - $20/hr

Submit medication prior authorizations Qualifications * Certified Medical Assistant (CMA or RMA) or Certified Nursing Assistant * Strong knowledge of medical terminology and clinical practices ...

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Medical Assistant

Reno, NV · On-site

$17 - $20/hr

Submit medication prior authorizations Qualifications * Certified Medical Assistant (CMA or RMA) or Certified Nursing Assistant * Strong knowledge of medical terminology and clinical practices ...

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Prior Authorization information

See Reno, NV salary details

$13

$20

$32

How much do prior authorization jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for prior authorization in Reno, NV is $20.83, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $23.03 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 Reno, NV?

The most popular types of Prior Authorization jobs in Reno, NV are:

What are popular job titles related to Prior Authorization jobs in Reno, NV?

For Prior Authorization jobs in Reno, NV, the most frequently searched job titles are:

What job categories do people searching Prior Authorization jobs in Reno, NV look for?

The top searched job categories for Prior Authorization jobs in Reno, NV are:

What cities near Reno, NV are hiring for Prior Authorization jobs?

Cities near Reno, NV with the most Prior Authorization job openings:

Infographic showing various Prior Authorization job openings in Reno, NV as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $43,332 per year, or $20.8 per hour.

Physician-Pediatric Neurology

Renown Health

Reno, NV

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New


Renown Health rating

7.3

Company rating: 7.3 out of 10

Based on 99 frontline employees who took The Breakroom Quiz

307th of 888 rated healthcare providers


Job description

Renown Health and University of Nevada, Reno School of Medicine (UNR Med) are recruiting a Board Eligible/Board Certified Pediatric Neurology Physician to join our growing and well-supported pediatric specialty program within our Department of Pediatrics.

Position Highlights:

  • Full-time outpatient pediatric neurology practice with a diverse and established patient population and IP consultations in our Children’s Hospital
  • Dedicated team of 2 MDs, and MA support
  • Rotating shared call
  • Social worker, case manager onsite and dedicated prior authorization pharmacy liaison
  • Affiliate Faculty Appointment with UNR Med
  • Teaching medical students, residents, and PA students
  • Community-based training model with ACGME-accredited IM, FM, Pediatric residencies.

Compensation & Benefits:

  • Guaranteed Salary
  • Health, Dental, Vision, 401K with match, 7-weeks annual leave
  • CME and Board Exam Reimbursement
  • Employer-paid short-term disability, Malpractice/Tail coverage
  • Start-to-Work Bonus/Relocation
  • No State income tax
  • PSLF qualified – 501(c)(3)

Qualifications:

  • MD, DO and BE/BC in Pediatric Neurology
  • Eligibility or Nevada medical licensures, state pharmacy, and DEA
  • Commitment to clinical care, education and academic service

Reno/Tahoe: 

Reno/Tahoe is in one of the West’s most desirable regions offering four seasons, more than 300 days of sunshine and a welcoming family-friendly community.  The city features a vibrant dining scene, growing arts and culture, and abundant recreational opportunities.  With easy access to nearby Lake Tahoe and the Sierra Nevada mountains, residents enjoy world-class outdoor activities year-round – from skiing in the winter to boarding, hiking and biking in the summer – providing an exceptional quality of life. 
 

Renown Health is Nevada’s largest, not-for-profit integrated academic healthcare networks serving northern Nevada, Lake Tahoe and northeast California.   With a diverse workforce of more than 8,000 employees, Renown Health has fostered a longstanding culture of excellence, determination and innovation.   Our organization is comprised of the area’s only Trauma Center, two acute care hospitals, a children’s hospital, an acute rehabilitation hospital, a physician-led, highly esteemed medical group, and the insurance company, Hometown Health.   In 2021, Renown Health and UNR Med joined to form Nevada’s first integrated academic health system to advance our mission of commitment to supporting health and advancing healthcare across the state by expanding clinical care, medical education, clinical research and access to evidence-based care.

The University of Nevada, Reno School of Medicine (UNR Med) is a research-intensive, community-based medical school.   With over $30 million in annual grants and contracts, our transformative and ground-breaking research not only sets us apart but serves to attract top-tier researchers and students. UNR Med currently trains future physicians in our M.D. program, resident physicians in our Graduate Medical Education programs, physician assistants, speech pathologists and audiologists, and scientists in our Physician Assistant, Speech Pathology and Audiology and graduate degree (Ph.D.) programs.

Contact:  Hollie Balaban | Provider Recruiter | hollie.balaban@renown.org


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About Renown Health

Sourced by ZipRecruiter

Renown Health is a leading and respected player in the healthcare industry, based in Reno, NV, US. Established in 1862, the company has a deep-rooted history in providing high-quality healthcare services to the community. Renown Health offers a wide array of services including urgent care centers, lab services, x-ray and imaging services, primary care doctors and specialists. Its central values include excellence in quality and service, caring for people first, being proactive in the community, fiscal responsibility, integrity, and respecting every person.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Reno, NV, US

Year founded

1862

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